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Discussion: Sleep/Wake Disorders

WHAT I NEED IS 1 REPLY COMMENT PER POST, EACH COMMENT NEEDS TWO HAVE TWO APA REFERENCE ABOVE 2013 WITH CITATION.

POST1

The selected case for this discussion is case number five which involves sleepy woman with anxiety.

The three questions to ask the patient

a.  Does anxiety interfere with your ability to concentrate?

The choice for this question is based on the fact that anxiety can send one into a true tailspin of disruptive and irrational thinking which interferes with the ability to focus

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b.  Which medication did you use for narcolepsy?

The question will help in determining if the drugs used to treat past narcolepsy was effective to avoid possible onset.

c.  Do you experience headache, dizziness, nausea, vomiting, constipation or dry mouth?

The question will help determine if the patient is responding positively to bupropion. These are some of the side effects of bupropion and therefore, persistent of these symptoms would mean the patient is not responding well to bupropion

The people in the patient’s life to speak to or get feedback from for further assessment of the patient’s situation

a.  The husband: How do you describe the sleeping pattern of your wife?

The question will help in determining if the patient is having sleeping disorder, that is, excessive sleep.

b.  Former class teacher: How do you describe the concentration of the patient while in class?

Lack of concentration is one of symptoms of sleep apnea and therefore, the question will determine if the patient has recurring sleep apnea.

The physical exams and diagnostic tests that would be appropriate for the patient and the use of the results. Discussion: Sleep/Wake Disorders

I will perform physical exam to look for signs and symptoms of anxiety such as nervousness, restlessness, panics, rapid heartrate and weakness and lethargy. The result will be used to determine severity of the anxiety disorder and consequently helps in selecting the most effective medication. I will also use the criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). I will also use polysomnography to monitors heart, lung and brain activity, breathing pattern to help in ruling the presence of absence of sleep apnea (Mokhlesi  & Cifu, 2017).

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