Question

Using your knowledge of pathophysiology and research, you will need to present a differential of three disorders that could account for your patient’s symptoms.

Patient 1: 35-year-old man with a history of anxiety, chronic marijuana use, and chronic back pain. No current medications or other history, but he has been consistently complaining of back pain since joining the Thursday night league volleyball team. Single, lives alone, and works at a fast food restaurant. Heterosexual and consistent use of protection (barrier).

To complete your assignment:.

• Offer three differential diagnoses for what might be troubling your patient.

• Provide rationale with citations for each of your differential diagnoses.

• What would be your first course of action for your patient?

• What safety issues, if any, did you recognize for your patient?

• Summarize the scenario and what you chose as your final diagnosis for your patient and why.

• Make sure that you address psychosocial issues/concerns/contributors, along with content related to substance abuse, should this be appropriate.

• This assignment should take no more than 1–2 pages, not including your title and reference pages.

Answer 1

Answer :

Offer three differential diagnoses for what might be troubling your patient.

1. ) Chronic pain related to inflammation of lumbar region or increased strain
2. ) Substance abuse related to personal vulnerability
3. ) Anxiety May be related to lack of knowledge regarding symptoms, progression of condition, and treatment regimen

Provide rationale with citations for each of your differential diagnoses.

1.rationalefor chronic pain might be volley ball team player

The nurse can increase the patient’s willingness to adopt new interventions to promote pain relief through guidance and support. The patient may begin to feel confident regarding the effectiveness of these interventions.

Analgesic combinations may enhance pain relief.

2.rationale for substance abuse

Provides insight into patient’s willingness to commit to long-term behavioral change, and whether patient even believes that he or she can change.

3.rationale for anxiety

The client’s safety is utmost priority. A highly anxious client should not be left alone as his anxiety will escalate.

Relaxation exercises are effective nonchemical ways to reduce anxiety.

Cognitive-behavioral therapy

What would be your first course of action for your patient?

• The first course of action is to plan intervention to relieve the pain and make the patient comfortable

What safety issues, if any, did you recognize for your patient?

• The client’s safety is utmost priority. A highly anxious client should not be left alone as his anxiety will escalate.
• Respect Personal Space
• Be Aware of Your Own Body Position
• Be Empathic to Others' Feelings
• Keep Nonverbal Cues Nonthreatening
• Ignore Challenging Questions

Summarize the scenario and what you chose as your final diagnosis for your patient and why.

• Chronic pain related to inflammation of lumbar region or increased strain will be final diagnosis.chronis pain and anxiety might also be due to substance abuse.

Make sure that you address psychosocial issues/concerns/contributors, along with content related to substance abuse, should this be appropriate.

• Single, lives alone, and works at a fast food restaurant. Heterosexual and consistent use of protection (barrier) all these might be psycho social issues related to substance abuse.