Call/WhatsApp/Text: +44 20 3289 5183

Question: You are caring for a 37-year-old woman who is pregnant with her second child. Her first pregnancy was traumatic as she experienced a pelvic fracture during delivery causing excruciating pain.

19 Oct 2022,11:09 PM

 

You are caring for a 37-year-old woman who is pregnant with her second child. Her first pregnancy was traumatic as she experienced a pelvic fracture during delivery causing excruciating pain. Also, during this time she became addicted to opioids and has continued on buprenorphine during this second pregnancy. The anxiety from these memories plagues her. She is fearful that she will not be given adequate pain medication during the birth and that the baby may experience withdrawal symptoms. She has been prescribed an antidepressant for anxiety and depression. Her husband is a pharmacist and has attended most visits with the psychiatric-mental health NP for counseling and psychopharmaceutical drug management.

What would be your initial approach to assessment and diagnosis with this woman/family?
Would you prescribe an antidepressant, and which one? What are possible adverse reactions to placing a woman on antidepressants in the post-partum phase?
Explain the pharmacodynamics, pharmacokinetics, contraindications, pregnancy related issues, legal/ethical considerations, testing (if applicable), side effects and relationship to trimester.
What would be your plan of care including the strengths and weaknesses of the family functioning and supporting attachment? (Be succinct.) Consider supervision/collaboration/type of psychotherapy or complementary modality you might use.

Expert answer

 

You are caring for a 37-year-old woman who is pregnant with her second child. Her first pregnancy was traumatic as she experienced a pelvic fracture during delivery causing excruciating pain. Also, during this time she became addicted to opioids and has continued on buprenorphine during this second pregnancy. The anxiety from these memories plagues her. She is fearful that she will not be given adequate pain medication during the birth and that the baby may experience withdrawal symptoms. She has been prescribed an antidepressant for anxiety and depression. Her husband is a pharmacist and has attended most visits with the psychiatric-mental health NP for counseling and psychopharmaceutical drug management. You are caring for a 37-year-old woman who is pregnant with her second child. Her first pregnancy was traumatic as she experienced a pelvic fracture during delivery causing excruciating pain. Also, during this time she became addicted to opioids and has continued on buprenorphine during this second pregnancy. The anxiety from these memories plagues her. She is fearful that she will not be given adequate pain medication during the birth and that the baby may experience withdrawal symptoms. She has been prescribed an antidepressant for anxiety and depression. Her husband is a pharmacist and has attended most visits with the psychiatric-mental health NP for counseling and psychopharmaceutical drug management.

You are caring for a 37-year-old woman who is pregnant with her second child. Her first pregnancy was traumatic as she experienced a pelvic fracture during delivery causing excruciating pain. Also, during this time she became addicted to opioids and has continued on buprenorphine during this second pregnancy. The anxiety from these memories plagues her. She is fearful that she will not be given adequate pain medication during the birth and that the baby may experience withdrawal symptoms. She has been prescribed an antidepressant for anxiety and depression. Her husband is a pharmacist and has attended most visits with the psychiatric-mental health NP for counseling and psychopharmaceutical drug management.

Stuck Looking For A Model Original Answer To This Or Any Other
Question?

Related Questions

A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge

Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative. Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr., C-reactive protein 67 mg/L CMP wnl Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2 99% on room air. Cardio-respiratory exam ...
You work in the Department of Foreign Affairs and Trade of Australia. Your department will.....

Problem Description: You work in the Department of Foreign Affairs and Trade of Australia. Your department will be hosting a workshop on the Global Value Chains, challenges, and opportunities for Australia, with participants from academia, industry, government, and non-profit organizations. To prepare for this workshop, you plan to first write a report on GVCs by giving a relevant example. To appeal to the audience, you wish to focus on a GVC in which Australia participates, that is, Australian inputs are used to produce (deliver) final products (services). Your report should: Give an example of GVC which involves at least three ...
Critically examine the memorialisation or commemoration of an event said to be defining of a given society’s collective.......

  Select a relevant piece of artwork (i.e. documentary, exhibition, film) and/or artist and critically assess the artist’s/artwork’s contribution to understandings of how societies remember.   OR   Critically examine the memorialisation or commemoration of an event said to be defining of a given society’s collective or social memory, in which digital technologies/media/archives are seen as highly significant in the formation of remembrance.     DRAFT / STUDY TIPS: The Role of Digital Technologies in the Memorialization of Collective Memory: A Critical Examination Introduction Memorialization and commemoration are crucial aspects ...
You hold the HR directorship of a local company in Durham, which employs 100 workers

You hold the HR directorship of a local company in Durham, which employs 100 workers (all in a managerial position). The company usually offered an incremental pay rise of 3 per cent every year. It also offered some benefits such as health insurance, life insurance, and private pension plan. The cost of living and the high inflation are influencing the organisational revenue. You were asked to rethink the Employee Rewards including the pay rise and the benefit system and to consider withdrawing the private pension plan. Based on that information please answer the following:   1)    What external influences do ...

What Clients Say About Us

Copyright © 2012 - 2024 Apaxresearchers - All Rights Reserved.

WhatsApp us