Pomeroy Case 16.2 Maria PDF

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Answers to Clinical Assessment Workbook Case 16.2...

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Pomeroy Case 16.2 Maria 1. Info I would like to obtain before seeing Maria again- I would like to obtain the information of the physicians Maria is seeing to get these medications prescribed to her 2. Maria may be bearing the burden of responsibilities at home, as her husband is often absent. This could be a risk factor for substance-related disorders. Her being Latina could affect her assessment and potential treatment because every culture has their own traditions, beliefs and values. It would be important to explore the sociocultural attitudes surrounding treatment for substance-related disorders. 3. Strengths - A son who is involved and concerned about her wellbeing, serving as a support system - She has gotten through a drug issue before, achieving sobriety at some point. This indicates that change is possible - Her faith; she mentions how she made a promise to God 4. My initial diagnosis: Sedative, Hypnotic, or Anxiolytic Intoxication F13.929 A. Recent use of a sedative, hypnotic, or anxiolytic (Takes Klonopin and Restoril every day; Occasionally takes Xanax) B. Clinically maladaptive behavior or psychological changes (Impaired judgment) that developed during, or shortly after, sedative, hypnotic, or anxiolytic use C. One (or more) of the following signs or symptoms developing during, or shortly after, sedative, hypnotic, or anxiolytic use: - Slurred speech - Incoordination (Bumping into things; visible bruises) -Impairment in cognition (Son reports that she has demonstrated slowed thinking and impaired memory, asking the same questions several times) - Stupor (Son reports that she seems “spaced out”). Associated Features Supporting Diagnosis: Maria is taking multiple different medications, prescribed by more than one doctor. Z Codes: High Expressed Emotion Level Within Family Z63.8 – There is hostility in the family between Maria and her husband. He’s often aggressive and yells when he’s home....