InsomniaCaseStudy.docx
RESULTS OF DECISION POINT TWO
· Patient returns to clinic in 2 weeks
· Patient states trazodone is very effective for sleep
· Patient states sometimes the 25 mg dosage isn’t quite enough to help him sleep through the night
· Patient denies auditory/visual hallucinations and is future oriented
Decision Point Three
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Feedback to Student
Since the patient is already showing a partial response from trazodone, it may not be prudent to switch therapy. A thorough sleep hygiene analysis should always be performed prior to initiation of pharmacotherapy as well as at reassessments. If you find the patient isn't practicing proper sleep hygiene, you may continue the dose and encourage sleep hygiene. If the patient is practicing good sleep hygiene, you may consider discontinuing trazodone and initiating hydroxyzine. Although there are some negative side effects associated with hydroxyzine such as Xerostomia and Xerophthalmia, it is still a safer medication to prescribe than ramelteon.
ASSIGNMENT QUESTIONS. 5 pages please see below;
Introduction to the case (1 page)
· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
· Which decision did you select?
·
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