Adult/Geriatric Depression BACKGROUND INFORMATION The client is a 32-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to the PMHNPs office for an initial appointment for complaints of depression. The client was referred by his PCP after “routine” medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and “stiff” shoulders which he attributes to his current work as a laborer in a warehouse. #button { background-color: #F05A1A; border: 5px; border-radius: 5px; color: white; padding: 5px 5px; text-align: center; text-decoration: none; display: inline-block; font-size: 13px; margin: 4px 2px; cursor: pointer; } Save your time – order a paper! Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines Order Paper Now   SUBJECTIVE During today’s clinical interview, client reports that he always felt like an outsider as he was “teased” a lot for being “black” in high school. States that he had few friends, and basically kept to himself. He describes his home life as “good.” Stating “Dad did what he could for us, there were 8 of us.” He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in “trouble” at work.   MENTAL STATUS EXAM The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. The PMHNP administers the “Montgomery- Asberg Depression Rating Scale (MADRS)” and obtained a score of 51 (indicating severe depression). To prepare for this Assignment: · Review this week’s Learning Resources. Consider how to assess and treat adult and geriatric clients requiring antidepressant therapy( Use laureate media interactive media below to make treatment decisions) · The Assignment Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. · At each decision point stop to complete the following: o Decision #1 § Which decision did you select? § Why did you select this decision? Support your response with evidence and references to the Learning Resources. § What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. § Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? o Decision #2 § Why did you select this decision? Support your response with evidence and references to the Learning Resources. § What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. § Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? o Decision #3 § Why did you select this decision? Support your response with evidence and references to the Learning Resources. § What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. § Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? · Also include how ethical considerations might impact your treatment plan and communication with clients.