Assignment Task:
Develop chief complaint and assessment note
Patient states he is "doing well" seen improvements with previous medication change. Sleeping and appetite are good. States he is has lost 15lbs by following a diet with his wife primarily focusing on eliminating dairy and added sugar. Patient denies racing or obsessive thoughts and denies symptoms of psychosis. Need Assignment Help?
1. Continue medication:
Amphetamine-Dextroamphetamine (Adderall) 20 mg oral tablet - take 1 tablet by mouth Twice daily.
2) Psych education done. Need for medication compliance explained and patient verbalized understanding and agreed with the plan.
3) Major potential side effects of the medications were discussed with the patient who verbalized understanding.
4) Informed patient to contact provider immediately to report any side effects of the prescribed medications and patient verbalized and agreed with the plan.
5) Risks vs benefits, rationale for medication use and alternative treatments were explained to the patient who verbalized understanding and agreed with the plan.
6) Reviewed pre-existing safety plan with patient who verbalized understanding and agreed with the plan.
7) Follow up on June 9th at 3.30 pm , with the understanding that if the patient's status changes or patient feels they need to be seen sooner, they will contact the provider.