Problem:
How the practice act for Kentucky encourages or discourages quality and effective patient care for a patient with co-morbid conditions. Consider the patient case below: Patient details: A 35-year-old African American male reports trouble with sleep for over three months. He has problems both falling and staying asleep. He has increased his drinking habits at night to try and increase his sleepiness before bed. He states he is drinking 1-2 beers every night before bed. He also says he has a history of depression and has been treated with Prozac for four years. However, he has not been on medication for the last 24 months. He reports his depression has been 1 to 2 on a 0-10 scale, with ten being the worst. He denies SI/HI and A/VH. However, he does state increased anxiety when he does not sleep. He says he feels fidgety and out of it during the day.