Problem:
Write an Initial PSYCH VISIT, chief complaint, , Psychiatric visit HPI, current Psych meds, exam, social history,, screening tools and results MSE, diagnosis and recommended Plan (medication and dosages), rationale for using the medications for a 66 years old male referred to be seen wit dx Insomnia, Parkisson's disease with Dyskinesis, MDD, Insomnia. Current Meds: Ropinirole 1mg daily for Parkisson's disease, Duloxetine 60mg daily for MDD, Hydroxyzine 25mg PRN HS for started yesterday HPI: Assessment was done in the patient's room. She is at the skilled facility post hospitalization of injury of right internal carotid artery, concussion with loss of consciousness. She said her sleep has not been good because of her anxiety. She was started on hydroxyzine 25mg PRN at HS yesterday and she hopes for effectiveness. Appetite is good but prefers certain foods. Allregic to green and shell. Mood is good. She said her sleep issues have been going on for sometime now. he said he is very big about his surrounding so the change in environment keeps him awake. He said at home he took exedrin PM to sleep and he plans to resume it when he goes home. at this time, he does not want to try anything new again for his sleep. Need Assignment Help?