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NURS 6670 Jeremy is a 21-year-old male who is referred by his primary care provider

NURS 6670 Jeremy is a 21-year-old male who is referred by his primary care provider

Jeremy is a 21-year-old male who is referred by his primary care provider

Answer: Jeremy is a 21-year-old male who is referred by his primary care provider

Jeremy is a 21-year-old male who is referred by his primary care provider. He has persistent erythema of both hands, which was initially thought to be eczema but eventually was diagnosed as a result of chronic, excessive handwashing. Further evaluation of Jeremy revealed findings consistent with obsessive compulsive disorder.”

Jeremy is a 21-year-old male who is referred to your office by his primary care provider, in response to persistent itching of both hands. If you could please provide me with the following information: Date of last menstrual period and birth date, Medical record number, and phone number.

Jeremy has a hand condition that keeps him from being able to work and the PMHNP wonders if she should restrict his ability to wash his hands.

Jeremy is an example of a patient with obsessive-compulsive disorder (OCD), a common condition in which patients have recurrent intrusive thoughts accompanied by relatively frequent actions that they believe help reduce distress, but that actually make the situation worse. These behaviors are repeated even though they are recognized as not efficacious. Often, these obsessions include fears of harmful objects or harm to others.

Compulsive washing is a common form of obsessive compulsive disorder (OCD). Obsessive thoughts and behaviors may begin in early childhood and continue throughout life, but can worsen with stressful or traumatic experiences. Washing in excessively can lead to scarring, nerve damage, rashes, and infections. Many people with OCD seek therapy for their filthy habits; a physical therapist can help determine appropriate treatment based on the patient’s symptoms.

It’s tough to know what’s normal and what isn’t. If a child is washing her hands more than half a dozen times per hour, that would be considered highly obsessive, but not unusual. A child who washes his hands seven times per hour but has no other problems is likely just tired of being sick. Here are some tips on finding out if your child suffers from an over-the-top cleaning problem: If a child brings a wet towel or washcloth to school and uses it for five to ten minutes in the bathroom, then comes out and continues to use the same towel or washcloth for another half hour in class (especially if he or she leaves it while sitting in a chair), you might want to see a doctor. The constant towel-changing isn’t healthy and may be part of an OCD problem.

Amphetamines are a group of psychostimulant drugs used to treat attention-deficit hyperactivity disorders and narcolepsy. The term “amphetamine” refers to both stimulants, and “norepinephrine” refers to the neurotransmitter system. Amphetamines act by increasing release of dopamine, serotonin and norepinephrine, leading to increased nervous activity in the central nervous system.

Question:

Jeremy is a 21-year-old male who is referred by his primary care provider. He has persistent erythema of both hands, which was initially thought to be eczema but eventually was diagnosed as a result of chronic, excessive handwashing. Further evaluation of Jeremy revealed findings consistent with obsessive compulsive disorder. The PMHNP considers that the most appropriate initial therapy for Jeremy would be:

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