▋I ▋▸Prequel Episode 01.
Dear Doctor :
The 31-year-old female had the past history:
. Multiple myeloma ,lambda light chain type, stage III.
. Thoracic spinal 12 compression fracture, status post-vertebroplasty on 19**/10/30.
. Acute kidney injury/Hypercalcemia/Nephrotic range proteinuria.
Dear Doctor :
The 31-year-old female had the past history:
. Multiple myeloma ,lambda light chain type, stage III.
. Thoracic spinal 12 compression fracture, status post-vertebroplasty on 19**/10/30.
. Acute kidney injury/Hypercalcemia/Nephrotic range proteinuria.
Responses disabled for others than plurk poster
latest #8
Then patient still delirium with anxility.
Sincerely need your expertise to medications adjustment.
THANKS a lot!
Sincerely need your expertise to medications adjustment.
THANKS a lot!
【Present Illness】
As the delirium symptoms improved, no signs of restlessness were noted at other times, however, the patient became anxious when near pool or mirrors.
In addition, patients often refuse to eat through a nasogastric tube due to abdominal distension.
As the delirium symptoms improved, no signs of restlessness were noted at other times, however, the patient became anxious when near pool or mirrors.
In addition, patients often refuse to eat through a nasogastric tube due to abdominal distension.
【Mental Status Examination】
Skinny body build
Mildly restricted facial expression
Mildly anxious mood
Hypotalkative, coherent and relevant speech
Persecutory delusion: not detected
Reference delusion: not detected
Auditory hallucination: not detected
Partial insight
Skinny body build
Mildly restricted facial expression
Mildly anxious mood
Hypotalkative, coherent and relevant speech
Persecutory delusion: not detected
Reference delusion: not detected
Auditory hallucination: not detected
Partial insight
---------------------------------------------- Consultation reply
【Re-educative Psychotherapy】
(1)Content discussed:
* No irritability noted recently.
* Poor oral intake.
(2)Technique applied:
* Active listening and empathize the patient.
* Discuss caring strategy.
* Encourage oral intake.
* Emotional support.
* Education about medication and promote medical adherence.
(1)Content discussed:
* No irritability noted recently.
* Poor oral intake.
(2)Technique applied:
* Active listening and empathize the patient.
* Discuss caring strategy.
* Encourage oral intake.
* Emotional support.
* Education about medication and promote medical adherence.
【Suggestions & Interventions】
1. Please go on the evaluation and management of the patient's physical problems.
2. Epathized the patient and care giver.
3. ҉̣̠͍̍̎̋̎̍͢͞─̴̨͇̜̰̱̗̂́̚͝─̴̧͎͌͐́͝─̵̮͍̟͆͢͞─̵̨̙̙̌́̒͞ 0.5# stat. If anxiety level decreased after taking, try training the patient with pool and a mirror.
4. Encourage oral intake.
1. Please go on the evaluation and management of the patient's physical problems.
2. Epathized the patient and care giver.
3. ҉̣̠͍̍̎̋̎̍͢͞─̴̨͇̜̰̱̗̂́̚͝─̴̧͎͌͐́͝─̵̮͍̟͆͢͞─̵̨̙̙̌́̒͞ 0.5# stat. If anxiety level decreased after taking, try training the patient with pool and a mirror.
4. Encourage oral intake.
Please contact me (73─̴̨͇̜̰̱̗̂́̚͝─҉̢̝̗̈̇͡─҉̢̝̗̈̇͡ ) if any further problem.
Thanks.
Thanks.