Established 63 year old female, personal history of HTN and T2DM,… Established 63 year old female, personal history of HTN and T2DM, exhibiting poor control with A1C of 9?Husband disabled due to blindness, has very limited mobility, along with numerous other medical problems. Anne Marie is the primary care giver, along with overseeing and managing the household?Adult son lives with them. He holds a job, but also expects his mother to wait on him as well?Anne Marie reports husband and son can be verbally abusive and very demanding, have little regard for her health, are very demanding of her. No physical abuse exists?Today she confides she is and has been VERY anxious for about 6 months now, and it seems to be getting worse. She does not see much in the way of change of her living situation. When her husband is in the hospital, it does give her some relief. She does not want to go out, is afraid to drive, is worrying about finances, cannot sleep at night, and is on “high alert” at all times?She tells you she has taken ½ of an alprazolam (Xanax) tablet that she got from her sister on two occasions and it really was helpful. She is asking for a prescription today for more ?Anne Marie is suffering from anxiety?What medication would you select initially and why? ?How many tablets would you dispense and how would you manage refills??What is happening at the neurotransmitter level in Anne Marie and what are you attempting to manipulate? Health Science Science Nursing GPNG MISC Share QuestionEmailCopy link Comments (0)
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