Jamie works the night shift and has currently been very tired and has had stomach pain. What is Jamie experiencing? Question 21 Answer insomnia an overabundance of light desynchronization depression
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Case Presentation Melanie Johnson is a 32-year-old accountant who moved to Green Bay, Wisconsin, two years ago from her hometown of Sarasota, Florida. Beginning this past November, for the first time in her life, Melanie began experiencing periods of depression, lethargy, and excessive sleeping. In addition, she noticed that she was eating more than she had previously, and as a result, had gained 10 pounds. Melanie made an appointment with her physician, who after ruling out all potential medical causes of the symptoms she displayed, and after she was examined by a psychiatrist to rule out other causes of her depression, diagnosed her as having seasonal affective disorder (SAD). 6. Describe the use of melatonin in the treatment of "jet lag" and insomnia associated with aging. 7. Are any serious side effects known to occur as a result of the administration of melatonin? 8. List some environmental stresses that can affect pineal function. 9. Does the structure of the pineal gland change as we age? 10. How did the pineal gland get its name?
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Janice is a 56 years old mother of two teenagers she complains of difficulty sleeping and staying up all night with a burst of energy. She has been cleaning her house for the past 2 nights non –stop. You also notice that her speech is marked by a flight of ideas, when she is admitted, she is heard telling her roommate that she wishes that she could kill herself because she is tired of living like this. Discuss the probable DSM-V diagnosis that she is experiencing. Explain what would be the priority nursing diagnosis and included in her plan of care containing both pharmacologic and non-pharmacologic interventions
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