A client's daughter provides all the day-to-day care for her mother who has a diagnosis of dementia. The daughter is experiencing symptoms of insomnia, stomach pains, and frequent headaches
These symptoms may indicate that the daughter is in need of: 1. A nursing home placement for her mother.
2. Electroconvulsive treatment for depression.
3. A thorough mental status examination.
4. Supportive counseling and information about respite care.
4
Rationale: The daughter's symptoms of insomnia, stomach pain, and headache may be somatic symptoms that are the physical expression of emotional distress related to the stress of caregiving. Supportive counseling and information about respite care may provide her with support and help in coping with stress, discouragement, and a sense of hopelessness. A mental status examination is not indicated by her symptomatology. Nursing home placement for the mother may be premature. Electroconvulsive treatment is a treatment option for a client with a diagnosis of depression that has not responded to antidepressant therapy.
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