Anna Sink i-Human generalized anxiety disorder case

1.Situation, Background, Assessment, Recommendations (SBAR) Documentation

S: Situation
Concise statement of the purpose of the communication
Anna Sink is a 32-year-old schoolteacher who presents at the emergency room with complaints of chest tightness, palpitations, and shortness of breath. Such symptoms arose when she was told that there was a change in her travel schedule because of a change in weather conditions. Her anxiety symptoms were somewhat relieved by the administration of 2 mg Lorazepam orally in the ER

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B: Background
Brief information related to the clinical background of the situation
Anna has had recurrent episodes of anxiety in the form of chest discomfort and palpitations in the past, which occur 1-2 times a week for the last six months. These episodes are often accompanied by a deep-seated fear of impending disaster and difficulty focusing. In situations where Anna takes over-the- counter medications such as Tylenol and Advil for the purpose of treating her headache, she always finds them efficient. She has been going in and out of therapy for three months, but she has yet to understand whether therapy can help or not with her anxiety condition.

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