What screening tools or measurement tools are available for anxiety disorder? Include the tool with your discussion and describe what anxiety disorder(s) the tool is useful for identifying/measuring and what limitations the tool has (such as age, language, time it takes to complete, whether it costs money to use or is free for use, and so on). See case study below
Armella Ottinger, a 77-year-old African American woman, was widowed almost 10 months ago. She presents with severe anxiety and panic symptoms that have persisted since the death of her husband. She also reports having some short-term memory loss and sometimes waking up at night feeling confused.
Armella was married for 58 years. She is currently living alone in the four-bedroom house where she lived with her husband and raised their five children. All her children live far away, although she has a sister who lives 20 minutes away whom she sees a few times per month. She has been attending a grief support group at her church for about a month.
Her primary care provider referred her to you, a psychiatric mental health nurse practitioner, for an evaluation and medication management.
Social History
Retired as a school teacher 10 years ago; taught 3rd grade for 40 years. Five adult children all live in California. Lives in Missouri and has limited contact with her children and grandchildren.
Education
Master’s degree in education
Medical History
History of back pain, uses Motrin IB 400 mg every 8 hours.
History of diabetes type II, takes Metformin 1000 mg daily with meals, last A1C from a month ago was 7.6.
History of coronary artery disease, two stents placed 5 years ago.
History of hypertension for 10 years, managed with Lisinopril 30 mg daily po.
History of rheumatoid arthritis for 20 years, received Rituxan infusions every 4–6 months.
Surgical History
Tonsillectomy at 5 years
TAH at 55 years
Cervical fusion 15 years ago
Cardiac stents placed 5 years ago for coronary artery disease
Allergies
Penicillin (hives)
Current Medications
Fluoxetine 20 mg at night, has been taking for two months, prescribed by her primary care provider
Lisinopril 30 mg daily po for HTN
Motrin IB 400 mg every 8 hours for back pain
Metformin 1000 mg daily with meals
Rituxan infusions every 4–6 months for RA
Metoprolol 12.5 mg at night
Alprazolam 0.25 mg twice daily for anxiety (used for 2 months, prescribed by primary care provider)
OTC multivitamins
Alcohol Intake
Occasional glass of wine with dinner. No other alcohol use.