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Arthur Silverstein RoomArthur Silverstein, Arthur Silverstein, a 68-year-old homeless Vietnam veteran recentlyhospitalized for PTSD resulting from the abuse suffered during imprisonment by Viet Cong.Arthur lives in a homeless shelter. He has experienced intermittent homelessness and alcoholaddiction since his wife died 18 years ago. Arthur experiences flashbacks and nightmares. He ishyper-vigilant and becomes anxious in crowded spaces or in large groups of people.Medications: NKDA. Paroxetine (Paxil) 30 mg daily for management of depression,hypervigilance and PTSD symptoms and zolpidem (Ambien) for sleep as needed. Social history:Arthur lives in a homeless shelter. Arthur openly struggles with the day room and the men’sliving quarters due to the number of people and limited personal space. Because of Arthur’salcohol addiction he has been denied access to the shelter if he was intoxicated forcing him tosleep outdoors, regardless of the weather. Arthur has three children that he has not seen sinceshortly after his wife died due to his mental health and alcohol abuse.You responded correctly to 8 out of 10 evaluations:YourCategoryresponseExplanationCulture/Beliefs/Spirituality NORMAL There is no evidence of cultural or spiritual issues.Self-ManagementIncreased Arthur has increased need for self-management of hisacuitymental health, alcohol addiction, and care fromenvironmental exposure.Social Determinants ofIncreased Social determinants of health inc ...
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