S.B.’s adult child brings S.B. in to see the primary

S.B.’s adult child brings S.B. in to see the primary care provider because of concern for S.B.’s health since the patient’s spouse passed away. As you gather the patient’s history, S.B. tells you that they are 63 years old and currently unemployed because they and their spouse were preparing for the spouse’s upcoming retirement this month. The two had plans to travel and visit relatives in Ireland, fulfilling a lifelong dream of theirs. S.B. tearfully tells you that this won’t be happening now because their spouse died from a massive myocardial infarction, which occurred at home during the night 7 weeks ago. When asked about their current symptoms, S.B. reports feeling “depressed and stressed with all that has happened,” they have lost weight, and they have had problems sleeping since their spouse passed away. At this point in the interview, S.B.’s child interrupts and expresses extreme concern about S.B.’s lack of sleep. S.B.’s child tells you that S.B. began taking melatonin 1 week ago because the family is “not big on taking medicine, and we feel more comfortable using natural interventions, like the melatonin.” During the sleep assessment, S.B. provides the following data: They report feeling depressed and “lost” without

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