NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology
\nAssignment help – Discussion: Treatment for a Patient with a Common Condition
\nInsomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient\u2019s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being.
\nFor this Assignment help – Discussion, review the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient\u2019s health needs.<\/p>\n
Case: An elderly widow who just lost her spouse.
\nSubjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband\u2019s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:
\n\u2022\tMetformin 500mg BID
\n\u2022\tJanuvia 100mg daily
\n\u2022\tLosartan 100mg daily
\n\u2022\tHCTZ 25mg daily
\n\u2022\tSertraline 100mg daily
\nCurrent weight: 88 kg
\nCurrent height: 64 inches
\nTemp: 98.6 degrees F
\nBP: 132\/86
\nFor the discussion
\nPost a response to each of the following:
\n\u2022\tList three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.
\n\u2022\tIdentify people in the patient\u2019s life you would need to speak to or get feedback from to further assess the patient\u2019s situation. Include specific questions you might ask these people and why.
\n\u2022\tExplain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.
\n\u2022\tList a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.
\n\u2022\tList two pharmacologic agents and their dosing that would be appropriate for the patient\u2019s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
\n\u2022\tFor the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Assignment help – Discuss why the contraindication\/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?
\n\u2022\tIndicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.<\/p>\n
Learning resources
\nhttps:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4388122\/
\nhttps:\/\/www.accessdata.fda.gov\/scripts\/cder\/daf\/index.cfm
\nhttps:\/\/www.clozapinerems.com\/CpmgClozapineUI\/r<\/p>\n
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NURS 6630: Psychopharmacological Approaches to Psychopathology Assignment help – Discussion: Treatment for a Patient with a Common Disorder<\/p>\n
As a PNP, one of the most common medical conditions you will encounter is insomnia. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and attention deficit hyperactivity disorder (ADHD) (Abbott, 2016). Several studies have shown a bidirectional relationship between insomnia and mental illness. In fact, approximately 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression have sleep problems (Abbott, 2016). Because of the interconnected psychopathology, it is critical that you, as the PNP, understand the implications of some psychopharmacologic treatments on a patient’s mental health illness and sleep patterns. As a result, it is critical that<\/p>\n","protected":false},"excerpt":{"rendered":"
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