To prepare for this Assignment:

• Select an adult or older adult client with a schizophrenia spectrum and other psychotic disorder you have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

• Describe the HPI and clinical impression for the client.

• Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)

• Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.

• Identify medical management needs, including primary care needs, specific to this client.

• Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.

• Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

 

• Note: Support your rationale with a minimum of three academic resources less than five years In APA Format Including an introduction and conclusion 

 

Discussion: Decision Making When Treating Psychological Disorders

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

Photo Credit: Getty Images/iStockphoto

For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.

To Prepare

• Review this week’s interactive media pieces and select one to focus on for this Discussion.
• Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology.

By Day 3 of Week 8

Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.

By Day 6 of Week 8

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different interactive media piece on a psychological disorder, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology.

Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples. 

Edit question’s attachments..

 

Locate a nursing article from a peer-reviewed journal which addresses an area of interest or concern you have.  

The article criteria are as follows:

-Must be from a peer-reviewed NURSING  journal

-Must be published within the last five years (2015 to present)

-You may access the article within one of the FAU online databases, or Google Scholar.

-You will utilize this article as the basis of your APA Scholarly Paper.

-Upload a copy of your article to the Discussion Board titled Library Assignment Articles! Provide an explanation in the discussion as to your rationale for selecting this article.  You must reply to at least two peers regarding their respective articles.

Submit the scholarly paper to the assignment drop box.

1. This paper is to be a reflection on a scholarly article that you found from a peer-reviewed nursing journal. (For guidelines regarding appropriate journals, please refer to the Library and APA resources posted in Unit 1).

The paper needs to meet the following criteria:

1. Addresses an area of nursing in which you have an interest (pediatric, community, nurse anesthesiology, etc.)
2. Review the article and determine if a holistic nursing theory grounded in caring science is evident, and if so, how it guides nursing practice.  Answer the following questions:
   1. Does the author identify nursing interventions that are guided by the theory?
   2. Are the nursing interventions holistic and caring?
   3. Why or why not?
   4. If there is no theory identified, you need to recommend a holistic theory grounded in caring science. Include your rationale for choosing this caring science theory.
   5. Identify two nursing interventions based on that theory (if the author has named nursing interventions), are these holistic and caring and could emerge from the theory you have identified?
   6. If the author has not identified nursing interventions or if those interventions presented in the article do not illustrate holism and caring, then you should recommend two nursing interventions). 
3. Applies Sister Roach’s 6 C’s, Mayeroff’s Caring Ingredients, and/or one theory of caring science to the article review (Examples include Boykin & Schoenhofer’s Nursing as Caring, etc.) OR the student may identify and apply a caring theory that could be applied to the paper with prior approval from the professor. All concepts within your selected theory must be utilized.  EACH concept from your selected theory must be applied.
4. Provides an article that has been written within the past five years
5. Adheres to APA 7th edition format throughout. Headers are to be utilized to organize your thoughts and provide guidance to the reader.
6. Please NOTE: APA/Scholarly papers do NOT support the use of first or second person.  For this assignment, you may use first person only in the first paragraph.  I highly suggest that you do not do this! My suggestion is to remain in the third tense (this author, this writer, an individual, one, a nurse, et cetera) throughout your paper.
7. Please remember to utilize citations throughout.  Also note that articles and studies do not produce themselves; therefore, there should be no references to an article or study in your paper-only the authors.

 

  

N6630

Another busy one on tap with a short answer assessment and decision tree.  The therapeutic focus will be on sleep/wake disorders.

  

Short Answer Assessment:

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.  I would also encourage you to use External Resources.

1. In 3 or 4 sentences, explain the appropriate drug therapy for      a patient who presents with MDD and a history of alcohol abuse. Which      drugs are contraindicated, if any, and why? Be specific. What is the timeframe      that the patient should see resolution of symptoms?
2. List 4 predictors of late onset generalized anxiety disorder.
3. List 4 potential neurobiology causes of psychotic major      depression.
4. An episode of major depression is defined as a period of time      lasting at least 2 weeks. List at least 5 symptoms required for the      episode to occur. Be specific.
5. List 3 classes of drugs, with a corresponding example for      each class, that precipitate insomnia. Be specific.

Decision Tree:   Insomnia case

I want you to answer the questions given to you (decision points one, two, and three) before you click on the option. The answers will be based on your decisions made and patient outcomes during the decision tree. I am looking for an essay that is long enough to cover the topic BUT short enough to keep my interest.  The course page suggests writing 1 page per decision – my opinion is that it will be very difficult to justify your treatment decisions and provide scientific evidence in 1 page (especially for decision #1). I do not need you to tell me about the patient or the treatment options available to you – I am very familiar with the cases.  Your introductory page should be an overview of the disease state you are treating along with a purpose statement for the assignment.  Remember this is a Pharmacology class that incorporates Pharmacotherapy and not a class on diagnosing disease. I want you to tell me why you selected an option (why is it the best option- using clinically relevant and patient specific data) AND why you did not choose the other options (with clinically relevant and patient specific data).

Introduction to the case (1 page)

• Briefly explain and summarize the disease state you are      treating this Assignment. Be sure to include the specific patient factors      that may impact your decision making when prescribing medication for this      patient.

Decision #1

• Which decision did you select?

·  

• Why did you select this decision? Be specific and support        your response with clinically relevant and patient-specific resources,        including the primary literature. Again, provide STRONG scientific evidence.  Clinical        studies or treatment guidelines are a good place to start!
• Why did you not select the other two options provided in the      exercise? Be specific and support your response with clinically relevant      and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision?      Support your response with evidence and references to the Learning      Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment      plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

·  

·  

• Why did you select this decision? Be specific and support        your response with clinically relevant and patient-specific resources,        including the primary literature. Again, provide STRONG scientific evidence.  Clinical        studies or treatment guidelines are a good place to start!
• Why did you not select the other two options provided in the      exercise? Be specific and support your response with clinically relevant      and patient-specific resources, including the primary literature.
• What were you hoping to achieve by making this decision?      Support your response with evidence and references to the Learning      Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment      plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

• Why did you select this decision? Be specific and support      your response with clinically relevant and patient-specific resources,      including the primary literature.

·  

• Why did you not select the other two options provided in the        exercise? Be specific and support your response with clinically relevant        and patient-specific resources, including the primary literature. Again, provide STRONG scientific evidence.  Clinical        studies or treatment guidelines are a good place to start!
• What were you hoping to achieve by making this decision?      Support your response with evidence and references to the Learning      Resources (including the primary literature).
• Explain how ethical considerations may impact your treatment      plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

• Summarize your recommendations on the treatment options you      selected for this patient. Be sure to justify your recommendations and      support your response with clinically relevant and patient-specific      resources, including the primary literature.

After writing up your rationale at each decision point, I would ask yourself the following questions:

· Have I provided clinical data from a meta-analysis, case report or clinical trial to support the drug I picked being safe, efficacious and the best choice for this patient?

· Have I provided clinical data, etc. to support a clear rationale as to why the other treatment options are NOT optimal?

· Is the focus of my discussion on mechanism of action and receptors/neurotransmitters that the drug acts on? If the answer is YES, you should consider doing additional research to address the above two questions

Also include how ethical considerations might impact your treatment plan and communication with clients.

The rubric, as I interpret it, suggests 5 references cited with every assignment for full credit on this portion (20 points).  References used for your introductory paragraph, ethical considerations or conclusion do not count towards the 5 references required.  As a general rule of thumb, I would encourage you to reference AT LEAST two sources (not including the textbook) for each decision point – this will result in 6 references total for your clinical decision making.

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.