NURS 6630: Psychopharmacologic Approaches to Treatment of Psychopathology<\/p>\n
week 2 [Essay writing service – your education, our expertise: Get any assignment done with our professional essay writers before your deadlines – Zero AI, Human experts and Fast delivery.]: Therapy for Pediatric Clients With Mood Disorders
\nMood disorders can impact every facet of a child\u2019s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.<\/p>\n
This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical and legal implications of these therapies.<\/p>\n
Assignment: Assessing and Treating Pediatric Clients With Mood Disorders
\nWhen pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week\u2019s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.<\/p>\n
Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the \u201cright\u201d decision every time; in fact, some scenarios may not have a \u201cright\u201d decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.<\/p>\n
Learning Objectives
\nStudents will:
\nAssess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients
\nAnalyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy
\nEvaluate efficacy of treatment plans
\nAnalyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients
\nLearning Resources
\nNote: To access this week\u2019s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.<\/p>\n
Required Readings
\nNote: All Stahl resources can be accessed through this link provided.<\/p>\n
Stahl, S. M. (2013). Stahl\u2019s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.<\/p>\n
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.<\/p>\n
Chapter 6, \u201cMood Disorders\u201d
\nChapter 7, \u201cAntidepressants\u201d
\nStahl, S. M. (2014b). The prescriber\u2019s guide (5th ed.). New York, NY: Cambridge University Press.<\/p>\n
Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.<\/p>\n
Review the following medications:<\/p>\n
amitriptyline
\nbupropion
\ncitalopram
\nclomipramine
\ndesipramine
\ndesvenlafaxine
\ndoxepin
\nduloxetine
\nescitalopram
\nfluoxetine
\nfluvoxamine
\nimipramine
\nketamine
\nmirtazapine
\nnortriptyline
\nparoxetine
\nselegiline
\nsertraline
\ntrazodone
\nvenlafaxine
\nvilazodone
\nvortioxetine<\/p>\n
Lorberg, B., Davico, C., Martsenkovskyi, D., & Vitiello, B. (2019). Principles in using psychotropic medication in children and adolescents. In J. M. Rey & A. Martin (Eds.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from https:\/\/iacapap.org\/content\/uploads\/A.7-Psychopharmacology-2019.1.pdf<\/p>\n
Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from https:\/\/monkessays.com\/write-my-essay\/magellanhealth.com\/media\/445492\/magellan-psychotropicdrugs-0203141.pdf<\/p>\n
Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.<\/p>\n
Note: Retrieved from Walden Library databases.<\/p>\n
Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787-791. doi:10.1002\/da.22171<\/p>\n
Required Media
\nLaureate Education (2016e). Case study: An African American child suffering from depression [Interactive media file]. Baltimore, MD: Author.<\/p>\n
Note: This case study will serve as the foundation for this week\u2019s Assignment.<\/p>\n
Optional Resources
\nEl Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23(10), 973\u2013992. doi:10.1007\/s00787-014-0558-3<\/p>\n
Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847\u2013854. doi:10.1111\/jpc.12655<\/p>\n
Seedat, S. (2014). Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iii\u2013v. doi:10.2989\/17280583.2014.938497<\/p>\n
To prepare for this Assignment:<\/p>\n
Review this week\u2019s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.
\nThe Assignment<\/p>\n
Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client\u2019s pharmacokinetic and pharmacodynamic processes.<\/p>\n
At each decision point stop to complete the following:
\nDecision #1
\nWhich decision did you select?
\nWhy did you select this decision? Support your response with evidence and references to the Learning Resources.
\nWhat were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
\nExplain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
\nDecision #2
\nWhy did you select this decision? Support your response with evidence and references to the Learning Resources.
\nWhat were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
\nExplain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
\nDecision #3
\nWhy did you select this decision? Support your response with evidence and references to the Learning Resources.
\nWhat were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
\nExplain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
\nAlso include how ethical considerations might impact your treatment plan and communication with clients.
\nNote: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.<\/p>\n
By Day 7
\nSubmit your Assignment.<\/p>\n","protected":false},"excerpt":{"rendered":"
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