WEEK 8 Discussion: Decision Making When Treating Psychological Disorders<\/p>\n
MEDIA FILE and Case are at the bottom of the instructions above the Rubric<\/p>\n
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\u2019 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\u2019s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.<\/p>\n
Photo Credit: Getty Images\/iStockphoto
\nFor 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\u2019s pathophysiology.
\nTo Prepare
\nReview this week\u2019s interactive media pieces and select one to focus on for this Discussion.
\nReflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient\u2019s pathophysiology.
\nBy Day 3 of Week 8
\nPost 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\u2019s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples.<\/p>\n
MEDIA FILE CASE
\nAdult\/Geriatric Depression
\nHispanic (the best nursing writing service, a studybay for your papers) Male With MDD<\/p>\n
Hispanic (the best nursing writing service, a studybay for your papers) male<\/p>\n
BACKGROUND INFORMATION
\nThe client is a 70 year-old Hispanic (the best nursing writing service, a studybay for your papers) American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to your office for an initial appointment for complaints of depression. The client was referred by his PCP after \u201croutine\u201d medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and \u201cstiff\u201d shoulders which he attributes to his current work as a laborer in a warehouse.<\/p>\n
SUBJECTIVE
\nDuring today\u2019s clinical interview, client reports that he always felt like an outsider as he was \u201cteased\u201d a lot for being \u201cblack\u201d in high school. States that he had few friends, and basically kept to himself. He describes his home life as \u201cgood.\u201d Stating \u201cDad did what he could for us, there were 8 of us.\u201d He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in \u201ctrouble\u201d at work.<\/p>\n
MENTAL STATUS EXAM
\nThe client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. You administer the \u201cMontgomery- Asberg Depression Rating Scale (MADRS)\u201d and obtained a score of 51 (indicating severe depression).<\/p>\n
RESOURCES
\n\u00a7 Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389.<\/p>\n
Decision Point One
\nSelect what you should do:<\/p>\n
Begin zoloft 25 mg orally daily
\nBegin Effexor XR 37.5 mg orally daily
\nBegin Phenelzine 15 mg orally TID<\/p>\n
Rubric Detail<\/p>\n
Select Grid View or List View to change the rubric’s layout.
\nName: NURS_6521_Week11_Assignment_Rubric<\/p>\n
Grid View
\nList View
\nShow Descriptions
\nExplain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.–<\/p>\n
Excellent 36 (36%) – 40 (40%)
\nThe response accurately and thoroughly explains in detail the circumstances under which children should be prescribed drugs for off-label use.<\/p>\n
The response includes accurate and specific examples that fully support the explanation provided.
\nGood 32 (32%) – 35 (35%)
\nThe response accurately explains the circumstances under which children should be prescribed drugs for off-label use.<\/p>\n
The response includes accurate examples that support the explanation provided.
\nFair 28 (28%) – 31 (31%)
\nThe response inaccurately or vaguely explains the circumstances under which children should be prescribed drugs for off-label use.<\/p>\n
The response includes inaccurate or vague examples that may or may not support the explanation provided.
\nPoor 0 (0%) – 27 (27%)
\nThe response inaccurately and vaguely explains the circumstances under which children should be prescribed drugs for off-label use, or is missing.<\/p>\n
The response includes inaccurate and vague examples that do not support the explanation provided, or is missing.
\nExplain strategies to making off-label use and dosage of drugs safer for children from infancy to adolescence and descriptions and names of off-label drugs that require extra care and attention when used in pediatrics. Be specific.–<\/p>\n
Excellent 41 (41%) – 45 (45%)
\nThe response accurately and clearly describes in detail strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence.<\/p>\n
The response includes accurate, complete, and detailed descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
\nGood 36 (36%) – 40 (40%)
\nThe response accurately describes strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence.<\/p>\n
The response includes accurate descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
\nFair 32 (32%) – 35 (35%)
\nThe response inaccurately or vaguely describes strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence.<\/p>\n
The response includes inaccurate or vague descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
\nPoor 0 (0%) – 31 (31%)
\nThe response inaccurately and vaguely describes strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence, or is missing.<\/p>\n
The response includes inaccurate and vague or incomplete descriptions and names of off-label drugs that require extra care and attention when used in pediatrics, or is missing.
\nWritten Expression and Formatting – Paragraph Development and Organization:
\nParagraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–<\/p>\n
Excellent 5 (5%) – 5 (5%)
\nParagraphs and sentences follow writing standards for flow, continuity, and clarity.
\nGood 4 (4%) – 4 (4%)
\nParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
\nFair 3.5 (3.5%) – 3.5 (3.5%)
\nParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%\u201379% of the time.
\nPoor 0 (0%) – 3 (3%)
\nParagraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
\nWritten Expression and Formatting – English writing standards:
\nCorrect grammar, mechanics, and proper punctuation–<\/p>\n
Excellent 5 (5%) – 5 (5%)
\nUses correct grammar, spelling, and punctuation with no errors
\nGood 4 (4%) – 4 (4%)
\nContains a few (1\u20132) grammar, spelling, and punctuation errors
\nFair 3.5 (3.5%) – 3.5 (3.5%)
\nContains several (3\u20134) grammar, spelling, and punctuation errors
\nPoor 0 (0%) – 3 (3%)
\nContains many (\u2265 5) grammar, spelling, and punctuation errors that interfere with the reader\u2019s understanding
\nWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical\/in-text citations, and reference list.–<\/p>\n
Excellent 5 (5%) – 5 (5%)
\nUses correct APA format with no errors
\nGood 4 (4%) – 4 (4%)
\nContains a few (1\u20132) APA format errors
\nFair 3.5 (3.5%) – 3.5 (3.5%)
\nContains several (3\u20134) APA format errors
\nPoor 0 (0%) – 3 (3%)
\nContains many (\u2265 5) APA format errors<\/p>\n","protected":false},"excerpt":{"rendered":"
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