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Posted: October 13th, 2020
Psychiatric nursing | 6630 N | Walden University
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– sychosis and schizophrenia greatly impact the brain’s normal processes, which interferes with the ability to think clearly. When symptoms of these disorders are uncontrolled, clients may struggle to function in daily life. However, clients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with psychosis and schizophrenia.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
Learning Objectives
Students will:
- Assess client factors and history to develop personalized plans of antipsychotic therapy for clients
- Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring antipsychotic therapy
- Evaluate efficacy of treatment plans
- Analyze ethical and legal implications related to prescribing antipsychotic therapy to clients across the lifespan
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– To prepare for this Assignment:Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
- Review this week’s Learning Resources. Consider how to assess and treat clients requiring anxiolytic therapy.
– The AssignmentNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Examine Case Study: Pakistani Woman with Delusional Thought Processes. 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’s pharmacokinetic and pharmacodynamic processes.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– At each decision point stop to complete the following:Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
- Decision #1
- Which decision did you select?
- Why did you select this decision? Support your response with evidence and references to the Learning Resources.
- What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
- Write my Essay Online Writing Service with Professional Essay Writers – Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
- Decision #2
- Why did you select this decision? Support your response with evidence and references to the Learning Resources.
- What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
- Write my Essay Online Writing Service with Professional Essay Writers – Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
- Decision #3
- Why did you select this decision? Support your response with evidence and references to the Learning Resources.
- What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
- Write my Essay Online Writing Service with Professional Essay Writers – Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
- SAMPLE ONLY
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– NURS 6630 Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– WEEK SEVENNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Case 2: Volume 2, Case #11: The figment of a man who looked upon the ladyNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– IntroductionNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Briefly, this is a scenario of a 42 year- old woman with a complex psychiatric history extending from depression, posttraumatic stress disorder, insomnia, visual hallucinations (little man)and impaired behavior with aggression. In the course of more than 36 months, the client was treated with Paroxetine (SSRI), Bupropion ( NDRI), Tiagabine, Ramelteon and , but finally a combination of Lexapro, Bupropion and quetiapine was able to decrease her symptoms . The client’s medical history includes diabetes, hypertension, CAD, hyperlipidemia, COPD, OSA, GERD, Glaucoma, overweight and a remote history of substance abuse. Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Related Professional QuestionsNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Certain medications or supplements can cause symptoms of mental illness and also due to her extensive medical history and usage of multiple medications I would ask the following questions: Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– 1. Do you take any over -the – counter, herbal supplements or remedies and I would check for interactions with current medication regimen?Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– 2. When and how often do you use your albuterol inhaler ? Some of the side effects of albuterol include anxiety, nervousness, and insomnia ( Cunha, 2016: 2024 – Do my homework – Help write my assignment online)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Sleep Hygiene: Do you keep regular sleep schedule ? Do you drink caffeine beverages close to bedtime? Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Patient HistoryNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– The patient may not be a reliable source of information, particularly that she has a significant mental illness that affects her functioning, hence verifying her responses with her direct family members, and mental social workers to get clues to the underlying or precipitating causes of mental crisis. Also checking facility records from previous encounters, or any psychiatric hospitalizations would be useful. Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Diagnostics TestingNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– 1. Thyroid Stimulating Hormone (TSH). Based on recent evidence, the prevalence of depressive symptoms in hypothyroidism was nearly 50%, and clinical depression occurs in more than 40% of people suffering from hypothyroidism ( Bhagwat, 2017)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– 2. Electrocardiogram (ECG) The client has cardiovascular diseases ( HTN, CAD), with risks of cardio complications. In the setting of taking antidepressants and antipsychotics, baseline ECG and possibly every three to six months would be appropriate. Several atypical antipsychotics including quetiapine (Seroquel) are known to cause prolongation of the QT interval, hypothesized to occur via direct inhibition of the cardiac delayed potassium rectifier channel, which extends the ventricular repolarization process (Zhai et al., 2017)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Differential DiagnosesNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– 1. Posttraumatic Stress Disorder ( PTSD)_Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– 2. Major Depressive Disorder (MDD)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– 3. Insomnia Disorder.Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Pharmacotherapy Options for Sleep/ Wake cycleNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– 1. Zolpidem (Ambien) 5mg oral at bedtime for Seven days. Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Zolpidem is nonbenzodiazepine hypnotic, it works by enhancing GABA inhibitory actions that provide sedative hypnotic effects more selectively than other actions of GABA (Stahl, 2017). With its side effects of sedation, low dose prescribed as the client has respiratory problems (sleep apnea OSA)). Studies have shown that Zolpidem did not significantly worsen OSA as measured by the numbers and duration of pauses in breathing during sleep, but in one trial, it significantly lowered minimum oxygen levels during the night when compared with placebo ( Mason & Smith, 2015 – Research Paper Writing Help Service). Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– 2. Trazadone 25 mg oral at bedtime for Thirty days. Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Trazadone is a serotonin 2 antagonist/reuptake inhibitor, used in management of depression and insomnia. It is absorbed well, metabolized by CYP 450 3A4 with average half life of 6hrs. It has less side sedative effects compared to zolpidem (Stahl, 2017)Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– The best choice for the client would be Trazadone as there is no reliable evidence of dependence or withdraws and it can also work for the client’s depression. Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– ConclusionNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– The case was a perfect example how it is sometimes difficult to find effective pharmacological treatments of psychiatric illnesses. In the course of four years, the client was prescribed 5-6 medications targeting different neurotransmitters to improve the symptoms. Client’s polypharmacy increased risks of drug-drug interactions, and her medical comorbidities increased risks of adverse reactions. Lesson learned from this study was that treatment should be optimally initiated after diagnosis, and augment or switching to a new agent must be carefully done in consideration of possible side effects and better outcomes. Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– ReferencesNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Bhagwat, N., Tayde, P., Sharma, P., Sharma, B., Dalwadi, P., Sonawane, A., … Varthakavi, P. (2017). Hypothyroidism and depression: Are cytokines the link? Indian Journal of Endocrinology and Metabolism, 21(6), 886. Retrieved from https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=7&sid=aeb79c1d-68dc-40a4-bd10-f956796bc9e8%40sessionmgr101Need Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Cunha, J. (2016: 2024 – Do my homework – Help write my assignment online). Common Side Effects of Ventolin HFA (Albuterol Sulfate Inhalation Aerosol) Drug Center – RxList. Retrieved from https://www.rxlist.com/ventolin-hfa-side-effects-drug-center.htmNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Mason, M., & Smith, I. (2015 – Research Paper Writing Help Service). Effects of opioid, hypnotic and sedating medications on obstructive sleep apnoea (OSA) in adults with known OSA | Cochrane. Retrieved from http://www.cochrane.org/CD011090/AIRWAYS_effects-opioid-hypnotic-and-sedating-medications-obstructive-sleep-apnoea-osa-adults-known-osaNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
– Zhai, D., Lang, Y., Dong, G., Liu, Y., Wang, X., Zhou, D., … Zhang, R. (2017). QTc interval lengthening in first-episode schizophrenia (FES) patients in the earliest stages of antipsychotic treatment. Schizophrenia Research, 179, 70-74. Retrieved from https://resolver-ebscohost-com.ezp.waldenulibrary.org/openurl?ID=pmid%3a27727006&genre=article&atitle=QTc+interval+lengthening+in+first-episode+schizophrenia+(FES)+patienNeed Assignment Help Online, Homework Solutions & Case Study Answers? Order Custom Research Essay Writing Service.
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