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Essay Available:
Pages:
4 pages/≈1100 words
Sources:
4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 19.44
Topic:

Pharmacokinetics and Pharmacodynamics of Psychopharmacological Agents for Patient Treatment

Essay Instructions:

Goal: To analyze and apply critical thinking skills in the pharmacokinetics and pharmacodynamics of psychopharmacological agents for patient treatment and health promotion while applying evidence-based research.
Eleanor is a 77-year-old white female resident of a skilled nursing facility. Recently her daughter requested an evaluation from the staff psychologist because she noticed that her mother’s Alzheimer’s symptoms appeared to be getting worse. Eleanor was admitted to the facility six months ago with moderately severe cognitive and physical decline and had to be placed in a skilled facility since she could no longer manage herself at home. Her daughter is a single mother of four teens and works too many hours to care for her mother in her home. She had attempted to care for her until Eleanor left the stove on, resulting in a minor kitchen fire. Eleanor has no history of mental illness, but she began to show signs of cognitive decline in her late fifties. The symptoms became much more pronounced after her husband’s death five years ago.
Recently her daughter and other members of the nursing staff noticed that Eleanor has become rather restless and combative. When she gets confused over her surroundings, she wanders through the halls attempting to open fire doors. When nurses attempt to redirect her back to her room, she swears at them and even struck one of them in the face. Her PCP authorized the use of restraints one day after she managed to wander out the front door and was found standing in the middle of the street trying to take a dog away from a woman who was walking it. She yelled at the woman, telling her that she needed the dog to protect her from people who were stealing her clothing in the nursing home.
Remember to answer these questions from your textbooks and clinical guidelines to create your evidence based treatment plan. At all times, explain your answers.
1. Summarize the clinical case.
2. Create a list of the patient’s problems and prioritize them.
3. Which pharmacological treatment would you prescribe? Include the rationale for this treatment.
4. Which non-pharmacological treatment would you prescribe? Include the rationale for this treatment.
5. Include an assessment of treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence.

Essay Sample Content Preview:

Title
Your Name
Subject and Section
Professor’s Name
Date
1 Summarize the clinical case.
This is a case of Eleanor, a 77-year-old female, managed as a case of Alzheimer’s Disease. The chief complaint of the primary caregiver, who is her daughter, is that there is a progressive worsening of the patient’s cognitive symptoms, resulting in behavioral problems and increased restlessness. The history of present illness revealed that the patient does not have any history of mental problems. However, in her late fifties, she demonstrated progressive cognitive decline. The symptoms much worsened after her husband’s death. Currently, the patient is suffering from behavioral problems, resulting in unknowingly opening fire doors or combating with the nursing staff or other individuals without any basis. She was provided restraints due to this. The past medical history was not discussed. Social and environmental history revealed that she was being cared for by her daughter, a single mother of four teens. Secondary to the caregiver’s schedule, she could not strictly monitor her mother, resulting in a small kitchen fire one time. Due to this, she was sent to a skilled nursing facility.
2 Create a list of the patient’s problems and prioritize them.
Problem List:
1 Delirium is superimposed to dementia.
This is the most significant problem because the patient has shown symptoms over a short period or recently. The patient may be having Alzheimer’s Dementia with superimposed delirium due to the worsening of her cognitive functions and behavioral symptoms. Based on the ICD 10 criteria, the symptoms should be present without alcohol influence and other psychoactive substances. These should include obscured consciousness, cognitive dysfunction as manifested by disorientation to the three spheres and impaired immediate and recent memory with a reasonably intact remote memory, at least one psychomotor disturbance, circadian rhythm dysfunction, fast onset with fluctuations of the manifestations per day, and objective evidence of delirium based from the physical examination and diagnostic tests. Clinicians should differentiate this from another disease entity’s complication rather than dementia because its etiologies should be promptly addressed. These include infectious agents, metabolic disturbances, substance intoxication, and respiratory or metabolic problems (Shaji et al., 2018). The symptoms evident with the patient are increased restlessness and disorientation to place and person.
2 Behavioral problems. Currently, the behavioral problem manifested by the patient has increased aggression as manifested by combativeness and yelling at other people, despite being disoriented as to person. This is evidence of the beginning of a progressive social decline as the patient has been showing symptoms of emotional lability, wandering, and irritability (Shaji et al., 2018).
3 Depression. Based on the history of pronouncement of symptoms after her husband’s death five years ago, the patient may be suffering from this condition.
3 Which pharmacological treatment would you prescribe? Include the rationale for this treatment.
Currently, the patient is demonstrating behavi...
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