Psychiatric Mental Health Nurse Practitioner (PMHPN) Clinical Response

Schizophrenia
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Schizophrenia
PMHPN Clinical Response
Effective psychiatric mental health nurse practitioner (PMHPN) response should consist of a biomedical and biological psychiatric view and a humanistic approach consisting of human psychology emphasizing the best psychosocial approaches. Gonzalez-Pando & Alonso-Perez maintains that the biomedical and biological perspective fulfills the diagnostic criteria as a dichotomy decision. At the same time, the dimensional approach is the more traditional approach with psychosocial interventions embedded in recovery (2018).
Therefore, in this case, the PMHPN should provide an integral and humanistic approach centered on Mark’s reactions and responses, factoring in interpersonal therapeutic relationships. Cort et al. (2021) note that patients' concerns and attitudes towards medication should be explored with a clear rationale for the proposed medications. For example, managing such a patient with atypical antipsychotic medication in late schizophrenic-like psychosis involves examining extrapyramidal side effects, evaluating after two weeks of medications, continuously reviewing compliance, and reporting and discussing concerns with the psychiatric team. Lastly, non-pharmacological approaches should involve the engagement of social services staff, community mental health teams, and caregivers.
The PMHPN Adherence Support for the Client
First, PMHPN should collaborate with Mark and the medical team to establish an optimal, effective, and acceptable treatment and management plan. The patient has complained explicitly about medication side effects in this case study. Hence, support and informed adherence can be encouraged via open communication and routine patient education, including updated medication, routine, and structure (Cort et al.,2021). Cort et al. (2021) maintain that nurses and case managers with training on CBT can apply CBT.p to older adults with VSOSLP since increasing PMHPN repertoire skills in response to psychotic experiences can be beneficial in the continuance of care. Additionally, in ongoing support, nurses can develop stress vulnerability models to help patients make sense of psychosis and recognize triggers to reduce the likelihood of relapse. Generally, service pathways and discharge processes should be planned and discussed collaboratively with the patient, general practitioners, and relevant agencies like social support systems and caregivers.
The PMHPN Medication to Treat Marks' Condition
There are many things to consider when considering this patient's care. First, his mental and physical safety must be taken into account. He is currently off his medications and has no housing, so he is at risk for mental and physical harm. Medications that could be considered for this patient include antipsychotics, mood stabilizers, and antidepressants. These medications can have side effects that may be tolerable, such as drowsiness, weight gain, and dry mouth. However, they can also have more serious side effects, such as seizures, heart problems, and liver damage. It is important to weigh the risks and benefits of these medications before s...