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5 pages/β‰ˆ1375 words
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APA
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Health, Medicine, Nursing
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English (U.S.)
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Topic:

Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult

Other (Not Listed) Instructions:

ASSESSING AND TREATING PATIENTS WITH SLEEP/WAKE DISORDERS

Sleep disorders are conditions that result in changes in an individual’s pattern of sleep (Mayo Clinic, 2020). Not surprisingly, a sleep disorder can affect an individual’s overall health, safety, and quality of life. Psychiatric nurse practitioners can treat sleep disorders with psychopharmacologic treatments, however, many of these drugs can have negative effects on other aspects of a patient’s health and well-being. Additionally, while psychopharmacologic treatments may be able to address issues with sleep, they can also exert potential challenges with waking patterns. Thus, it is important for the psychiatric nurse practitioner to carefully evaluate the best psychopharmacologic treatments for patients that present with sleep/wake disorders.

Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

 

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Nursing Research Paper
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Introduction to the Case
Insomnia encompasses challenges related to initiating and maintaining sleep, leading to notable distress in several life domains. In order to diagnose insomnia, symptoms must persist for at least three months, and other potential causes like narcolepsy, sleep apnea, substance misuse, or medication-related issues must be excluded (Fernandez-Mendoza & Vgontzas (2013). Many people experience insomnia, often alongside conditions like depression and anxiety. Managing insomnia effectively often requires addressing the sleep disorder and any underlying mood-related issues, making treatment complex.
In this case, a male patient who is 31 years old presents with a primary concern of insomnia. The condition has progressively worsened over the preceding six months, notably disrupting his ability to initiate and maintain sleep during the night. Notably, this sleep issue coincides with the death of his lover. He works in a local chemical factory as a forklift operator and acknowledges that his deteriorating sleep quality has begun to hinder his job performance. The patient has previously used diphenhydramine as a sleep aid but is dissatisfied with the side effects it induces the following morning. He also discloses instances of falling asleep at work due to insufficient rest. The patient's history includes opiate abuse following a skiing injury, with no opiate prescriptions in the last four years. Lately, he's been self-medicating with approximately four beers before bedtime to aid sleep.
Mentally, he is alert-oriented and maintains good eye contact. He denies experiencing visual or auditory hallucinations and presents reality contact, intact judgment, and insight. Additionally, there are no reports of homicidal or suicidal ideation, and the patient displays a future-oriented perspective. These patient-related factors, encompassing the history of opiate abuse, recent alcohol consumption for sleep, and the emotional stress of losing his fiancé, present substantial challenges and intricacies that demand thorough consideration in any medication-related decision-

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