Treatment of Chronic and Treatment-Resistant Mental Health Conditions

Treatment of Chronic and Treatment-Resistant Mental Health Conditions
Discussion
Purpose
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced health assessment. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.
Course Outcomes
This discussion enables the student to meet the following course outcomes:
CO 1: Interpret subjective and objective data to develop appropriate diagnoses and evidence-based management plans for patients and families with complex psychiatric mental health diagnoses across the lifespan. (PO 5)
CO 2: Formulate appropriate evidence-based management plans of complex psychiatric mental health patients across the lifespan that align with the patient and family goals and perspectives of mental health and wellness. (PO 5)
CO 3: Make recommendations based on pharmacologic assessment in the management of complex mental health patients addressing polypharmacy, drug interactions and other adverse events. (PO 5)
CO 5: Employ appropriate health promotion and disease prevention strategies in the management of the complex healthcare needs of the psychiatric mental health patient. (POs 2, 5)
Total Points Possible
This discussion is worth a total of 100 points.
Preparing the Assignment
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
The treatment of chronic and treatment-resistant mental health conditions pose challenges for providers, families, and society. Consider the following client:
Tate is a 30-year-old client. When he was 16, he was in foster care and began to show signs of the prodromal symptoms of schizophrenia. At 17, he began to experience hallucinations and delusions. He was hospitalized for treatment where he was diagnosed with schizophrenia and treated with risperidone which was effective in managing his symptoms. At 18, he graduated from high school and aged out of foster care leaving him with no support system. He did not have consistent housing and frequently stayed with friends and acquaintances. Over the next few years, he was hospitalized with several acute psychotic episodes. Following the most recent episode, he was prescribed olanzapine 15 mg. He adheres to his treatment regimen when he can find transportation to the community clinic, but he sometimes runs out of medication. He self-medicates with alcohol to “make the voices be quiet.”
Tate has no college or vocational training. He occasionally works odd jobs but lacked steady employment. He receives a small amount of supplemental security income, food assistance, and his health care is provided via Medicaid. He lacks the social and cognitive skills to obtain consistent employment and housing without assistance.
Application of Course Knowledge
Discuss how the psychiatric mental health nurse practitioner could assist the client in the creation of a more viable medication management plan.
Write a prescription appropriate for the client with evidence support.
Identify housing and support resources available in your community that are relevant for this client.
Discuss how services provided via a mental health clubhouse model may benefit the client. Consider the effectiveness of the model according to research findings.
Integration of Evidence
Discussion post is supported by appropriate, scholarly sources; AND
Sources are published within the last five years; AND
Reference list is provided and in-text citations match; AND
Includes a minimum of one scholarly reference in addition to the textbook.
Engagement in Meaningful Dialogue: Respond to a student peer and course faculty to further dialogue.
Substantive posts contribute new, novel perspectives to the discussion using original dialogue (not quotes from sources).
Student posts at least two responses to peers and/or faculty.
Student responds to all faculty questions posed directly to the student.
Post includes evidence from at least one scholarly resource to support interactive dialogue.
Professionalism in Communication: Present information in a logical, meaningful, and understandable sequence that is relevant to the discussion topic.
Grammar, spelling, and/or punctuation are accurate.
Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 10 words). The quote must add substantively to the discussion.
Reference Citation: Provide references with complete information as required by APA (0-1 errors). Include in-text citations included for all references AND references for all in-text citations (0 errors).
Wednesday Participation Requirement: Provide a substantive response to the graded discussion question(s) or topic(s), posted by the course faculty (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.
Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.
**To view the grading criteria/rubric, please click on the three (3) dots in the upper in the box at the end of the solid gray bar, above the discussion board title, and then Show Rubric.