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Pages:
8 pages/≈2200 words
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Level:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
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English (U.S.)
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Woman With Bipolar Disorder: Hispanic Male Client Treatment Treatment (Research Paper Sample)

Instructions:

The Assignment
Examine Case Study: An Asian American Woman With Bipolar Disorder. 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.
At each decision point stop to complete the following:
• Decision #1
o Which decision did you select?
o Why did you select this decision? Support your response with evidence and references to the Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
• Decision #2
o Why did you select this decision? Support your response with evidence and references to the Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
• Decision #3
o Why did you select this decision? Support your response with evidence and references to the Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
Client of Korean Descent/Ancestry


BACKGROUND INFORMATION
The client is a 26-year-old woman of Korean descent who presents to her first appointment following a 21-day hospitalization for onset of acute mania. She was diagnosed with bipolar I disorder.
Upon arrival in your office, she is quite “busy,” playing with things on your desk and shifting from side to side in her chair. She informs you that “they said I was bipolar, I don’t believe that, do you? I just like to talk, and dance, and sing. Did I tell you that I liked to cook?”
She weights 110 lbs. and is 5’ 5”
SUBJECTIVE
Patient reports “fantastic” mood. Reports that she sleeps about 5 hours/night to which she adds “I hate sleep, it’s no fun.”
You reviewed her hospital records and find that she has been medically worked up by a physician who reported her to be in overall good health. Lab studies were all within normal limits. You find that the patient had genetic testing in the hospital (specifically GeneSight testing) as none of the medications that they were treating her with seemed to work.
Genetic testing reveals that she is positive for CYP2D6*10 allele.
Patient confesses that she stopped taking her lithium (which was prescribed in the hospital) since she was discharged two weeks ago.
MENTAL STATUS EXAM
The patient is alert, oriented to person, place, time, and event. She is dressed quite oddly- wearing what appears to be an evening gown to her appointment. Speech is rapid, pressured, tangential. Self-reported mood is euthymic. Affect broad. Patient denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, but insight is clearly impaired. She is currently denying suicidal or homicidal ideation.
The Young Mania Rating Scale (YMRS) score is 22
RESOURCES
§ Chen, R., Wang, H., Shi, J., Shen, K., & Hu, P. (2015). Cytochrome P450 2D6 genotype affects the pharmacokinetics of controlled-release paroxetine in healthy Chinese subjects: comparison of traditional phenotype and activity score systems. European Journal of Clinical Pharmacology, 71(7), 835-841. doi:10.1007/s00228-015-1855-6
Decision Point One
Select what the PMHNP should do:
Begin Lithium 300 mg orally BID
Begin Risperdal 1 mg orally BID
Begin Seroquel XR 100 mg orally at HS
Please with enough backup evidence and double space.

source..
Content:


Hispanic Male Client Treatment
Author’s Name
Institutional Affiliation
Hispanic Male Client Treatment
Introduction
Bipolar disorder is a quite common disease. It is an extreme mental disorder and about one or two people in an adult population are effected with this disorder. The symptoms of bipolar disorder vary according to the type of episode that may be depressive or manic. The type of mood and physical actions of the person decides the episode type ADDIN EN.CITE Grande2016950(Grande, Berk, Birmaher, & Vieta, 2016)95095017Grande, IriaBerk, MichaelBirmaher, BorisVieta, EduardBipolar disorderThe LancetThe Lancet1561-15723871002720160140-6736(Grande, Berk, Birmaher, & Vieta, 2016). The patient’s thinking, behavior, and sudden change in an attitude are the signs of mental illness. At times, such changes are sudden and people in surrounding notice such kind of change ADDIN EN.CITE Michelini2016946(Michelini et al., 2016)94694617Michelini, GKitsune, GLHosang, Georgina MAsherson, PhilipMcLoughlin, GráinneKuntsi, JonnaDisorder-specific and shared neurophysiological impairments of attention and inhibition in women with attention-deficit/hyperactivity disorder and women with bipolar disorderPsychological medicinePsychological medicine493-50446320160033-2917(Michelini et al., 2016). This type of unpredictable mood disorder can effect anyone at any stage of life and poor or rich can be equally effected with this disorder. Mostly, people who are 25 or more are effected with bipolar disorder. Teenagers are not effected by this disorder.
The Bipolar disorder should not take for granted because it gets complicated with time. If the bipolar disorder is identified at an early stage then it can be treated with the help of medication and psychotherapy ADDIN EN.CITE Perich2017951(Perich et al., 2017)95195117Perich, Tania ARoberts, GloriaFrankland, AndrewSinbandhit, CarinaMeade, TanyaAustin, Marie-PaulMitchell, Philip BClinical characteristics of women with reproductive cycle–associated bipolar disorder symptomsAustralian & New Zealand Journal of PsychiatryAustralian & New Zealand Journal of Psychiatry161-16751220170004-8674(Perich et al., 2017). It is necessary to develop a sound relation with the patient to take care of the patient effectively. In the current case study, an Asian American Woman is suffering from a bipolar disorder. For her treatment, three safe and suitable options are suggested and their possible outcomes are described. The patient is an Asian American Woman and her age is 26 and belongs to Korean descent. Her weight is 110 Ibs and her height is 5’5’’. Lab studies related to her condition were normal. As per her genetic test report, she has CYP2D6*10 allele. Her dress sense is getting odd in every appointment. She speaks rapidly and under pressure. She denies any hallucination and suicidal ideation.
Decision # 1
Selected Decision
As per decision # 1, the best solution is to treat the bipolar disorder of the patient with the help of Risperdal 2 mg. Just give it to the patient twice a day. Risperdal is also known as risperidone that is from a class benzisoxazole derivative that are antipsychotic drugs ADDIN EN.CITE Vink2015947(Vink, 2015)94794717Vink, Chelsea MThe Pharmacokinetics of Risperdal and its Weight Gaining Side Effects in Adolescents with Irritability Due to Autism and Disruptive Behavior Disorders2015(Vink, 2015). It is quite effectual to cure bipolar disorder. The lithium prescription was already given to the patient but she did not show any considerable improvement. Therefore, it is appropriate to give Risperdal to the patient that is quite effective and well known to treat bipolar disorders ...

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