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2 pages/β‰ˆ550 words
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Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
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Date:
Total cost:
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Topic:

Psychopharmacologic Approaches to Treatment of Psychopathology

Research Paper Instructions:

When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.

Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.

 

 

 

Learning Objectives

Students will:

  • Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients
  • Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy
  • Evaluate efficacy of treatment plans
  • Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients

 

 

To prepare for this Assignment:

  • Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.

The Assignment

Examine Case Study: An African American Child Suffering From Depression. 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
  • Which decision did you select?
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

 

 

 

  • Decision #2
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

 

 

 

  • Decision #3
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • 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.

 

Research Paper Sample Content Preview:

Psychopharmacologic Approaches in Treatment of Mood Disorders
Name:
Date:
Psychopharmacologic Approaches in Treatment of Mood Disorders
The process of diagnosing and treating clients with mood disorders is sometimes very complex. Treatment of such clients depends on particular illnesses and symptoms that are present. A therapy session should be conducted first before making any decision about the treatment process. This paper will comprise of an assessment of a client who is an African American suffering from depression.
Background of the client
The symptoms exhibited by the eight-year-old African American male child can be associated with depression. The client is complaining feeling sad and a report from the teachers shows that the child is withdrawn from his peers. Most children when they are depressed it becomes very difficult for them to fit in the company of their peers. Besides, his mother has reported a decreased level of appetite and some occasional irritation which are evident.
Mental status exam
The child does not exhibit any signs of contemplating suicide although he admits of thinking about his death. There is also an absence of delusions and paranoia as well as hallucinations. The depression rating scale shows a score of 30 and the mood is sad (Poznanski & Mokros, 1996).
Decision 1: Begin Zoloft 25 mg orally
The dosage is moderate for children between 7-15 years of age bracket. Zoloft is the most popular anti-depressant used. The reason for recommending a dosage of 25mg of Zoloft is because medicine is known to treat major depressive disorders such as post-traumatic disorders and social anxiety disorders. Zoloft raises the level of serotonin in the human brain. Zoloft also are safe for use for children between 6-17 years. Thus, the medicine will show significance results to the client.
By prescribing the medicine I expected the side effects to start reducing by the first week. I expected the victim to show some response and effectiveness. However, the result shows no response after the dosage and there were no changes detected. The reason for the difference in the effectiveness of Zoloft after four weeks is because the drug sometimes shows response after 8 weeks of continuous usage (Leo, 2006). In this case, the client had only used the drug for 4 weeks.
Zoloft (sertraline) is one of the selective serotonin reuptake inhibitors (SSRIs) and the drug is slowly absorbed after oral administration/ ingestion (DeVane et al., 2002). Peak concentrations (Cmax) occur in plasma at 4–8 hours after ingestion, while drug is highly bound to plasma...
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