Assessing and Treating Patients With Psychosis and Schizophrenia6630

The Assignment: 5 pages

Examine Case Study: Pakistani Woman With Delusional Thought Processes (https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_06/index.html). 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.

References

Freudenreich, O., Goff, D. C., & Henderson, D. C. (2016). Antipsychotic drugs. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 72–85). Elsevier.

American Psychiatric Association. (2019). Practice guideline for the treatment of patients with schizophrenia. https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/Clinical%20Practice%20Guidelines/APA-Draft-Schizophrenia-Treatment-Guideline.pdf

Clozapine REMS. (2015). Clozapine REMS: The single shared system for clozapine. https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf

Funk, M. C., Beach, S. R., Bostwick, J. R., Celano, C. M., Hasnain, M., Pandurangi, A., Khandai, A., Taylor, A., Levenson, J. L., Riba, M., & Kovacs, R. J. (2018). Resource document on QTc prolongation and psychotropic medications. American Psychiatric Association. https://www.psychiatry.org/File%20Library/Psychiatrists/Directories/Library-and-Archive/resource_documents/Resource-Document-2018-QTc-Prolongation-and-Psychotropic-Med.pdf

Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276. https://doi.org/10.1093/schbul/13.2.261

Levenson, J. C., Kay, D. B., & Buysse, D. J. (2015). The pathophysiology of insomnia. Chest, 147(4), 1179–1192. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388122/

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week 3 pharmacology and cultural competency

Week 3: Discussion Question – Healthy People 2020

How does Healthy People 2020 address culture and spirituality considerations?

Select at least one topic or objective from Healthy People 2020 that is of interest to you.  Summarize key points of the topic or objective and discuss how this topic will affect patient care and its significance to the advanced nursing role and/or practice.

Expectations

Initial Post:

Week 3: Discussion Question – Case Study

Previous  Next 

Discussion Prompt

Mr. Smith is a 64 year old African American male. He was diagnosed with hypertension and hyperlipidemia 5 years ago and has not taken meds regularly for the last year. He states he has been experiencing chest pain when working around the house and sometimes while on his evening walk. He also complains that his feet are swelling in the evening. His vitals today: P-105, B/P-165/100, R-20. Wt-260 Ht-5’9”  Labs: TC- 240, LDL- 145, HDL- 30, Trig-250. Sulfa allergy. You are assigned as his new PCP.

  1. What medication recommendations will you make? Include the drug class, generic and trade name and starting dose range. Provide rationale for your choices.
  2. Discuss any potential side effects and drug interactions for this patient.
  3. What non-pharmacological interventions would you suggest?
  4. What patient education would you provide?

Expectations

Initial Post:

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deductibles

  

In non- formatted power point presentation, explain the cons or why high health plan are not good. Cite examples, and at least 2 peer reviewed articles. 2-3 pages.

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discussion board: legal and ethic issued in nursing

 

Consider your project, as you have it defined so far.

Step 2 Write and share a hypothesis related to your area of interest discussed in Week 1, or you may change your area of interest and write a hypothesis based on a new topic. 

 Cite any sources in APA format. 

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one vulnerable population

 

 The aspects of your chosen vulnerable population,  the reason why is this group considered vulnerable,  what are the most common communicable diseases in this population, and why. Barriers to healthcare and access to care for your vulnerable population. How the issues this group is facing relates to community/public health nursing. Examine evidence-based practices that improve health outcomes of the vulnerable population. Use information technology to identify resources that will improve health outcomes of the vulnerable population.

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Discussion #122

Describe the difference between the Qualitative and Quantitative research; discuss what type of research reveals better outcomes and why? 

·       Must address the topic.

·       Rationale must be provided.

·       May list examples from your own nursing practice.

·       150-word minimum/250-word maximum without the references.

·       Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

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Research Question

Construct a research question and select a sampling method. Explain why you selected the specific sampling method and discuss strengths and weaknesses.

250 words , APA format

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Crisis Intervention (Due 24 hours)

 

1) Minimum 8 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

            Part 1: Minimum 1 page

             Part 2: minimum 7 pages

        

    Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

Part 2: Minimum 7 references per part not older than 5 years 

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Part 1: Crisis Intervention

1. List and  describe five (5) indicators of conditions/symptoms according to DSM-IV-TR  necessary for a diagnosis of PTSD

2. List and describe two (2) characteristics in each category (indicators).

3. List and describe three (3)  specific symptoms in children

4. Do you know anyone with PTSD (Yes). Please share a brief description of the case.

Part 2: Crisis Intervention

Topic: Posttraumatic Stress Disorder

I Will be very fussy in confirming the reliability of your statements and references

1. Introduction (1/2 page-No more)

2. What is PTSD? (1 page)

3. PTSD Statistics a bout women, men, children and older population (1/2 page)

4. Diagnostic criteria / Categorization according to DSM-IV-TR (1/2 page)

5. Physiological Responses(1/2 page)

6. Maladaptive Patterns (1/2 page)

7. Interventions / Treatments (1 page)

a. Pharmacological

b. non-pharmacological

8.  Management of  PTSD (1 page)

a. Behaviors

b. Family considerations

c. Challenges in the care of patients with this disorder.

9. Examine EBP nursing theories: ( 1 page)

a. EBP nursing theories that support the identification of clinical problems

b. EBP nursing theories support the implementation of nursing skills in the care of adults with this disorder.

10. Conclusion  (1/2 page-No more)

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Ethical and Spiritual Care (Due 24 hours)

 

1) Minimum 5 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

            Part 1: Minimum 1 page

            Part 2: minimum 1 page

            Part 3: minimum 3 pages

    Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

Part 3: Minimum 5 references per part not older than 5 years

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Part 1: Ethical and Spiritual Care

1. What is the Christian concept of the imago Dei? 

2. How this concept might be important to health care?

3. Why this concept is relevant?

Part 2: Ethical and Spiritual Care

**************Write in the first person 

According to your worldview:

1. What value does a human person have?

2. How does your position affect your stance on controversial bioethical issues, such as abortion, designer babies, and stem cell research?

Part 3: Ethical and Spiritual Care

Based on “Case Study: Fetal Abnormality” (See file attached)

1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? 

2. How is this related to the intrinsic human value and dignity?

3. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? 

4. What from the case study specifically leads you to believe that they hold the theory you selected? (Write in the first person)

5. How does the theory determine or influence each of their recommendations for action?

6. What theory do you agree with? Why? (Write in the first person)

7. How would that theory determine or influence the recommendation for action?

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essential oils

 

DQ #1Discuss how essential oils work and how they are used in treating health conditions. Please give examples.

*DQ: One answer/post to main question is due Wednesday by 11:59 pm EST. 

Please abide by APA 7th edition format in your writing. 

3 paragraph of at least 4 sentences. 3 references

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