Home>Homework Answsers>Nursing homework helpqualityThe Assignment: 5 pagesExamineCase 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.BACKGROUNDThis week, we examine a 31-year-old male who presents to the office with a chief complaint of insomnia.SUBJECTIVEPatient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient’s medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed.MENTAL STATUS EXAMThe patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented.Decision Point OneTrazodone: 50–100 mg daily at bedtimeRESULTS OF DECISION POINT ONEPatient returns to clinic in 2 weeksPatient states medication works well but gives him an unpleasant side effect of a prolonged erection of the penis, approximately 15 minutes after wakingPatient states this makes it difficult to get ready for work or go downstairs and have coffee with his girlfriend and daughter in the morningPatient denies auditory/visual hallucinations and is future orientedDecision Point TwoExplain that priapism is a side effect of trazodone that should diminish over time. Continue doseRESULTS OF DECISION POINT TWOPatient returns to clinic in 2 weeksPatient states priapism has diminished over timePatient denies auditory/visual hallucinations and is future orientedPatient states trazodone is effective at 50 mg dose but sometimes wakes up following day with next-day drowsinessPatient denies auditory/visual hallucinations and is future orientedDecision Point ThreeContinue dose. Explain to patient he may split the 50 mg tablet in half. The decreased dose should minimize next-day drowsiness. Follow up in 4 weeksGuidance to StudentTrazodone is a selective serotonin reuptake inhibitor that has a low side effect profile. It would not be prudent to prescribe sonata as it carries with it the risk of complex sleep behaviors. Hydroxyzine is an antihistamine with strong sedative properties. However, many patients complain of anticholinergic adverse effects the following morning, such as Xerostomia and Xerophthalmia.The patient is presenting with excessive somnolence. It would be prudent to reduce the dose of trazodone by 50% and reassess in 4 weeks.4 years ago23.01.202125Report issueAnswer(1)Ultimate GEEK4.8(499)4.7(26)ChatPurchase the answer to view itNOT RATEDInsomnia-ASSESSMENTANDTREATMENT.docxInsomnia-ASSESSMENTANDTREATMENTREV.docxTRAZODONEDRUG1.docx4 years agoplagiarism checkPurchase $25Bids(91)FortifiedTutor Cyrus Kenabdul_rehman_Quickly answerNightingaleDr. Michelle_KMQuality AssignmentsYourStudyGuruWIZARD_KIMEmily ClareAmanda SmithDr. ElahiCreative Geekwizard kimPapersGuruRosie SeptemberDr shamille Clarabrilliant answersDiscount AssignBrainy Brianother Questions(10)Use the root test to determine the convergence or divergence of the series 100n^2/e^n.BUSN 420 Business Law Week 2 Wendy Wanderer Discussion Question 1A product manager is concerned that one of her product’s brand share may be unevenly distributed throughout her firm’s product marketSuppose the following statistics were calculated from data gathered from a randomized blockbad-debt reporting – Aging-Problem 7-3Perfect_WriterMGT 557/MGT557 FINAL EXAMessay and match questionsFIN 534 FINAL EXAM WEEK 11 PART 2 (SOLUTION 100%)Use the algebraic form of the aggregate demand curve to find the leval of GPD that occurs when the mooney…
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