WEEK 7 DISCUSSION: TREATMENT FOR A PATIENT WITH A COMMON CONDITION/NURS 6630
WEEK 7 DISCUSSION: TREATMENT FOR A PATIENT WITH A COMMON CONDITION/NURS 6630
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
Insomnia is one of the most common medical conditions you will encounter as a PMHNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PMHNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being.
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Reference: Abbott, J. (2016). What’s the link between insomnia and mental illness? Health. https://www.sciencealert.com/what-exactly-is-the-link-between-insomnia-and-mental-illness#:~:text=Sleep%20problems%20such%20as%20insomnia%20are%20a%20common,bipolar%20disorder%2C%20and%20attention%20deficit%20hyperactivity%20disorder%20%28ADHD%29
For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.
Case: An elderly widow who just lost her spouse.
Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:
Metformin 500mg BID
Januvia 100mg daily
Losartan 100mg daily
HCTZ 25mg daily
Sertraline 100mg daily
Current weight: 88 kg
Current height: 64 inches
Temp: 98.6 degrees F
BP: 132/86
BY DAY 3 OF WEEK 7
Post a response to each of the following:
List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.
Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.
List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.
List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?
Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.
Upload a copy of your discussion writing to the draft Turnitin for plagiarism check. Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.
Read a selection of your colleagues’ responses.
NURS_6630_Week7_Discussion_Rubric
NURS_6630_Week7_Discussion_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeMain Posting:Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
44 to >39.0 pts
Excellent Point range: 90–100
Thoroughly responds to the Discussion question(s)…. Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources…. No less than 75% of post has exceptional depth and breadth…. Supported by at least three current credible sources.
39 to >34.0 pts
Good Point range: 80–89
Responds to most of the Discussion question(s)…. Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module…. 50% of the post has exceptional depth and breadth…. Supported by at least three credible references.
34 to >30.0 pts
Fair Point range: 70–79
Responds to some of the Discussion question(s)…. One to two criteria are not addressed or are superficially addressed…. Is somewhat lacking reflection and critical analysis and synthesis…. Somewhat represents knowledge gained from the course readings for the module…. Post is cited with fewer than two credible references.
30 to >0 pts
Poor Point range: 0–69
Does not respond to the Discussion question(s)…. Lacks depth or superficially addresses criteria…. Lacks reflection and critical analysis and synthesis…. Does not represent knowledge gained from the course readings for the module…. Contains only one or no credible references.
44 pts
This criterion is linked to a Learning OutcomeMain Posting:Writing
6 to >5.0 pts
Excellent Point range: 90–100
Written clearly and concisely…. Contains no grammatical or spelling errors…. Adheres to current APA manual writing rules and style.
5 to >4.0 pts
Good Point range: 80–89
Written concisely…. May contain one to two grammatical or spelling errors…. Adheres to current APA manual writing rules and style.
4 to >3.0 pts
Fair Point range: 70–79
Written somewhat concisely…. May contain more than two spelling or grammatical errors…. Contains some APA formatting errors.
3 to >0 pts
Poor Point range: 0–69
Not written clearly or concisely…. Contains more than two spelling or grammatical errors…. Does not adhere to current APA manual writing rules and style.
6 pts
This criterion is linked to a Learning OutcomeMain Posting:Timely and full participation
10 to >8.0 pts
Excellent Point range: 90–100
Meets requirements for timely, full, and active participation…. Posts main Discussion by due date.
8 to >7.0 pts
Good Point range: 80–89
Posts main Discussion by due date…. Meets requirements for full participation.
7 to >6.0 pts
Fair Point range: 70–79
Posts main Discussion by due date.
6 to >0 pts
Poor Point range: 0–69
Does not meet requirements for full participation…. Does not post main Discussion by due date.
10 pts
This criterion is linked to a Learning OutcomeFirst Response:Post to colleague’s main post that is reflective and justified with credible sources.
9 to >8.0 pts
Excellent Point range: 90–100
Response exhibits critical thinking and application to practice settings…. Responds to questions posed by faculty…. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.
8 to >7.0 pts
Good Point range: 80–89
ORDER A CUSTOMIZED, PLAGIARISM-FREE WEEK 7 DISCUSSION: TREATMENT FOR A PATIENT WITH A COMMON CONDITION/NURS 6630 HERE
Response has some depth and may exhibit critical thinking or application to practice setting.
7 to >6.0 pts
Fair Point range: 70–79
Response is on topic, may have some depth.
6 to >0 pts
Poor Point range: 0–69
Response may not be on topic, lacks depth.
9 pts
This criterion is linked to a Learning OutcomeFirst Response:Writing
6 to >5.0 pts
Excellent Point range: 90–100
Communication is professional and respectful to colleagues…. Response to faculty questions are fully answered, if posed…. Provides clear, concise opinions and ideas that are supported by two or more credible sources…. Response is effectively written in Standard, Edited English.
5 to >4.0 pts
Good Point range: 80–89
Communication is mostly professional and respectful to colleagues…. Response to faculty questions are mostly answered, if posed…. Provides opinions and ideas that are supported by few credible sources…. Response is written in Standard, Edited English.
4 to >3.0 pts
Fair Point range: 70–79
Response posed in the Discussion may lack effective professional communication…. Response to faculty questions are somewhat answered, if posed…. Few or no credible sources are cited.
3 to >0 pts
Poor Point range: 0–69
Responses posted in the Discussion lack effective communication…. Response to faculty questions are missing…. No credible sources are cited.
6 pts
This criterion is linked to a Learning OutcomeFirst Response:Timely and full participation
5 to >4.0 pts
Excellent Point range: 90–100
Meets requirements for timely, full, and active participation…. Posts by due date.
4 to >3.0 pts
Good Point range: 80–89
Meets requirements for full participation…. Posts by due date.
3 to >2.0 pts
Fair Point range: 70–79
Posts by due date.
2 to >0 pts
Poor Point range: 0–69
Does not meet requirements for full participation…. Does not post by due date.
5 pts
This criterion is linked to a Learning OutcomeSecond Response:Post to colleague’s main post that is reflective and justified with credible sources.
9 to >8.0 pts
Excellent Point range: 90–100
Response exhibits critical thinking and application to practice settings…. Responds to questions posed by faculty…. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.
8 to >7.0 pts
Good Point range: 80–89
Response has some depth and may exhibit critical thinking or application to practice setting.
7 to >6.0 pts
Fair Point range: 70–79
Response is on topic, may have some depth.
6 to >0 pts
Poor Point range: 0–69
Response may not be on topic, lacks depth.
9 pts
This criterion is linked to a Learning OutcomeSecond Response:Writing
6 to >5.0 pts
Excellent Point range: 90–100
Communication is professional and respectful to colleagues…. Response to faculty questions are fully answered, if posed…. Provides clear, concise opinions and ideas that are supported by two or more credible sources…. Response is effectively written in Standard, Edited English.
5 to >4.0 pts
Good Point range: 80–89
Communication is mostly professional and respectful to colleagues…. Response to faculty questions are mostly answered, if posed…. Provides opinions and ideas that are supported by few credible sources…. Response is written in Standard, Edited English.
4 to >3.0 pts
Fair Point range: 70–79
Response posed in the Discussion may lack effective professional communication…. Response to faculty questions are somewhat answered, if posed…. Few or no credible sources are cited.
3 to >0 pts
Poor Point range: 0–69
Responses posted in the Discussion lack effective communication…. Response to faculty questions are missing…. No credible sources are cited.
6 pts
This criterion is linked to a Learning OutcomeSecond Response:Timely and full participation
5 to >4.0 pts
Excellent Point range: 90–100
Meets requirements for timely, full, and active participation…. Posts by due date.
4 to >3.0 pts
Good Point range: 80–89
Meets requirements for full participation…. Posts by due date.
3 to >2.0 pts
Fair Point range: 70–79
Posts by due date.
2 to >0 pts
Poor Point range: 0–69
Does not meet requirements for full participation…. Does not post by due date.
5 pts
Total Points: 100