pharmacotherapeutic treatment goals

Please follow the rubric and do a good job please thank you.
Assignment 3
L. P., age 23, is a Hispanic woman who graduated from college last year. She reports to the CNP in her local community mental health center. She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L. P. reports that she has a good relationship with her boyfriend but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects.

In a paper not to exceed six pages, excluding title and reference pages, submit your answers to the following in an MS Word document:

What is L. P.’s likely diagnosis?
List specific pharmacotherapeutic treatment goals for L. P.
Should the CNP order any labs for L. P. at this time? Why?
What drug therapy would the CNP likely prescribe? Why?
What are the parameters for monitoring the success of the therapy?
Describe specific patient monitoring based on the prescribed therapy.
List one or two adverse reactions for the selected agent that would cause the CNP to change therapy.
L. P. returns to see the CNP after six weeks, complaining of still feeling anxious and had heard of a medication called Klonopin that she would like to try; how should the CNP respond to her request?
What health promotion activities should be recommended for this patient?
What is L. P.’s long-term prognosis?
Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work.

Competency

40

36

33

0

Points Earned

Case Study questions completely and thoroughly answered with accurate evidence-based supported rationales

Accurate and well defined discussion of all 10 questions for the case study using current evidence-based resources.

Accurate discussion of nine case study questions presented with use of current evidence-based resources.

Accurate discussion of 8 questions using current evidence-based resources

Missing response to questions or inappropriate answers to questions. No use of evidence-based resources.

/40

40

36

33

0

Evidence of

critical thinking
therapeutic decision-making in drug selection and evaluation of patient care
pathophysiology and current pharmacological research
assessment of the effectiveness of drug therapy
formulation of clinical care and teaching plans for persons from diverse populations
Well-defined evidence of

critical thinking
therapeutic decision-making in drug selection and evaluation of patient care
pathophysiology and current pharmacological research
assessment of the effectiveness of drug therapy
formulation of clinical care and teaching plans for persons from diverse populations
Evidence of critical thinking in prescriptive therapy, monitoring and adverse events. May have lacked a teaching plan or pathophysiologic discussion.

Evidence of critical thinking but incompletely described therapeutic decision making and omitted teaching plan and pathophysiology.

Multiple bulleted points are absent or poorly defined in the assignment. There is no demonstration of critical thinking.

/40

Competency

10

9

8

0

Points Earned

Grammar, spelling, and punctuation

There are no errors in grammar, spelling, and punctuation

There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning (1-3 errors)

There are major errors in grammar, spelling, and punctuation .(4-5 errors)

No content or more than 5 errors

/10

Competency

10

9

8

0

APA Compliance

The paper meets APA formatting guidelines

There are a few minor errors (1-3 errors)

There are significant errors in the format of the paper (4-5 errors)

No content or more than 5 errors

/10

Total Points

/100

Submission status
Submission status No attempt
Grading status Not graded
Last modified –
Submission comments
Comments (0)

 

 

 

Running head: ADVANCED PHAMACOLOGY ASSIGNMENT III1Pharmacology of Mental & Central Nervous System Disorders Case StudyJody L. LemkeAmerican Sentinel UniversityInstructor: Dr. Margaret PearceSeptember 1, 2019

ADVANCED PHAMACOLOGY ASSIGNMENT III2Pharmacology of Mental & Central Nervous System Disorders Case Study

The following case study involves a 23-year-old Hispanicwoman, LP,who’s a recent college graduate working as an account…………… ago, LP moved into a two-bedroom apartment with edge” for the past 9 months.Furthermore, shereportsfatigueandirritability;difficulty concentrating and falling asleep;nervousness; andthat sometimes her min……………have causedLPto worry about her jobperformance and has fearsofgetting ………….s that throughoutherlife she’shad good grades and has beensuccessful ateverything she’s attempted. Shefeels shehas a healthyand sexually satisfyingre…………. seldomly see each other as he attendsgraduate schoola100 milesaway.She denies financial problems and has no relationshipissueswith her parents, roommate, or peers. She reports she’s always b…………..has taken good care of herself. LP report…………..ion other than birth control pills, which she has taken for fouryears without adverse effects.DiagnosisLP’s symptoms ofrestlessness, fatigue, irritability, difficulty concen……..d by at least six months of persistent and excessive anxiety and worry” (Arcangelo, Peterson, Wilbur, and Reinhold, 2017, p. 702). Four of LP’s symptoms meet the criteria fordiagnosingmajor depressive disorder, however; to diagnose major depressive disorder there must be five or more……..

ADVANCED PHAMACO………….MENT III3symptoms present fo……………s must also include a depressed mood most ofthe day and/or a decreased interest in normal activitiesaccording the 2013 version of the American Psychiatric Associations publication, The Diagnostic and Statistical Manual of Menta…………….ited byArcangelo& Peterson, 2017).Pharmacotherapeutic Treatment Goalsfor GADLong-term treatment goals for GAD are completeresolution ofanxiety symptoms and improvement ofthe overall functioning and quality of life.Pharmacologic treatment should improve self-control without daytime drowsiness, physicaldependence,or psychological dependence……….Vitamin B12and othe………..a…y a role in producing brain chemicals that affect mood and other brain functions. Low levels of B12and oth…………….. as vitamin B6and folate may be linked to depression” (ma…………….para. 1).Priorto diagnosing GAD, a complete medical exam should be performed to rule out other disease processes or neurological disorders; other m…………..should be examined for anxiogenic effects; and an evaluation for drug and/or alcohol abuse should be performed.If a benzodiazepine is use……….ctions should be perform…………..um iodide (Arcangelo & Peterson, 2017).

ADVANCED PHAMACOLOGY ASSIGNMENT III4Recommended Drug Therapy for GADThere are five pharmacologic options available for treating GADwhich include1.) antidepressants 2.) benzodiazepines 3.) azapirones 4.) antianxiety agents …………….SRI) or a serotonin-norepinephrine reuptake inhibitor (SNRI). An antidepress……….s should allow for four to eight weeks before any dosag……………..ents are considered. Other diagnoses should be co…………t this time if no clinical improvement is noted. Once clinical symptoms are resolved treatment should continue at least for 12 months reduce the chance of relapse.Parameters for Monitoring the ……………… Therapy for GADWhen treatingGAD with an S…………… six weeks should be allowed before reassessment of LPs symptoms. It’s es………….scuss with persons starting an SSRI the length of tim……………ssary for allowing for the drug’s clinical effects to occur. Waiting four to six weeks can be discouraging for persons with GAD and using a benzodiazepine during this time frame should be considered.Specific Patient Monitoring R……………endations Based on the Pre…………. side effects su……………ase in libido and delayed ejaculation for men and the inability to achieve orgasm for women. These side effects can sometimes be managed with lowering the

ADVANCED PHAM………….OLOGY ASSIGNMENT III5dosage of the medication or may require changing to a different medicatio……….s should be sure to ask about sexually related side effects as persons may not feel comfortable volunteering or sharing this information.Adverse Events of ………..redisposed to developing hypertens………….tine, a SSRI,can cause more weight gain and sexual side effects than other SSRIs. Taking an SSRI in combination with certain medications is not advised. Tricyclic antidepressants(TCAs) havethe potential to inhi………..microsomal enzyme systems and increase plasma concent………..combination can cause fatal side effects. Serious side effects include hyperthermia, rigidity, and autonomic dysregulation (Arcangelo & P………….n, 2017). Use of Klonopin for GADClonazepam(Klonopin)is a benzodiazepine which is used for short-term management of GAD. “Though still a common practice the utilization of benzodiazepines lon……….r. Depende…………..or abuse is less likely to occur in persons who do not abuse alcohol or other substances.Recommended Health Promotional Activities

ADVANCED PHAM……………Y ASSIGNMENT III6Health promotional activities should includehealthy eating, getting enough sleep, utilizing relaxation techniqu………….ditation, yoga, and regular exercise. Psychotherapy, counseling, and behavioral therapy are commonly used in conjunction with pharmacotherapy to learn coping skills and ways to………….xiety.Cognitive behavioral treatment (CBT) “specifically targets though……………… biological factors, environmental factors, and genetics can contribute to GADcausinglong-term challenges. GAD oftenoccurs along with other anxiety or mo……………rders.Approximately1%-5% of the population report having generalizedanxiety disorderalong with a considerable level of disability. Long te……………….hat having GADworsens the prognosis for other conditions and t………….. GAD are more likely to develop further conditions(Gale & Davidson, 2007). SummaryLP’s symptoms over the past 9 months are indica………….AD. LP is advised to begina single antidepressant, preferably a SSRI or SNRI, at a low dose and that can be titrated upwards until a clinical respons……………..adverse effects is achieved. SSRIs and SNRIs are the recommended first-line treatments for GAD.Four to six weeks should be allowed before reassessment of LPs symptomsafter beginning a SSRI or SNRI. Clonazepam can be used short-term while the clinical effects of an antidepressant have time to take effect. LP should be

ADVANCED PHAMACOLOGY ASSIGNMENT III7moni……………….. implemented along with pharmacological treatment.

ADVANCED PHA………..LOGY ASSIGNMENT III8ReferencesAnxiety and Depression Association of America. (2018). Understanding the facts: Generalized anxiety disorder. Retri…………………..acotherapeutics for advanced practice: A practical approach (4th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.Gale, C. & Davidson, O. (2007). Generalised anxiety disorder. BMJ,334(7593), pp 579-581.doi:10.1136/bmj.39133.559282.BEMayoclinic.org. (2018). Vitamin B12 and depression: Are the related? Retrieved from https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/vitamin-b12-and-depression/faq-20058077

[checkout]

"Do you have an upcoming essay or assignment due?


If yes Order Similar Paper