Decisions concerning the medication DQ

Decisions concerning the medication DQ

Decisions concerning the medication DQ

Result of decision point one.

Client returns to clinic in four weeks, Reports a 25% decrease in symptoms. Client is concerned over the new onset of erectile dysfunction.

Decision Point Two: I choose to Continue same dose and counsel client.

Results of decision point two

Client returns to clinic in four weeks, Client informed the PMHNP that he stopped taking the drug because his inability to perform sexually was worsening his self esteem.

Decision point Three

I choose to change medication to Wellbutrim XL.

Guidance to student.

Encouraging client to restart at previous dose would not be appropriate. Obviously, the side effect did not abate so there is no reason to assume that it wound abate at the previous dose. Restarting the drug at 50% of starting dose maybe appropriate to determine whether or not side effect is dose dependent, If the side effect of erectile dysfunction returns once the drug is returned to full dose, the PMHNP would need to change the drug. Changing to wellbetrim XL may be appropriate at this point, but may worsen his insomnia.Additionally, guidelines tell us that another SSRI should be attempted for an adequate trial before switching drug classes

Please use the below rubric to answer the case study

This is the Assignment Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. 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?

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Decisions concerning the medication DQ

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.