case study 11259043

All A+ Essays Your Preferred Academic Partner By: All A+ Essays Case Study All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 Case Study Samanthah pleaseTherapy for Pediatric Clients With Mood Disorders Mood disorders can impact every facet of a child’s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies. This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... and legal implications of these therapies. Photo Credit: GettyLicense_185239711.jpg Assignment: Assessing and Treating Pediatric Clients With Mood Disorders When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders. Note: This Assignment is the first of 10 assignments All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients. Learning Objectives Students will: Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring All A+ Essays The Best Among the Best Visit Us today https://www.allaplusessays.com Click to edit Master title style All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... Press.   Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter. Chapter 6, “Mood Disorders” Chapter 7, “Antidepressants” Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.   Note: To access the following medications, click on the The Prescriber's Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.   Review the following All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... medications: amitriptyline bupropion citalopram clomipramine desipramine desvenlafaxine doxepin duloxetine escitalopram fluoxetine fluvoxamine imipramine ketamine mirtazapine nortriptyline paroxetine selegiline sertraline trazodone venlafaxine vilazodone vortioxetine   Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from <a rel="nofollow" All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... href="https://www.magellanprovider.com/media/11740/ psychotropicdrugsinkids.pdf">https://www.magellanprovider.com/ media/11740/psychotropicdrugsinkids.pdf</a>  Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. doi:10.1002/da.22171 Note: Retrieved from Walden Library databases. Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from <a rel="nofollow" href="http://iacapap.org/wp-content/uploads/A.7- PSYCHOPHARMACOLOGY-072012.pdf">http://iacapap.org/wp- content/uploads/A.7-PSYCHOPHARMACOLOGY-072012.pdf</a>  Poznanski, E., & Mokros, H. (1996). Global Access We have access to all online journal repositories Top Grade Papers Minimum B+ Guaranteed Access Anytime 24/7 Support Feeling Stuck? We Can Help We will write a paper on your topic, specifically for you! Place your order via allaplusessays.com/signup and receive a 30% discount on each paper. https://allaplusessays.com/ All A+ Essays All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847–854. doi:10.1111/jpc.12655 Seedat, S. (2014). Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iii–v. doi:10.2989/17280583.2014.938497 To prepare for this Assignment: Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy. The Assignment                  &nbs p;          Examine Case Study: An African American Child Suffering From Depression. You All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... 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?  See below. 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 All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... 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 Feeling Stuck? We Can Help https://allaplusessays.com/ All A+ Essays By: All A+ Essays Click to edit Master title style All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... Psychiatric Nurse Practitioner   MEN TAL STATUS EXAM Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age- appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.   The PMHNP administers the Children's Depression Rating Scale, obtaining a score of 30 (indicating significant depression)   &nb sp; RESOURCES § All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale--Revised. Los Angeles, CA: Western Psychological Services.      Decision Point One Select what the PMHNP should do: Begin Zoloft 25 mg orally daily  Begin Paxil 10 mg orally daily  Begin Wellbutrin 75 mg orally BID   Cas e Study of the above client Decision Point One I selected  Zoloft 25 mg orally daily RESULTS OF DECISION POINT ONE  Client returns to clinic in four weeks  No change in depressive symptoms at all  Decision Point All A+ Essays Your Guide in The Academic Jungle e-mail: allaplusessays@gmail.com phone: +1 (618) 744 0226 ...continued... Two  Increase dose to 50 mg orally daily RESULTS OF DECISION POINT TWO  Client returns to clinic in four weeks  Depressive symptoms decrease by 50%. Cleint tolerating well  Decision Point Three  Maintain current dose Guidance to Student At this point, sufficient symptom reduction has been achieved. This is considered a “response” to therapy. Can continue with current dose for additional 4 week to see if any further reductions in depressive symptoms are noted. An increase in dose may be warranted since this is not “full” remission- Discuss pros/cons of increasing drug dose with client at this time and empower the client to be part of the decision. There is no indication that the drug Global Access We have access to all online journal repositories Top Grade Papers Minimum B+ Guaranteed Access Anytime 24/7 Support Feeling Stuck? We Can Help We will write a paper on your topic, specifically for you! Place your order via allaplusessays.com/signup and receive a 30% discount on each paper. https://allaplusessays.com/ All A+ Essays All A+ Essays Your Preferred Academic Partner By: All A+ Essays