Case Study:

https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6630/DT/week_05/index.html

Examine
 Case Study: A Middle-Aged Caucasian Man With Anxiety. 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.

References:

· Stahl, S. M. (2021). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.

· Chapter 8,  “Anxiety, Trauma, and Treatment” (pp. 359-378)

· American Psychiatric Association. (2010a). 

Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder
Links to an external site.
. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/acutestressdisorderptsd.pdf

· American Psychiatric Association. (2010c). 

Practice guideline for the treatment of patients with panic disorder
Links to an external site.
 (2nd ed.). https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/panicdisorder.pdf

 Michelle, a 21-year-old female, has been admitted informally to an acute mental health unit this is her first admission.  

Assignment topic for Communication:

Under the communication topic is the idea of advanced directives. The  advance directive idea has grown from basic forms that can be found in  the state statutes to very refined documents such as Five Wishes or  POLST or MOLST. But to start this topic we can access the Florida State  statutes and see what the State of Florida has to offer as a advance  directive. Here is the direct link to the Florida State Statute 765.101 https://www.caringinfo.org/planning/advance-directives/by-state/florida/ 

 Links to an external site. 

Scroll down to “Download Florida Advance Directive” This will give  you an idea about the contents of the standard State form using the  Florida one as an example. If you list the main parts it will give you  an idea about the types of choices these forms allow for which are not  exactly detailed or extensive in content. Now if you were to open a Five  Wishes form: https://www.fivewishes.org/five-wishes-sample.pdf 

 Links to an external site. and compare to the earlier State form it becomes obvious the difference. 

As a variation on the same theme there is also the POLST form which  also gives several choices as a type of advance directive form. This  will be our discussion for the communication module.

Assignment: Compare  the two methods of Advanced Directives, that is the State of Florida  form with either the Five Wishes or the POLST form and describe the  following:

a) What are the differences between the forms?

b) Why do you think that there are differences between the forms?

c) What is accomplished by the newer generation of advanced directive (eg. Five Wishes or POLST)?

d) Which form would you rather have as a patient? and why?

Your answer should be at least 300 words and have a reference to it.  You should comply with APA 7th ed guidelines and answer all of the  questions clearly and completely.

Assessment Description

Prepare this assignment as a 1,500-1,750-word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed qualitative, quantitative, and mixed methods research critiques on two articles for each type of study (four articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Use the “Research Critiques and PICOT Question Guidelines – Final Draft” document to organize your essay. Questions under each heading should be addressed as a narrative in the structure of a formal paper.

 Please note that there are two new additional sections: Outcomes Comparison and Proposed Evidence-Based Practice Change
.

General Requirements

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

INSTRUCTORS REQUIREMENTS

As you start the final paper for this course, I wanted to point out a couple of items.

1. Review the rubric found in the syllabus and be sure to follow the requirements.

2. Review my comments in previous submission and make the revisions. I attached your paper in the gradebook feedback with extensive feedback. One of the grading criteria for the final paper is evidence of revisions based upon previous feedback.

3. The paper is to be 
1,500-1,750 words. Points will be deducted for exceeding the word count.

4. All references to articles in the be done by using the author's name. The title of the article is not to be in the text of the paper.

5. All references are to be in APA format. 
Retrieved from is not to be included.

6. Please message me with questions

7.
No late submissions will be accepted after the end of the class which Sunday, October 1, 1159PM.

Dr. Cook