psychiatrist Medication

THE ASSIGNMENT: 5 PAGES

For this assignment, you will develop a patient medication guide for treatment of depressive disorders in a vulnerable population (your choice for one vulnerable patient population to choose from: children, adolescents, older adults, dementia patients, pregnant women or one not listed of your choice!). Be sure to use language appropriate for your audience (patient, caregiver, parent, etc.). You will include non-copyright images and/or information tables to make your patient medication guide interesting and appealing. Limit your patient medication guide to 5 pages. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.

In your patient guide, include discussion on the following:

  • Depressive disorder causes and symptoms
  • How depression is diagnosed for the vulnerable population of your choice, why is this population considered vulnerable
  • Medication treatment options including risk vs benefits; side effects; FDA approvals for the vulnerable population of your choice
  • Medication considerations of medication examples prescribed (see last bullet item)
  • What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring
  • Special Considerations (you must be specific, not general and address at least one for EACH category; you must demonstrate critical thinking beyond basics of HIPPA and informed consent!): legal considerations, ethical considerations, cultural considerations, social determinants of health
  • Where to follow up in your local community for further information
  • Provide 3 examples of how to write a proper prescription that you would provide to the patient or transmit to the pharmacy. 

Unit 7 Medications for Psychosis and Schizophrenia Related Disorders 600W. APA. 4 references due 10-17-23.

Advanced Psychopharmacology and Health Promotion

Unit 7 Medications for Psychosis and Schizophrenia Related Disorders 600W. APA. 4 references due 10-17-23.

Answer the following questions:

Which antipsychotics are considered first-generation and why are they used less often than second generation antipsychotics? Are second-generation antipsychotics more effective?

Compare and contrast the following conditions: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Use as a guide please do not copy this information. Also please use the textbook

1. Which antipsychotics are considered first-generation and why are they used less often than second generation antipsychotics? Are second-generation antipsychotics more effective? First generation antipsychotics, also referred to as “typical antipsychotics” were developed in the 1950s. Commonly prescribed first-generation antipsychotics include: Loxitane (loxapine); Mellaril (thioridazine); Moban (molindone); Navane (thiothixene); Prolixin (fluphenazine); Serentil (mesoridazine); Stelazine (trifluoperazine); Trilafon (perphenazine); and Thorazine (chlorpromazine). These first-generation antipsychotics are used less often than second generation antipsychotics because these medications have a high risk of side effects and some of those side effects can be severe. Second-generation antipsychotics, also known as “atypical antipsychotics,” were developed in the 1980s. Second-generation antipsychotics have more metabolic symptoms, including obesity, diabetes and hyperlipidemia (Heldt, 2017; Stahl et al., 2021). Side effects from first-generation antipsychotics include extrapyramidal effects, such as tardive dyskinesia, rigidity, tremors, and seizures. There is no evidence that second generation antipsychotics are significantly more effective than first generation antipsychotics in the treatment of cognitive and negative symptoms of schizophrenia (Stahl et al., 2021; Stroup, et al., 2003). 2. Compare and contrast the following conditions: Tardive Dyskinesia, Acute Dystonia, Athetosis, and Tics. Tardive dyskinesia is one of the symptoms of long-term use of a first -generation antipsychotic. It is a condition where there is constant or rhythmic involuntary movements that usually involves the muscles of the mouth. It can appear as lip smacking, chewing, excessive eye blinking, grimacing. These symptoms appear slowly over time. Tardive dyskinesia will not go away once the antipsychotic is stopped, it can become irreversible if present for too long. The risk of a patient developing tardive dyskinesia goes up with every year of continuous treatment. TD is specific to the use of antipsychotics (Heldt, 2017). Acute dystonia can develop within the first few hours of a patient receiving an antipsychotic. It is a sustained and painful involuntary contraction of a muscle group- usually involving the face or neck muscles. This is an easily reversible side effect and is managed with an anticholinergic drug such as Benadryl or Cogentin. This condition This study source was downloaded by 100000769192234 from CourseHero.com on 10-16-2023 17:34:58 GMT -05:00 https://www.coursehero.com/file/123197773/Discussion-7docx/ can resolve within a few minutes of proper medication and will not leave any long-term effects (Heldt, 2017). Athetosis is slow, involuntary, writhing movements of fingers, hands, toes and feet. Patients with this condition cannot maintain a stable or still position and when patients attempt to try to control the movements, symptoms can get worse. Athetosis is often a longterm symptom of continued use of first-generation antipsychotics (Holland, 2018). Tics are distinguished from EPS symptoms by the fact that tics are most commonly brief movements are able to be suppressed. Tics are sudden, rapid and repetitive movement (motor tics) or vocalizations (vocal tics). Those with tics feel the urge building up inside them before the tic appears, they these individuals report a feeling of relief after the tic is over. Although tics are involuntary, tics stop during sleep and patients can suppress the urge for short periods of time with effort (Martino, 2020). Heldt, J. P. (2017). Memorable psychopharmacology. Createspace Independent Publishing Platform. Holland, K. (2018, July 18). What Is Athetosis? Healthline; Healthline Media. https://www.healthline.com/health/athetosis Martino, D. (2020). Update on the Treatment of Tics in Tourette Syndrome and Other Chronic Tic Disorders. Current Treatment Options in Neurology, 22(4). https://doi.org/10.1007/s11940-020-0620-z Stahl, S., Muntner, N., & Grady, M. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and clinical applications (5th ed.). Cambridge University Press. Stroup, T. S., McEvoy, J. P., Swartz, M. S., Byerly, M. J., Glick, I. D., Canive, J. M., McGee, M. F., Simpson, G. M., Stevens, M. C., & Lieberman, J. A. (2003). The National Institute of Mental Health Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE)

nurse discussion post

What are the challenges associated with diagnosing and managing sexually transmitted urogenital infections, particularly in the context of asymptomatic infections or delayed presentation? How can nurse practitioners support timely and accurate diagnosis and treatment? 

PATIENT EDUCATION FOR CHILDREN AND ADOLESCENTS

In a 300- to 500-word blog post written for a patient and/or caregiver audience, explain signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.
Although you are not required to respond to colleagues, collegial discussion is welcome. 

Please choose one between those 2 :

  • Anxiety Disorder. or
  • Disruptive Mood Dysregulation Disorder  

Genitourinary Conditions

 A 53-year-old male patient with complaints of non-specific abdominal pain is admitted to the hospital with hematuria and is undergoing diagnostic testing for bladder cancer.  

m3 discussion

Discussion(M3)

Watch one of these films and  then discuss anyone of these “dying and death” representations as  presented in movies or plays such as:

  • Bringing Out the Dead
  • Angela’s Ashes
  • Beaches
  • Philadelphia
  • Terms of Endearment
  • Wit
  • Evan Mayday’s Good Death

Address the following questions if pertinent to the film you watched:

  • What were the causes of death?
  • Where did people die?
  • Who cared for the dying?
  • Who was present at the time of death?
  • How did the significant other person respond?
  • How did the community respond?
  • What expectations or beliefs were associated with dying and death?
  • How did people cope with loss?

Envision  yourself as one of the characters in the film, and, according to their  personal or professional (eg. the nurse in: “WIT”) expectations about  death:

  • Dying well
  • Bad death
  • Good death
  • Sad death

Nursing LAB ASSIGNMENT: DIFFERENTIAL DIAGNOSIS FOR SKIN CONDITIONS

Week 4

Skin Comprehensive SOAP Note Template

Patient Initials: _______ Age: _______ Gender: _______

SUBJECTIVE DATA:

Chief Complaint (CC):

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Past Surgical History (PSH):

Sexual/Reproductive History:

Personal/Social History:

Health Maintenance:

Immunization History:

Significant Family History:

Review of Systems:

General:

HEENT:

Respiratory:

Cardiovascular/Peripheral Vascular:

Gastrointestinal:

Genitourinary:

Musculoskeletal:

Neurological:

Psychiatric:

Skin/hair/nails:

OBJECTIVE DATA:

Physical Exam:

Vital signs:

General:

HEENT:

Neck:

Chest/Lungs:.

Heart/Peripheral Vascular:

Abdomen:

Genital/Rectal:

Musculoskeletal:

Neurological:

Skin:

Diagnostic results:

ASSESSMENT:

PLAN:
This section is not required for the assignments in this course (NURS 6512), but will be required for future courses.

© 2021 Walden University Page 2 of 3

Peer Response Kir

Be sure to provide 2 APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

****1 paragraph for each peer response and 2 citations.********

Please be sure to follow EACH AND EVERY BULLET POINT.

(TOPIC is based on the peer that’s being reviewed)

Please do not plagiarize nor reword another person’s assignment that has been previously submitted.

Look at the attachment for responses that are needed!!!

BHA370 Module 1 Case SLP Module 1

10/9/23, 11:32 AM Case – BHA370 Strategic Delivery of Healthcare Services (2023OCT09FT-1)

https://tlc.trident.edu/d2l/le/content/202712/viewContent/5129358/View 1/2

Module 1 – Case

STRATEGIC PLANNING AND PROCESSES

Assignment Overview

Strategic planning in healthcare typically involves a number of people with diverse
ethnicities, various ages, multiple race groups, and different experiences. An
interdisciplinary approach involves team members from different disciplines working
collaboratively, with a common purpose, to set goals, make decisions, and share
resources and responsibilities. Strategic plans are designed to build an inclusive
environment, plan for the equity of the organization, and to develop objectives to
support viability. Examining external industry competition aids in gauging and
designing performance measures to meet prospective goals.

Case Assignment

In a 2-page paper, answer the following questions:

1. What roles do boards of directors, C-Suite employees, physicians, general
employees, and the community play in a healthcare organization’s strategic-
planning process?

2. Does the diversity of a healthcare organization’s staff have any impact on the
strategic-planning process? Explain your rationale.

Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your
responses.

2. Limit your response to a maximum of 2 pages (title and reference pages are not
included in the page number count).

3. Support your responses with peer-reviewed articles, with 2 to 3 references. Use
the following link for additional information on how to recognize peer-reviewed
journals:
How to Recognize Peer-Reviewed (Refereed) Journals
http://www.angelo.edu/services/library/handouts/peerrev.php.

4. You may use the following source to assist in formatting your assignment:
Purdue Owl – https://owl.english.purdue.edu/owl/resource/560/01/.

Listen

10/9/23, 11:32 AM Case – BHA370 Strategic Delivery of Healthcare Services (2023OCT09FT-1)

https://tlc.trident.edu/d2l/le/content/202712/viewContent/5129358/View 2/2

Privacy Policy | Contact

5. For additional information on reliability of sources, review the following
source: https://nccih.nih.gov/health/webresources.

6. This assignment will be graded based on the Case Assignment rubric.

Care of the older person part 2

Copyright © 2022 The Open College (Version 10)

Module Title Care of the Older Person

Module Code 5N2706

Assessment Technique Skills Demonstration

Weighting 60%

Assessment Details:

In this assessment you are required to write 3 comprehensive reports on the below skills undertaken
within the care setting with a Client /Service User.

1. An outing or indoor activity {examples of outing: trip to cinema, garden centre, park,

examples of indoor: cookery, cards, storytelling, arts & craft etc.}

2. A Reminiscence Session {examples: looking at old film, photo album, talking about past events

in client’s life, school days etc.}

3. A Health Promotion Activity: {examples: Diet, Oral Hygiene, Exercise, hand hygiene, etc}

In the reports you are required to illustrate good client care practice that you will implement in future
practice. In each of the reports you need to illustrate understanding and knowledge of your role in
promoting safe practices, client independence, support, autonomy and dignity during the planning
and implementation of the activities.

Your reports will be assessed on the following:

• Thorough organisation and preparation of the task, including identification of clients’ needs.

(15 marks)

• Careful execution of the task. (15 marks)

• Effective communication throughout the task. (10 marks)

• Effective use of relevant safety and health practices. (10 marks)

• Comprehensive record of the task. (10 marks)

Copyright © 2022 The Open College (Version 10)

Instructions:

For each Skill Report you can:

1. Choose one of the case studies profiles below to complete the reports and follow the
guidelines provided to complete same. The below case studies are a brief overview of a client
and you are free to interpret and expand upon the client history, background if you wish.

OR

2. Complete the assessment on a service user you have cared for during work placement or
family member/relative you have cared for in the home, whereby you have been involved in
assisting them with a recreational / therapeutic activity.

Case Study One

James Brown is a 75-year-old male who was admitted into the nursing home in January 2020. Previous
to this Mr Brown was in St Vincent’s hospital following a stroke where he spent six months. Following
the stroke Mr Brown now uses a rollator. He has no difficulties transferring himself and needs no
assistance. He is partially paralysed on the left side of his body, and sometimes his speech is a little
slurred. Mr Browns wife and son visited every few days. Prior to his retirement Mr Brown worked in
Dublin Dockyards and had a keen interest in swimming, hill walking and crossword puzzles.

Case Study Two

Alice Jones is 81 years old and was admitted to the residential home in 2019 from her home where
she lived with her husband. Alice was diagnosed with dementia in 2016, she is forgetful and has a
history of wandering and this increases her vulnerability. Unfortunately, Alice’s care needs could not
be met at home due to her dementia. This cognitive decline also impacts on her physical and social
ability as she requires support to maintain her daily activities of living. This includes personal care,
nutrition, safety, mobility and guidance.

Case Study Three

Mary Walsh is 74 years of age, she is a widow of ten years, she has one daughter and one son, her son
resides in Australia. Mary is currently residing in a nursing home and she has been diagnosed with
dementia and is in the early stages. As an effect Mary suffers from short term memory loss. Mary also
has restricted mobility as a result of a fall two years ago and suffered a fractured hip. Mary’s physical
ability all though restricted is quite good. Mary uses a rollator for short to medium distance and a
wheelchair for long distance or when going out, she has full mobility with her upper body and regularly
attends physiotherapy.

Copyright © 2022 The Open College (Version 10)

Case Study Four

Annie Smith is an 84-year-old lady who still very much enjoys the activities of daily living. Annie has
cognitive impairment and mobilises with the aid of a rollator; she also has arthritis and wears a hearing
aid in her right ear. Annie has a regular diet and fluids and has a good appetite. Annie takes a lot of
pride in her appearance and likes to wear nice clothes and to have her hair done. Annie is a widow;
she has no children but has led a very full and active life and was very engaged in social activities
throughout her life. Annie lived on her own for a number of years upon the death of her husband and
attended a day centre which she enjoyed greatly. It was noticed by the staff in the day centre and her
home care team that Annie was becoming more forgetful and confused and was leaving her home
and forgetting how to return. The difficulty in maintaining her safety in the home was one of the main
reasons that Annie entered the nursing home.

Additional guidelines for Skills Demonstration

The below Structure must be followed for each Skills Demonstration report & specific points to be
addressed.

Title of Activity_______________

❖ Client Profile: {in this section provide details on the following: name, age, illness / disability,
level of independence}

❖ Rational for the chosen activity: {why did you choose this activity and how would you or did
you involve the client in the decision-making process}

❖ Preparation of the activity: {for example: materials, time, venue, transport etc. and discussion

with supervisor/person in charge}

❖ Communication: {what communication techniques are used to meet the needs of the client,

such as verbal, non-verbal skills and written}

❖ Health and Safety: {in this section address safety measures and infection control that must be

implemented and give rationale}

❖ Implementation of the Activity: {in this section outline from start to finish the activity itself,

you can do this in steps e.g., step 1, 2, 3 and so on. It is important to place emphasis on good

client care, support provided, promotion of independence and interaction, client feedback}

❖ Reflection: {in this section reflect on the benefits of activity for the client and outline future

recommendations to promote recreational activities}

Copyright © 2022 The Open College (Version 10)

Specific Guidelines & Important Information

1. Word Count: 500-600 words per Skills report (+/-10%).

2. Your skill reports must be written in first person only.

3. Write in past tense if based on past experiences from placement / working with family

member.

4. Write in future tense if based on the case study provided.

5. In your reports it is important to emphasize good client care, addressing how client’s privacy,

dignity, independence, empathy, respect and positive self-image of clients would be

promoted and maintained during the activity.

6. Ensure reports are structured using the headings above.

7. Reports do not require research information or supportive references.

For final presentation of your work please ensure:

• Accuracy of information supplied.

• Written in correct context and professional.

• Correct structure applied.

• Quality of Presentation

• Grammatical correctness and proper spelling

• Professional vocational language is used.

Your work must also protect the anonymity of the client and organisation, thus all names must be
changed. This must be stated clearly in your work.

Please note: if you do go over your word count deduction will be at tutor discretion, based on the
relevance of the information submitted.

Where applicable, in the skill report work can be supported with images of
activities/material/equipment/ environment BUT NO IMAGES OF CLIENT CAN BE SUBMITTED.

Please note failure to adhere to all of the above, may result in deduction of marks.

Any results issued are provisional and subject to confirmation from the QQI External Authenticator.