Expert Answer :How do you manage Adult /Geriatric Depression with

  

Solved by verified expert:Adult /Geriatric Depression : Hispanic male with Major Depressive Depression. This assignment is to manage adult depression with focus on a Hispanic male and consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processesn using three medications provided in three different decision trees.
wk_3_assign.docx

Unformatted Attachment Preview

Don't use plagiarized sources. Get Your Custom Essay on
Expert Answer :How do you manage Adult /Geriatric Depression with
Just from $10/Page
Order Essay

BACKGROUND INFORMATION
The client is a 32-year-old Hispanic American male who came to the United States when he was in
high school with his father. His mother died back in Mexico when he was in school. He presents
today to the PMHNPs office for an initial appointment for complaints of depression. The client was
referred by his PCP after “routine” medical work-up to rule out an organic basis for his depression.
He has no other health issues with the exception of some occasional back pain and “stiff” shoulders
which he attributes to his current work as a laborer in a warehouse.
SUBJECTIVE
During today’s clinical interview, client reports that he always felt like an outsider as he was “teased”
a lot for being “black” in high school. States that he had few friends, and basically kept to himself. He
describes his home life as “good.” Stating “Dad did what he could for us, there were 8 of us.” He also
reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15
pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but
have been progressively getting worse. He does report poor concentration which he reports is
getting in “trouble” at work.
MENTAL STATUS EXAM
The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is
clear, but soft. He does not readily make eye contact, but when he does, it is only for a few
moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as
the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or
paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is
currently denying suicidal or homicidal ideation. The PMHNP administers the “MontgomeryAsberg Depression Rating Scale (MADRS)” and obtained a score of 51 (indicating severe
depression).
Select what the PMHNP should do:
Decision Point One
Begin Zoloft 25mg Orally daily
Decision Point two
Decrease dose of Zoloft to 12.5mg orally daily
Decision Point three
Change to Paxil20mg orally daily
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:
o 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?
o 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?
o 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?
Also include how ethical considerations might impact your treatment plan and
communication with clients.
Resource:
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University
Press

Purchase answer to see full
attachment

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
colle writers

Order your essay today and save 30% with the discount code ESSAYSHELP