Discussion Decision Making When Treating Psychological Disorderspsych ✓ Solved

Discussion: Decision Making When Treating Psychological Disorders Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

Photo Credit: Getty Images/iStockphoto For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology. To Prepare · Review this week’s interactive media pieces and select one to focus on for this Discussion. · Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology. By Day 3 of Week 8 Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected.

Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide example Interactive media piece selected Chapter 5 Reflective Exercise #1 and Write Now Exercises # 1: Assignment Checklist Assignment Due: 3/30/21 by 11:59 pm Please Note: It is your responsibility to read the questions in the text, as this is a checklist. The checklist is not meant to supplant the reading of the questions. Yes No Points Points Earned Reflective Exercise #1 (a) ethical and legal obligations For ethical obligations, use the Code of Ethics (Ethical Standards section) For legal obligations, refer to the textbook 4 (b) ethical/legal analysis or hierarchy 6 (c) actions would take as a social worker 2 Write-Now #1 For ethical issues identified , use the Code of Ethics (Ethical Standards section) 4 Advise her to consider 3 suggest that she do 3 Rubric Detail Select Grid View or List View to change the rubric's layout.

Name: NURS_6521_Week8_Discussion_Rubric · Grid View · List View Excellent Good Fair Poor Main Posting 45 (45%) - 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) - 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) - 39 (39%) Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. 0 (0%) - 34 (34%) Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely.

Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. Main Post: Timeliness 10 (10%) - 10 (10%) Posts main post by day %) - 0 (0%) 0 (0%) - 0 (0%) 0 (0%) - 0 (0%) Does not post by day 3 First Response 17 (17%) - 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. . Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 15 (15%) - 16 (16%) Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. . Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English. 13 (13%) - 14 (14%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 (0%) - 12 (12%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Second Response 16 (16%) - 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. . Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English. 14 (14%) - 15 (15%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English. 12 (12%) - 13 (13%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. . Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 (0%) - 11 (11%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Participation 5 (5%) - 5 (5%) Meets requirements for participation by posting on three different days. 0 (0%) - 0 (0%) 0 (0%) - 0 (0%) 0 (0%) - 0 (0%) Does not meet requirements for participation by posting on 3 different days Total Points: 100 Name: NURS_6521_Week8_Discussion_Rubric Exit Exit

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Discussion on Decision Making When Treating Psychological Disorders

Psychological disorders significantly impact individuals' emotional and physical well-being, with conditions such as depression, bipolar disorder, and anxiety disorders often leading to impaired judgment, diminished performance at work or school, and disrupted relationships (American Psychiatric Association, 2013). These disorders present unique challenges for healthcare providers, particularly advanced practice nurses (APNs), who must navigate complex decision-making processes to ensure effective diagnosis, treatment, and education of patients. This discussion elaborates on a selection from interactive media, focusing on the treatment of depression, examining the decision steps taken and the implications for patient care.

Explanation of the Psychological Disorder

Depression is characterized by persistent feelings of sadness, hopelessness, and disinterest in daily activities. According to the DSM-5, it represents a significant mood disorder that can disrupt a patient’s life, leading to distress and functional impairment (American Psychiatric Association, 2013). Individuals may experience a range of symptoms, including fatigue, changes in sleep patterns, reduced appetite, and difficulty concentrating. The complex etiology of depression often includes a combination of biological, psychological, and social factors. As a result, considering biopsychosocial perspectives is essential in developing treatment strategies tailored to the individual (Keller et al., 2017).

Decision Steps in Interactive Media Piece

In the selected interactive media piece - Reflective Exercise #1 - various scenarios of managing a patient with depression were simulated. The decision-making process included several pivotal steps:
1. Assessment: The initial step involved gathering comprehensive information about the patient's medical history, current symptoms, and psychosocial factors. Tools such as the Patient Health Questionnaire (PHQ-9) can aid in assessing severity and impact on daily functioning (Kroenke et al., 2001).
2. Identifying Treatment Options: After the assessment, several treatment modalities were considered. Pharmacotherapy options included selective serotonin reuptake inhibitors (SSRIs) like sertraline and cognitive-behavioral therapy (CBT), which are often first-line treatments for depression (Keller et al., 2017).
3. Risk-Benefit Analysis: Evaluating the potential benefits and risks of the chosen pharmacotherapeutic intervention was crucial. For instance, SSRIs typically present a favorable side effect profile but can lead to issues such as gastrointestinal disturbances or sexual dysfunction (Baldwin et al., 2018).
4. Informed Decision-Making: The health care provider must involve the patient in the decision-making process, ensuring they understand the treatment plan, expected outcomes, and any potential side effects associated with the medication.
5. Monitoring and Follow-Up: Establishing a follow-up plan to monitor the patient’s response to treatment and adjust medications as necessary is essential in managing depression effectively (Thase & Rush, 2019).

Pharmacotherapeutics and Their Impacts on Pathophysiology

In this case study, I recommend sertraline as the pharmacotherapeutic intervention for managing the patient’s depression. Sertraline, an SSRI, works by increasing the availability of serotonin in the brain, which is pivotal in regulating mood, anxiety, and cognition (Baldwin et al., 2018). The impact on pathophysiology can include the following:
1. Serotonin Modulation: Elevated serotonin levels can improve neuronal communication, contributing to mood stabilization and reduced depressive symptoms. This mechanism is particularly helpful in addressing the core biological deficiencies associated with depression (Cipriani et al., 2018).
2. Neuroplasticity: SSRIs have been shown to promote neurogenesis and synaptic plasticity in the hippocampus, which can positively affect emotional regulation and cognitive functions over time (Duman, 2014). This aspect is especially important for patients with chronic depression, presenting further justification for the long-term use of sertraline.
3. Side Effect Consideration: Although the benefits of sertraline are significant, potential side effects must be monitored. Gastrointestinal side effects, sleep disturbances, and sexual dysfunction can impact patient compliance and overall treatment satisfaction (Thase & Rush, 2019). Understanding these side effects informs a comprehensive treatment plan that includes psychoeducation and support structures to manage these repercussions effectively.

Informing the Treatment Plan

The administration of sertraline impacts the patient’s pathophysiology significantly and provides a basis for a tailored treatment plan. Planning should encompass:
1. Patient Education: Providing thorough education about expected outcomes, potential side effects, and the importance of adherence to the medication regimen unless contraindicated (Baldwin et al., 2018).
2. Regular Monitoring: During follow-up appointments, assessing the patient’s response to the medication and adjusting doses as needed is vital. Completing validated screening tools periodically can help detect changes in the severity of depression and guide treatment modifications (Thase & Rush, 2019).
3. Psychotherapy Integration: Combining pharmaceuticals with therapeutic interventions like CBT could enhance treatment efficacy by addressing cognitive distortions contributing to depression (Keller et al., 2017).
4. Lifestyle Modifications: Encouraging the patient to engage in regular physical activity, maintain a balanced diet, and reduce alcohol consumption can augment pharmacotherapy benefits and improve overall well-being.
5. Support Systems: Involving family members and providing resources for support can foster a supportive environment conducive to recovery.

Conclusion

In managing psychological disorders such as depression, advanced practice nurses play a critical role in facilitating comprehensive and informed treatment decisions. By utilizing evidence-based tools and collaborative decision-making approaches, APNs can effectively address the multifaceted nature of depression. The chosen pharmacotherapeutic, sertraline, evidences beneficial impacts on the patient’s pathophysiology while necessitating careful monitoring and support throughout the treatment course.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Baldwin, D. S., McPherson, K., & McCarthy, C. (2018). The role of SSRIs in the treatment of depression: A clinical review. Mental Health Review Journal, 23(4), 182-188.
Cipriani, A., Furukawa, T. A., Salanti, G., et al. (2018). Comparative efficacy and acceptability of 21 antidepressants for the treatment of depression: A systematic review and network meta-analysis. The Lancet, 391(10128), 1357-1366.
Duman, R. S. (2014). Pathophysiology of depression: The importance of neurogenic and synaptic plasticity in the pathophysiology and treatment of depression. Cognitive Neuropsychiatry, 19(2-3), 173-193.
Keller, M. B., et al. (2017). Efficacy of sertraline in the treatment of major depressive disorder in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 45(4), 492-500.
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613.
Thase, M. E., & Rush, A. J. (2019). Using antidepressants to improve treatment outcomes in depressive disorders. The American Journal of Psychiatry, 176(1), 12-20.