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Medication and Depressive Symptoms Paper

Medication and Depressive Symptoms Paper

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Geriatric Behavioral Health emphasizes the biological and psychological aspects of normal aging, the psychiatric effect of acute and chronic physical illness, and the biological and psychosocial aspects of the pathology of primary psychiatric disturbances of older age.

PMHNPs who work with the geriatric population is dedicated to the diagnosis and treatment of mental disorders in older adults. These disorders include dementia, depression, anxiety, sleep disorders, and late-life schizophrenia. Psychiatric/mental health care includes listening and responding to the concerns of the older adult, helping families, and working with other health care professionals to develop effective approaches to treatment. Co-existing medical illnesses, medications, family issues, social concerns, and environmental issues are integrated into a comprehensive program of care.

PMHNPs provide psychiatric/mental health care to individuals, families and groups across the lifespan. Though many of us focus our clinical practice on a specific age population, it is imperative that we demonstrate competency in lifespan focused care. This week you will have the opportunity to practice differentiating between the symptoms of apathy, depression, dementia, and side effects of medications.

In the diagnostic and assessment course (NURS 6245), you learned about neurocognitive disorders and were introduced to the 3 D’s: Delirium, Dementia, and Depression. This week you will apply your knowledge and complete the case study, The Man Who Sat on his Couch. Your task is to determine how to tell depression from vascular dementia and everything else between!

  • Differentiate between the symptoms of apathy, depression, dementia, and side effects of medications in a geriatric patient (CO8).
  • Formulate evidence-based pharmacological and nonpharmacological strategies for the treatment of a geriatric patient (CO8).
  • Apply advanced practice clinical reasoning skills in the development of a comprehensive treatment plan for a patient with a diagnosable mental illness (CO8).

 

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Instructions: Click the link above to go to the discussion forum and participate in this week’s discussion. This week you will complete a case study and discuss your treatment plan with your peers. Please read the following case study and post your responses to ALL questions to this week’s discussion board. TITLE: The Elderly Man Who Sat on his Couch Patient: 85-year-old man with no chief complaint. Psychiatric History: Patient presents with his family members. The family is concerned that their once robust, energetic family member is now down, out, and despondent. In fact, the family’s chief complaint is that their family member “just sits on the couch all day.” Medication and Depressive Symptoms Paper
Patient has no history of mental illness, psychiatric inpatient admissions, or suicide attempts; survived cancer and was robust and active until recent pneumonia; despite the recovery, seems depressed and inactive. There is no clear psychiatric comorbidity. The patient was somewhat confused and/or thought disordered; a delirium workup ensued and was negative; Initial treatment with an antipsychotic cleared his symptoms. Patient reports being depressed, down, fatigued, unable to concentrate, and unable to sleep well. Denies guilt, worthlessness feelings, or any suicidal thoughts. What initial medication would you choose in order to improve his depressive symptoms? Explain this in depth including any drug titration. What lab monitoring or testing would you do?
Explain your rationale and provide resources to support your decision. What nonpharmacological interventions would you recommend for this patient? How would you differentiate between the symptoms of apathy, depression, dementia, and side effects of medications in a geriatric patient? When responding to peers be sure to critique their decisions. What did they do well? What are your recommendations for improvement? Name: N6248: Discussion Board Rubric Exit Grid View List View Incomplete Acceptable Good Excellent Points: Points: 8.25 Quality of Response (8.25%) 0.0825 Minimal or no participation. Feedback: Points: 16.5 (16.50%) 0.165 Little interaction with other participants. Feedback: Points: 33 24.75 (33.00%) (24.75%) 0.2475 Responses build on the ideas of others and show critical thinking related to the topic and/or reading assignments. Feedback: 0.33 Medication and Depressive Symptoms Paper
Responses build on the ideas of others, show critical thinking related to the topic and/or reading assignments, and integrate multiple views. Feedback: Frequency of Response Incomplete Acceptable Points: Points: 8.5 17 (8.50%) (17.00%) 0.085 No response in forum(s). Feedback: Timeliness 0.17 Single post in forum(s). Feedback: Good Excellent Points: Points: 25.5 34 (25.50%) (34.00%) 0.255 0.34 At least two posts in forum(s). Feedback: At least three posts in forum(s). Feedback: Points: Points: Points: Points: 24.75 33 8.25 16.5 (24.75%) (33.00%) (8.25%) (16.50%) 0.0825 Initial post later than Thursday, 11:59, EST. Feedback: 0.165 Initial post later than Thursday, 11:59, EST. Feedback: Name:N6248: Discussion Board Rubric 0.2475 Initial post by Thursday, 11:59, EST; Responses to colleagues by Sunday, 11:59, EST. Feedback: 0.33 Initial post by Thursday, 11:59, EST; Responses to colleagues by Sunday, 11:59, EST. Feedback: . Medication and Depressive Symptoms Paper