Marjorie Benton

Clinical Case Study

/in /by
ill, a 24 y/o Hispanic female arrives in the emergency room where her parents brought her for evaluation. They are worried because she is giving away all of her possessions and says she is planning to move to the South Pole so she can “save the world.” Her parents say that she has hardly been sleeping at all for the last 7 days, but she seems very energetic. They say she has appeared to be “in a frenzy” lately. When you interview Jill you notice that she speaks very rapidly and is laughing uncontrollably. It is hard to get her to be quiet long enough for you to ask questions. She seems agitated and has difficulty sitting still.
Questions: Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.

  1. Summarize the clinical case including the significant subjective and objective data.
  2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
  3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
  4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
  5. Describe a health promotion intervention that would be appropriate for this patient.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.

Requirements: 500 words

Answer preview

Maniac episodes for people with Bipolar I disorder require treatment with mood stabilizers, antipsychotics, and sometimes sedative-hypnotics drugs (Yatham, Kennedy, Parikh, Schaffer, & Bond et al., 2018). Mood stabilizers such as lithium and Valproate help control maniac episodes and level out moods. Antipsychotic drugs such as Haldol, Loxapine, and Thorazine, when used alone or with lithium, can help stabilize and treat psychosis.

  1. The non-pharmacological treatment I would prescribe

Apart from medication, electroconvulsive therapy (ECT) is effective for treating manic and depressive symptoms. ECT is commonly used for people with the disorder in the treatment of mania episodes when medicines are not working effectively or not working fast enough.

[621 Words]

Clinical Case Study

Marjorie Benton

Pharmacodynamics of psychopharmacological

/in /by

Goal: To analyze and apply critical thinking skills in the pharmacokinetics and pharmacodynamics of psychopharmacological agents for patient treatment and health promotion while applying evidence-based research.

 

 

Chapter 11, Case 1 Lotus is a 36-year-old Asian American female who recently started a new executive position with an advertising firm. While she loves her new job and the field of advertising, she admits that the new schedule is grueling and that she often doesn’t get home until quite late. She has noticed that it is difficult for her to relax before getting to bed and her mind often wanders to the many tasks she needs to complete when she returns to work in the morning. These “racing thoughts” result in significant initial insomnia, causing her to be alert for nearly an hour or more before she is able to fall asleep. When questioned about these symptoms, she claims that she has never seen a therapist before, doesn’t consider herself to be anxious or depressed, and has never had a problem with sleeping in the past. There are no worries of money or health-related issues, and she claims to enjoy her job and the people with whom she works. She even does not find these thoughts unpleasant, as she uses the time to plan her next day. She admits that they are just a bit intrusive and that she really needs to wind down and get more rest.
Questions: Remember to answer these questions from your textbooks and clinical guidelines to create your evidence based treatment plan. At all times, explain your answers.

1.    Summarize the clinical case.

2.    Create a list of the patient’s problems and prioritize them.

3.    Which pharmacological treatment would you prescribe? Include the rationale for this treatment.

4.    Which non-pharmacological treatment would you prescribe?   Include the rationale for this treatment.

5.    Include an assessment of treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence.

 

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.

Answer preview

with a meal or before one (Sateia et al., 2017). Zolpidem costs approximately $3.30, and since Lotus will be taking one tablet per day for two weeks, the total cost will be $46.2. Numerous studies have established the effectiveness and safety of using CBT to treat insomnia (Parsons et al., 2021). With regard to the cost of this non-pharmacologic intervention, one session normally lasts for approximately 50 minutes and costs $200. Since Lotus will be going to 8 sessions (one per week), the total cost will be $1600. Additionally, since Lotus wishes to get better sleep and rest, her adherence to the prescribed medication regimen and her CBT sessions is expected to be high.

[829 Words]

Pharmacodynamics of psychopharmacological

Marjorie Benton

The primary diagnosis

/in /by
Jill, a 24 y/o Hispanic female arrives in the emergency room where her parents brought her for evaluation. They are worried because she is giving away all of her possessions and says she is planning to move to the South Pole so she can “save the world.” Her parents say that she has hardly been sleeping at all for the last 7 days, but she seems very energetic. They say she has appeared to be “in a frenzy” lately. When you interview Jill you notice that she speaks very rapidly and is laughing uncontrollably. It is hard to get her to be quiet long enough for you to ask questions. She seems agitated and has difficulty sitting still.

 
Questions: Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.

  1. Summarize the clinical case including the significant subjective and objective data.
  2. Generate a primary and two differential diagnoses. Use the DSM5 to support the assessment. Include the DSM5 and ICD 10 codes.
  3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
  4. Discuss non-pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
  5. Describe a health promotion intervention that would be appropriate for this patient.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.

Requirements: 500 words

Answer preview

Maniac episodes for people with Bipolar I disorder require treatment with mood stabilizers, antipsychotics, and sometimes sedative-hypnotics drugs (Yatham, Kennedy, Parikh, Schaffer, & Bond et al., 2018). Mood stabilizers such as lithium and Valproate help control maniac episodes and level out moods. Antipsychotic drugs such as Haldol, Loxapine, and Thorazine, when used alone or with lithium, can help stabilize and treat psychosis.

  1. The non-pharmacological treatment I would prescribe

Apart from medication, electroconvulsive therapy (ECT) is effective for treating manic and depressive symptoms. ECT is commonly used for people with the disorder in the treatment of mania episodes when medicines are not working effectively or not working fast enough.

[621 Words]

The primary diagnosis

Marjorie Benton

psychiatric hospitalization

/in /by

Goal: To analyze and apply critical thinking skills in the pharmacokinetics and pharmacodynamics of psychopharmacological agents for patient treatment and health promotion while applying evidence-based research.

Chapter 8, Case 2 Fiona is a 29-year-old woman who works in a medical factory making medical equipment. She lives with her husband and in-laws. Over the last week, she has been more isolative, saying strange things to her husband, and not sleeping due to unidentified fearfulness. The only stressor that her husband can identify is that they started talking about having children. Fiona refuses to do her ADLs, eats very little, and appears intermittently in a trancelike state. The family was becoming more and more concerned and attempted to get Fiona to see their family doctor, but she was refusing. Finally, police were called due to worsening regressed behavior and Fiona was brought to the local emergency department (ED) for evaluation. The ED physician examined her and reported after labs and neuroimaging that she was medically stable. Although the patient reported no history of psychiatric illness, she did report that her maternal grandmother was in a state hospital for most of her life. The physician recommended psychiatric hospitalization for new onset of a psychotic illness.
Questions: Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.

YOUR RESPONSE MAY BE DIFFERENT THAN THE DIAGNOSIS AND TREATMENT FOUND IN YOUR TEXTBOOK.

  1. Summarize the clinical case.
  2. What is the DSM5 diagnosis? Identify the rationale for your diagnosis using the DSM5 diagnostic criteria.
  3. According to the clinical guidelines, which one pharmacological treatment is most appropriate to prescribe? Include the medication name, dose, frequency and rationale for this treatment.
  4. According to the clinical guidelines, which one non-pharmacological treatment would you prescribe? (exclude psychotherapy modalities) Include the risk and benefits of the chosen rationale for this treatment.
  5. Include an assessment of medication’s appropriateness, cost, effectiveness, safety, and potential for patient adherence.
  6. Use a local pharmacy to research the cost of the medication. Use great detail when answering questions 3-5.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Requirements: 500 words

Answer preview

The most recommended non-pharmacological approach for treating schizophrenia is cognitive behavioral therapy (CBT). It effectively modifies the patient’s beliefs and behaviors, leading to negative emotions (Laws et al., 2018). The model mainly has two parts, including a cognitive component and a behavioral component. The cognitive component focuses on helping a person to change their thinking about the situation. On the other hand, the behavioral component delves into helping the patient on changing her reactions. One risk associated with CBT is poor patient adherence. The patient is less likely to adhere to treatment, especially when a therapist does not conduct a thorough follow-up. One benefit of this approach is the cost-effective approach to treating patients with psychotic disorders. However, it is a costly treatment approach compared to a pharmacological approach. For instance, haloperidol costs from US $22.20 to $US 30.27 in 4 weeks of treatment. Another benefit of CBT is that it helps in improving the patient’s psychological functioning and thinking patterns.

[609 Words]

psychiatric hospitalization