Assignment Assessing Treating Question & Answer Guide (With Explanation)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to assignment assessing treating and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves assignment assessing treating. A strong answer should include explanation, application, and examples.

Original Question

Assignment 2: Assessing and Treating Patients with Sleep/Wake Disorders Sleep disorders are conditions that result in changes in an individual’s pattern of sleep (Mayo Clinic, 2020). Not surprisingly, a sleep disorder can affect an individual’s overall health, safety, and quality of life. Psychiatric nurse practitioners can treat sleep disorders with psychopharmacologic treatments, however, many of these drugs can have negative effects on other aspects of a patient’s health and well-being. Additionally, while psychopharmacologic treatments may be able to address issues with sleep, they can also exert potential challenges with waking patterns. Thus, it is important for the psychiatric nurse practitioner to carefully evaluate the best psychopharmacologic treatments for patients that present with sleep/wake disorders. The Assignment: 5 pages Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. ** Please address each bullet point for Decision # 1, 2 and 3** Introduction to the case · Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Decision #1 · Which decision did you select? · Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. · Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. · What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). · Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #2 (1 page) · Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. · Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. · What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). · Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision · Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. · Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. · What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). · Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Conclusion · Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature. Note: Support your rationale with a minimum of five academic resources. Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. Insomnia 31-year-old Male BACKGROUND This week, we examine a 31-year-old male who presents to the office with a chief complaint of insomnia. SUBJECTIVE Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a This study source was downloaded by 100000839319849 from CourseHero.com on 04-24-2022 10:08:25 GMT -05:00 https://www.coursehero.com/file/126381148/Assignment-2-Assessing-and-Treating-Patients-With-SleepWake-Disodocx/ local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient’s medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed. MENTAL STATUS EXAM The patient is alert and oriented to person, place, time, and event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented. Point One Select what you should do: · Zolpidem: 10 mg daily at bedtime · Trazodone 50 mg po at bedtime · Hydroxyzine: 50 mg daily at bedtime Decision Point One Trazodone 50 mg po at bedtime Results of decision point one · Patient returns to clinic in 2 weeks · Patient states medication works well but gives him an unpleasant side effect of an erection lasting approximately 15 minutes after waking · Patient states this makes it difficult to get ready for work or go downstairs and have coffee with his girlfriend and daughter in the morning · Patient denies auditory/visual hallucinations and is future oriented Point Two Select what you should do next: · Explain that an erection lasting 15 minutes is not considered a priapism and should diminish over time, continue with current dose · Discontinue trazodone. Initiate therapy with suvorexant 10 mg daily at bedtime · Decrease trazodone to 25 mg daily at bedtime Decision Point Two Decrease trazodone to 25 mg daily at bedtime Results of decision point two · Patient returns to clinic in 2 weeks · Patient states trazodone is very effective for sleep · Patient states sometimes the 25 mg dosage isn’t quite enough to help him sleep through the night · Patient denies auditory/visual hallucinations and is future oriented Point Three Select what you should do next: · Discontinue trazodone. Initiate therapy with ramelteon 8 mg nightly at bedtime. Follow up in 4 weeks · Continue dose. Encourage sleep hygiene. Follow up in 4 weeks · Discontinue trazodone. Initiate therapy with hydroxyzine 50 mg nightly at bedtime. Follow up in 4 weeks Decision Point Three Continue dose. Encourage sleep hygiene. Follow up in 4 weeks Guidance to Student Since the patient is already showing a partial response from trazodone, it may not be prudent to switch therapy. A thorough sleep hygiene analysis should always be performed prior to initiation of pharmacotherapy as well as at reassessments. If you find the patient isn’t practicing proper sleep hygiene, you may continue the dose and encourage sleep hygiene. If the patient is practicing good sleep hygiene, you may consider discontinuing trazodone and initiating hydroxyzine. Although there are some negative side effects associated with hydroxyzine such as Xerostomia and Xerophthalmia, it is still a safer medication to prescribe than ramelteon.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."