How to Answer Please Provide Scholarly Questions (Complete Guide)
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Please provide a scholarly response to this paragraph, incorporating evidence-based information and supporting sources to enrich the discussion. PICOT Statement: In patients experiencing postpartum psychosis, how do long acting injectables (LAIs) compare to oral antipsychotics regarding readmission rates to acute psychiatric facilities? When working with patients going through psychosis, an event in which they are not in their right state of mind, there can be many ethical issues that come about, especially concerning treatment. Postpartum psychosis is a rare, yet extremely severe condition that can affect a mother at any point during her postpartum experience. According to Postpartum Support International, postpartum psychosis is when a mother experiences symptoms such as delusions, hallucinations, hyperactivity, and paranoia just to name a few. (Postpartum Support International, n.d.) These thoughts can often become violent or dangerous for the mother and baby and therefore is considered an emergency. Because of these symptoms, many women in this condition are not able to make decisions or have a say in their plan of care, nor for their babies. One ethical issue that is often addressed when dealing with a postpartum patient in a psychosis event is beneficence, the idea of promoting one’s wellbeing. Ensuring beneficence when working with a mother experiencing psychosis should always be a priority for the healthcare provider when determining their treatment and plan of care. However, because the mother is unable to make her own decisions when in this state, beneficence can often be questioned when ensuring the mother is getting the best treatment for individual case. In the Journal of Psychopharmacology, the need for pharmacological intervention quickly is a necessity in patients in this psychotic state. According to the text, the treatment of postpartum psychosis should be individualized to each woman and her circumstances, such as their level of support with family and other social factors. (Jairaj, C. et al., 2023). When introducing pharmacological measures, the value of beneficence comes into play because it is the healthcare team plus the patient’s family’s responsibility to ensure the mother is receiving the best treatment since she is unable to. One evidence based practice that could be used to assist in ensuring beneficence include performing a H&P which can determine if the patient or family has ever experienced this before or has any other psychological conditions that may have triggered the psychosis. Another practice that could be used is determining how severe the psychosis is by performing a cognitive exam. This can determine if the mother is capable to make decisions for herself. The severity of the patient’s condition can influence what pharmacological medications are required for treatment. Therefore, it is crucial that the mother and her baby’s best interest and wellbeing are always at the center of the plan of care. References: About Perinatal Mental Health. (n.d.) Postpartum Support International. https://postpartum.net/perinatal-mental-health/Links to an external site. Jairaj, C., Seneviratne, G., Bergink, V., Sommer, I., and Dazzan, P. (October 2023). Postpartum psychosis: A proposed treatment algorithm. Journal of Psychopharmacology. 37(10), 960-970. https://doi.org/10.1177/02698811231181573Links to an external site.
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