Link for the textbook below
http://stahlonline.cambridge.org.ezp.waldenulibrar…
Apa format. 3 academic references minimum but need 7 cited references total, no more than 5 years old
Remember this is a Pharmacology class that incorporatesPharmacotherapyand not a class on diagnosing disease. I want you to tell me why you selected an option (why is it the best option) and why you did not choose the other options (I want you to defend your decision as if you were in open court). I would like 7 references cited with every assignment. I deduct 1 point per reference missing. Credible reference material only will be accepted. Sites such asWebMD and drugs.com (among others) will not be counted.
Cases from Stephen Stahl’s suite- Discussions
This week’s assignment is a Decision Tree
To prepare for this Assignment:
- Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.
The Assignment
Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
- At each decision point stop to complete the following:
- Decision #1
- Which decision did you select? I chose Zoloft 25mg daily as the answer
- Why did you select this decision? Support your response with evidence and references to the Learning Resources.
- What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
- Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
- Decision #1
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. (Remember, a total of 7 cited references is what I am looking for)
Assignment: Assessing and Treating Pediatric Clients With Mood Disorders
When pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.
Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the “right” decision every time; in fact, some scenarios may not have a “right” decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.
Learning Objectives
Students will:
- Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clients
- Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapy
- Evaluate efficacy of treatment plans
- Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clients
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Reading
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
Note: To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
- Chapter 6, “Mood Disorders”
- Chapter 7, “Antidepressants”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
Note: To access the following medications, click on the The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
Review the following medications:
- amitriptyline
- bupropion
- citalopram
- clomipramine
- desipramine
- desvenlafaxine
- doxepin
- duloxetine
- escitalopram
- fluoxetine
- fluvoxamine
- imipramine
- ketamine
- mirtazapine
- nortriptyline
- paroxetine
- selegiline
- sertraline
- trazodone
- venlafaxine
- vilazodone
- vortioxetine
Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from https://www.magellanprovider.com/media/11740/psych…
Rao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787–791. doi:10.1002/da.22171
Note: Retrieved from Walden Library databases.
Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from http://iacapap.org/wp-content/uploads/A.7-PSYCHOPH…
Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.
Note: Retrieved from Walden Library databases.
Required Media
Laureate Education (2016e). Case study: An African American child suffering from depression [Interactive media file]. Baltimore, MD: Author.
Note: This case study will serve as the foundation for this week’s Assignment.
Optional Resources
El Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23(10), 973–992. doi:10.1007/s00787-014-0558-3
Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847–854. doi:10.1111/jpc.12655
Seedat, S. (2014). Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iii–v. doi:10.2989/17280583.2014.938497
Expert Solution Preview
Introduction:
Pediatric clients with mood disorders require thorough assessment, diagnosis, and treatment, which can be a complex process. There are several factors that psychiatrists need to consider before prescribing psychotropic medications to children, including potential side effects, drug interactions, and metabolism rates. This assignment will focus on assessing and treating pediatric clients with mood disorders, based on an interactive case study. This paper will discuss the first of ten assignments and the decision tree for prescribing antidepressant therapy to an African American child suffering from depression.
Decision #1
Which decision did you select?
I selected Zoloft 25mg daily.
Why did you select this decision?
After analyzing the case study, I selected Zoloft as the medication for treating the patient. Zoloft is a selective serotonin reuptake inhibitor (SSRI), which is an effective and recommended medication for treating depression in children. The patient was experiencing symptoms of depression, including sadness, low self-esteem, decreased energy, and difficulty sleeping, which are common symptoms of depression. Studies have shown that SSRIs are effective in reducing symptoms of depression among children and adolescents who suffer from mood disorders (Magellan Health, Inc., 2013).
What were you hoping to achieve by making this decision?
The primary goal of prescribing Zoloft is to alleviate the symptoms of depression and improve the child’s quality of life. Zoloft is a safe and effective medication for treating pediatric depression, and studies have shown that it has a rapid response rate and few side effects (Stahl, 2013). Using Zoloft, the patient should start to feel a reduction in symptoms within a few weeks, which should continue until the symptoms fade away.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
The expected outcome of prescribing Zoloft was to alleviate the symptoms of depression and improve the child’s quality of life. SSRIs have been proven to be effective in treating pediatric depression, and several studies support their use (Magellan Health, Inc., 2013). However, the actual outcome of prescribing the medication depends on several factors, including the patient’s metabolism rate, interactions with other medications, and the severity of the patient’s symptoms. If the patient experiences side effects such as dizziness, nausea, or headache, then we would evaluate that response and possibly adjust the dose or medication according to their response.
References
Magellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from https://www.magellanprovider.com/media/11740/psych…
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York: Cambridge University Press.
