COURSE:
NURS-6630N: Approaches to Treatment
Step 1: Choose one of the following vulnerable patients to create a Medication Guide for the patient:
- Patient 1: 26-year-old female with a diagnosis of major depressive disorder and social anxiety disorder who is increasing in isolation and poor self-care. She is in her third trimester of pregnancy.
- Patient 2: 16-year-old male with a diagnosis of major depressive disorder, severe. He has seen a therapist weekly for the past 6 months and has had minimal change in symptoms. He has expressed thoughts of wanting to die.
- Patient 3: 72-year-old male with diagnosis of major depressive disorder and panic disorder. He has cardiac history and takes antihypertensive medications.
- Patient 4: 8-year-old Asian female with a diagnosis of severe depressive disorder presents to the office with a report of worsening symptoms. She has never taken psychotropic medication before.
Step 2: Create a Medication Guide for a patient. In your guide, you should provide the following specific instructions for the patient:
- Describe the chosen classification of medications, from the classification category, for your chosen vulnerable patient. Explain your rationale for your choice.
- Explain what dose you would start the chosen medication with and the frequency.
- Discuss how the medication works to treat their symptoms.
- Explain how long they should take the medication.
- Discuss the typical or common side effects of the medication.
- Explain the urgent or emergent considerations for the patient taking the medication.
The Medication Guide should also include:
- Directions you would provide the patient on how to take the prescribed medication
- Instructions on what the patient should do if a medication dose is missed
- List of any other medications, over-the-counter medications, and/or supplements/herbals the patient should avoid while taking the prescribed medication
- List of foods the patient should avoid when taking this medication
- Date when the patient should return for follow-up visit with you
- Discussion about the legal and ethical considerations for the medication being prescribed
- Answers in consideration of Social Determinants of Health on how you would:
- Assist the patient who cannot not afford to pay financially for the medication you are recommending/prescribing; and/or
- Has difficulty with transportation that impacts their ability to present for regular appointments with you.
- Discuss how financial hardship and lack of transportation could relate to Social Determinants of Health, as well as why they are important considerations for you as a prescriber.
Solution
Classification Of Medications | · The scenario selected is patient 1, a 26 y/o female diagnosed with major depressive disorder (MDD) and social anxiety. She is exhibiting isolation as well as poor self-care. The patient is expectant and in her third trimester.
· The medication selected is Selective Serotonin Reuptake Inhibitor (SSRI). An example selected from this category is Zoloft. The rationale for selection is that it poses a lower risk of birth defects when used in expectant women (Ushkalova & Ushkalova, 2023). Secondly, Zoloft is FDA-approved to treat anxiety disorders such as social anxiety and also MDD hence a suitable option for this patient…………………………………..$10 |