Assignment: Assessing and Treating Adult and Geriatric Clients With Mood Disorders

Advances in genetics and epigenetics have changed the traditional understanding of mood disorders, resulting in new evidence-based practices. In your role as a psychiatric mental health nurse practitioner, it is essential for you to continually educate yourself on new findings and best practices in the field. For this Assignment, you consider best practices for assessing and treating adult and geriatric clients presenting with mood disorders.

The Assignment

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. 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.

THIS IS THE CASE STUDY YOU WILL COMPLETE THE ASSIGNMENT!!!

Case Study
The client is a 32-year-old Hispanic American male who emigrated from Mexico to the United States with his father during his high school years. The mom was reported deceased in Mexico. The patient presented with a chief the complaint of depression and mentioned extreme decrease interest in activities he previously enjoyed. He reported 15 pounds’ weight gain in two months, insomnia for the past six months, poor concentration and getting in “trouble” at work.
Client revealed that he felt like an “outsider,” “teased a lot for being black” in high school. He said that he kept to himself but has few friends. He reported that there were eight children and home life was “good,” and his dad provided as much as he can. Mental health exam (MSE) shows that the client was alert and oriented x3. He was a good historian. The client speech is soft and clear. He rarely makes eyes contact. He reported depression and has a noticeable restrained affect, with an occasional smile. He denies visual or auditory hallucination, and his thought process is intact. The client’s awareness is age appropriate and associated with proper judgment and understanding. He denies current suicidal ideation. The diagnostic test of Montgomery- Asberg Depression Rating Scale (MADRS) was administered to the client. The score was 51, which indicates severe depression.

• At each decision point stop to complete the following:
• The medication of choice for all three decisions will be ZOLOFT 25mg by mouth once daily.
o Decision #1
 Which decision did you select?
 Why did you select this decision?
 What were you hoping to achieve by making this decision?
 Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
o Decision #2
 Why did you select this decision?
 What were you hoping to achieve by making this decision?
 Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
o Decision #3
 Why did you select this decision?
 What were you hoping to achieve by making this decision?
 Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
• Also include how ethical considerations might impact your treatment plan and communication with clients.

THIS PAPER MUST INCLUDE An INTRODUCTION, REFERENCE, AND CONCLUSION PAPER.

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