Special Considerations for Patient Populations Paper
To complete this assignment, you will utilize the case study assigned to you by faculty for a patient population for special consideration during prescribing practices. You will consider the specific patient and determine the appropriate medication to prescribe, based on the patient specifics and medication attributes in various case studies. You will construct a 4- to 5-page paper in which you determine the medication, the dosing, necessary patient education, and potential side effects. You will also indicate why the other medications would not be appropriate, as well as any necessary labs or diagnostics that might be needed. You will develop a plan to enhance medication adherence for the nonadherent patient.
·
Patient 3: A 33-year-old female that is 6 weeks postpartum. She presents with depressed mood, sadness, easily emotional, difficulties with sleep even when the infant is sleeping. She has lost weight and has a poor appetite. You note psychomotor retardation. She has limited interests in hobbies or bonding with the infant. Her partner is concerned and reports she is typically active and “bubbly” and enjoys the outdoors. She is diagnosed with major depressive disorder, with postpartum onset. She denies suicidal ideation, homicidal ideation, or infanticidal ideation. No psychotic symptoms are present. She is nursing the infant and wants to continue this hoping it will assist with bonding with the infant.
Med List: lithium, paroxetine, sertraline
To Prepare:
· Review the Learning Resources.
· Carefully review your assigned vulnerable population patient.
· Carefully review the medication list to determine the best medication to prescribe.
· Consider the implications, impact, advantages, and disadvantages of the listed medications.
The Assignment (4–5 pages)
Construct a paper concerning your assigned vulnerable population patient case. In your paper include the following:
· Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.
· Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.
· Explain the dosing schedule for the specific patient including the therapeutic endpoint.
· Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.
· Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.
· Explain how you might monitor efficacy or side effects of the medication.
· Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.
· What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.
This Assignment requires a minimum of
five (5) peer-reviewed, evidence-based scholarly references outside of course resources.
Note: You will need to include the APA style formatting.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The
Walden Writing Center Sample PaperLinks to an external site.
provides an example of those required elements. All papers submitted must use this formatting.
NURS_6630_Week10_Assignment2_Rubric
This criterion is linked to a Learning OutcomeDescribes the selected medication and explains the selection, dosing, and necessary patient education.
20 to >18.0 pts
Excellent
The response comprehensively and clearly describes the selected medication, dosing, and patient education information. The response includes relevant, specific, and appropriate examples that fully support the selection, dosing, and patient education information.This criterion is linked to a Learning OutcomeDescribes any necessary labs or diagnostics needed prior to prescribing, as well as how side effects and efficacy will be monitored.
20 to >18.0 pts
Excellent
The response comprehensively and clearly describes needed labs and other diagnostics. The response comprehensively and clearly describes monitoring of efficacy and side effects. The response includes relevant, specific, and appropriate examples that fully support the descriptions.This criterion is linked to a Learning Outcome20
Explains why the other medications are not appropriate
20 to >18.0 pts
Excellent
The response comprehensively and fully details why other medications are not appropriate. The response includes relevant, specific, and appropriate examples that fully support the explanation.Provides any additional collaboration or education necessary for the patient. Discussion includes: what would be needed to include in the assessment for a patient who may become nonadherent with the prescribing plan. Discussion includes what are alternative treatment solutions based upon assessment. Describes a new treatment plan based upon these factors.
20 to >18.0 pts
Excellent
The response accurately and clearly provides all additional necessary information. The response includes relevant, specific, and appropriate examples the information.Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. Writes succinctly 4–5 page paper.
10 to >7.0 pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided, which delineates all required criteria. Writes succinctly 4–5 page paper.
