PRESCRIBING FOR OLDER ADULTS AND PREGNANT WOMEN
After assessing and diagnosing a patient, PMHNPs must take into consideration special characteristics of the patient before determining an appropriate course of treatment. For pharmacological treatments that are not FDA-approved for a particular use or population, off-label use may be considered when the potential benefits could outweigh the risks.
In this Discussion, you will investigate a specific disorder and determine potential appropriate treatments for when it occurs in an older adult or pregnant woman.
TO PREPARE:
· Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the
DSM-5-TR to use.
· Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.
BY DAY 3 OF WEEK 9
· Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.
· Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
· Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.
· Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.
Upload a copy of your discussion writing to the draft Turnitin for plagiarism check. Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.
Read a selection of your colleagues’ responses.
· American Psychiatric Association. (2016).
The American Psychiatric Association practice guideline on the use of antipsychotics to treat agitation or psychosis in patients with dementiaLinks to an external site.
.
· Agency for Healthcare Research and Quality. (2019).
Maternal and fetal effects of mental health treatments in pregnant and breastfeeding women: A systematic review of pharmacological interventionsLinks to an external site.
.
· Hardy, L. T., & Reichenbacker, O. L. (2019).
A practical guide to the use of psychotropic medications during pregnancy and lactationLinks to an external site.
.
Archives of Psychiatric Nursing ,
33 (3), 254–266.
· National Library of Medicine. (2006–2020).
Drugs and lactation databaseLinks to an external site.
(LactMed) .
· The LactMed® database is a peer-reviewed, evidence-based resource on drugs that may be used by breastfeeding mothers. It includes possible effects on nursing infants and offers drug alternatives where possible.
· Boland, R. Verdiun, M. L. & Ruiz, P. (2022).
Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
· Chapter 1, “Examination and Diagnosis of the Psychiatric Patient”
· Section 1.3, “Geriatric Patients” (pp. 87-92)
· Chapter 29, “End-of-Life Issues and Palliative Care”
· Chapter 31, “Global and Cultural Issues in Psychiatry”
· DeNisco, S. M. (2023).
Role development for the nurse practitioner (3rd ed.). Jones & Bartlett Learning.
· Chapter 4, “Vulnerable Populations” (pp. 99-124)
· Chapter 5, “Mental Health and Primary Care: A Critical Intersection” (pp. 132-149)
· Chapter 6, “Cultural Sensitivity and Global Health” (pp. 155-179)
