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Treatment for a Patient with a Common Condition Discussion Essay

Treatment for a Patient with a Common Condition Discussion EssayTreatment for a Patient with a Common Condition Discussion EssayInsomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being.Treatment for a Patient with a Common Condition Discussion EssayORDER A PLAGIARISM-FREE PAPER HERECase study: An elderly widow who just lost her spouse. Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: Treatment for a Patient with a Common Condition Discussion Essay · Metformin 500mg BID · Januvia 100mg daily · Losartan 100mg daily · HCTZ 25mg daily · Sertraline 100mg daily Current weight: 88 kgCurrent height: 64 inchesTemp: 98.6 degrees FBP: 132/86  Treatment for a Patient with a Common Condition Discussion EssayDiscussion Instructions: For this Discussion use the above case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs. Post a response to each of the following: · List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.· Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.· Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.· List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.· List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.· For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?· Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.· Use at least 5 references.· Review the Grading RubricTreatment for a Patient with a Common Condition Discussion Essay **THIS DISCUSSION IS DIVIDE IN TWO PARTS–  1. MAIN DISCUSSION POST BYWEDNESDAY1/12/2022 BEFORE 8:00 PM EST  2. TWO REPLIES BY FRIDAY01/14/2022 BEFORE 8:00 PM EST  Discussion: Treatment for a Patientwith a Common Condition  Insomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is acommon symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD(Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia andmental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90%of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnectedpsychopathology, it is important that you, as the PNP, understand the importance of the effects somepsychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns.Therefore, it is important that you understand and reflect on the evidence–based research in developingtreatment plans to recommend proper sleep practices to your patients as well as recommend appropriatepsychopharmacologic treatments for optimal health and well–being.  Case study: An elderly widow who just lost her spouse.   Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago.Treatment for a Patient with a Common Condition Discussion EssaySince then, shestates her depression has gotten worse as well as her sleep habits. The patient has no previous history ofdepression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP onceor twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by privatevehicle. Patient currently takes the following medications:  · Metformin 500mg BID  · Januvia 100mg daily  · Losartan 100mg daily  · HCTZ 25mg daily  · Sertraline 100mg daily   Current weight: 88 kg Current height: 64 inches Temp: 98.6 degrees F BP: 132/86    Discussion Instructions: For this Discussion use the abovecase study excerpt presented. Reflect onthe case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treatthe patient’s health needs.   Post a response to each of the following:  ·Treatment for a Patient with a Common Condition Discussion Essay List three questions you might ask the patient if she were in your office. Provide a rationale forwhy you might ask these questions.  · Identify people in the patient’s life you would need to speak to or get feedback from to furtherassess the patient’s situation. Include specific questions you might ask these people and why.  · Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient andhow the results would be used.  **THIS DISCUSSION IS DIVIDE IN TWO PARTS – 1. MAIN DISCUSSION POST BY WEDNESDAY 1/12/2022 BEFORE 8:00 PM EST2. TWO REPLIES BY FRIDAY 01/14/2022 BEFORE 8:00 PM ESTTreatment for a Patient with a Common Condition Discussion EssayDiscussion: Treatment for a Patient with a Common Condition Insomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is acommon symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD(Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia andmental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90%of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnectedpsychopathology, it is important that you, as the PNP, understand the importance of the effects somepsychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns.Therefore, it is important that you understand and reflect on the evidence-based research in developingtreatment plans to recommend proper sleep practices to your patients as well as recommend appropriatepsychopharmacologic treatments for optimal health and well-being. Case study: An elderly widow who just lost her spouse. Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, shestates her depression has gotten worse as well as her sleep habits. The patient has no previous history ofdepression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP onceor twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by privatevehicle. Patient currently takes the following medications: Metformin 500mg BID Januvia 100mg daily Losartan 100mg daily HCTZ 25mg daily Sertraline 100mg dailyCurrent weight: 88 kgCurrent height: 64 inchesTemp: 98.6 degrees FBP: 132/86Treatment for a Patient with a Common Condition Discussion Essay Discussion Instructions: For this Discussion use the above case study excerpt presented. Reflect onthe case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treatthe patient’s health needs. Post a response to each of the following:  List three questions you might ask the patient if she were in your office. Provide a rationale forwhy you might ask these questions. Identify people in the patient’s life you would need to speak to or get feedback from to furtherassess the patient’s situation. Include specific questions you might ask these people and why. Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient andhow the results would be used.1/10/22, 10:52 PM Rubric Detail – Blackboard Learnhttps://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16910090_1&rubric_id=_2774589_1 1/7Rubric Detail Select Grid View or List View to change the rubric’s layout. ExcellentPoint range: 90–100GoodPoint range: 80–89FairPoint range: 70–79PoorPoint range: 0– 69Main Posting:Response to the Discussion question is re�ective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.40 (40%) – 44 (44%)Thoroughly responds to the Discussion question(s).Is re�ective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.No less than 75% of post has exceptional depth and breadth.Supported by at least three current credible sources.35 (35%) – 39 (39%)Responds to most of the Discussion question(s).Is somewhat re�ective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.50% of the post has exceptional depth and breadth.Supported by at least three credible references.Treatment for a Patient with a Common Condition Discussion Essay31 (31%) – 34 (34%)Responds to some of the Discussion question(s).One to two criteria are not addressed or are super�cially addressed.Is somewhat lacking re�ection and critical analysis and synthesis.Somewhat represents knowledge gained from the course readings for the module.Post is cited with fewer than two credible references.0 (0%) – 30 (30%) Does not respond to the Discussion question(s).Lacks depth or super�cially addresses criteria.Lacks re�ection and critical analysis and synthesis.Does not represent knowledge gained from the course readings for the module.Contains only one or no credible references.Name: NURS_6630_Week7_Discussion_Rubric EXITGrid View List View1/10/22, 10:52 PM Rubric Detail – Blackboard Learnhttps://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16910090_1&rubric_id=_2774589_1 2/7 ExcellentPoint range: 90–100GoodPoint range: 80–89FairPoint range: 70–79PoorPoint range: 0– 69Main Posting:Writing6 (6%) – 6 (6%) Written clearly and concisely.Contains no grammatical or spelling errors.Adheres to current APA manual writing rules and style.5 (5%) – 5 (5%) Written concisely.May contain one to two grammatical or spelling errors.Adheres to current APA manual writing rules and style.4 (4%) – 4 (4%) Written somewhat concisely.May contain more than two spelling or grammatical errors.Contains some APA formatting errors.0 (0%) – 3 (3%) Not written clearly or concisely.Contains more than two spelling or grammatical errors.Does not adhere to current APA manual writing rules and style.Main Posting:Timely and full participation9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation.Posts main Discussion by due date.Treatment for a Patient with a Common Condition Discussion Essay8 (8%) – 8 (8%) Posts main Discussion by due date.Meets requirements for full participation.7 (7%) – 7 (7%) Posts main Discussion by due date.0 (0%) – 6 (6%) Does not meet requirements for full participation.Does not post main Discussion by due date.1/10/22, 10:52 PM Rubric Detail – Blackboard Learnhttps://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16910090_1&rubric_id=_2774589_1 3/7 ExcellentPoint range: 90–100GoodPoint range: 80–89FairPoint range: 70–79PoorPoint range: 0– 69First Response:Post to colleague’s main post that is re�ective and justi�ed with credible sources.9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings.Responds to questions posed by faculty.The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.7 (7%) – 7 (7%) Response is on topic, may have some depth.0 (0%) – 6 (6%) Response may not be on topic, lacks depth.1/10/22, 10:52 PM Rubric Detail – Blackboard Learnhttps://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16910090_1&rubric_id=_2774589_1 4/7Treatment for a Patient with a Common Condition Discussion EssayExcellentPoint range: 90–100GoodPoint range: 80–89FairPoint range: 70–79PoorPoint range: 0– 69First Response: Writing6 (6%) – 6 (6%) Communication is professional and respectful to colleagues.Response to faculty questions are fully answered, if posed.Provides clear, concise opinions and ideas that are supported by two or more credible sources.Response is e�ectively written in Standard, Edited English.5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues.Response to faculty questions are mostly answered, if posed.Provides opinions and ideas that are supported by few credible sources.Response is written in Standard, Edited English.4 (4%) – 4 (4%) Response posed in the Discussion may lack e�ective professional communication.Response to faculty questions are somewhat answered, if posed.Few or no credible sources are cited.0 (0%) – 3 (3%) Responses posted in the Discussion lack e�ective communication.Response to faculty questions are missing.No credible sources are cited.First Response: Timely and full participation5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation.Posts by due date.4 (4%) – 4 (4%) Meets requirements for full participation.Posts by due date.3 (3%) – 3 (3%) Posts by due date.0 (0%) – 2 (2%) Does not meet requirements for full participation.Does not post by due date.1/10/22, 10:52 PM Rubric Detail – Blackboard Learnhttps://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16910090_1&rubric_id=_2774589_1 5/7Treatment for a Patient with a Common Condition Discussion EssayExcellentPoint range: 90–100GoodPoint range: 80–89FairPoint range: 70–79PoorPoint range: 0– 69Second Response: Post to colleague’s main post that is re�ective and justi�ed with credible sources.9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings.Responds to questions posed by faculty.The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.7 (7%) – 7 (7%) Response is on topic, may have some depth.0 (0%) – 6 (6%) Response may not be on topic, lacks depth.1/10/22, 10:52 PM Rubric Detail – Blackboard Learnhttps://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16910090_1&rubric_id=_2774589_1 6/7Treatment for a Patient with a Common Condition Discussion EssayExcellentPoint range: 90–100GoodPoint range: 80–89FairPoint range: 70–79PoorPoint range: 0– 69Second Response: Writing6 (6%) – 6 (6%) Communication is professional and respectful to colleagues.Response to faculty questions are fully answered, if posed.Provides clear, concise opinions and ideas that are supported by two or more credible sources.Response is e�ectively written in Standard, Edited English.5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues.Response to faculty questions are mostly answered, if posed.Provides opinions and ideas that are supported by few credible sources.Response is written in Standard, Edited English.4 (4%) – 4 (4%) Response posed in the Discussion may lack e�ective professional communication.Response to faculty questions are somewhat answered, if posed.Few or no credible sources are cited.0 (0%) – 3 (3%) Responses posted in the Discussion lack e�ective communication.Response to faculty questions are missing.No credible sources are cited.Second Response: Timely and full participation5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation.Posts by due date.4 (4%) – 4 (4%) Meets requirements for full participation.Posts by due date.3 (3%) – 3 (3%) Posts by due date.0 (0%) – 2 (2%) Does not meet requirements for full participation.Does not post by due date.Total Points: 100Name: NURS_6630_Week7_Discussion_RubricEXIT1/10/22, 10:52 PM Rubric Detail – Blackboard Learnhttps://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16910090_1&rubric_id=_2774589_1 7/7Treatment for a Patient with a Common Condition Discussion Essay

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