Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring bipolar therapy

Bipolar Therapy

Jay, an 18-year-old high school senior, presents with symptoms of difficulty sleeping and feeling sad, which results in an initial diagnosis of depression. His mother later reports, however, that Jay exhibits symptoms of irritability and risk-taking behaviors. (His little brother reported to his mother that they were driving over 90 miles an hour on the highway.) After further evaluation, Jay’s psychiatric mental health nurse practitioner diagnosed him with bipolar disorder.

Cases like this are not uncommon with bipolar disorder, as initial assessments rarely provides all the information needed. In your role, as a psychiatric mental health nurse  you must develop strategies for properly assessing and diagnosing these clients because treatments for bipolar disorder are significantly different than treatments for depression or other mood disorders.

This week, as you examine bipolar therapies, you explore the assessment and treatment of clients with bipolar disorder. You also consider ethical and legal implications of these therapies.

 

Assignment: Assessing and Treating Clients with With Bipolar Disorder

Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for clients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) clients often present as depressive or manic, but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with bipolar disorder.

Learning Objectives

Students will:

· Assess client factors and history to develop personalized plans of bipolar therapy for clients

· Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring bipolar therapy

· Evaluate efficacy of treatment plans

· Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the lifespan

Write an explanation of your observations of the client William in Thompson Family Case Study, including behaviors that align to the PTSD criteria in DSM-5.

Write an explanation of your observations of the client William in Thompson Family Case Study, including behaviors that align to the PTSD criteria in DSM-5. Then, explain therapeutic approaches you might use with this client, including psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches.

Create an annotated bibliography of the 5 scholarly resources you located on your selected transition of care.

An annotated bibliography is a combination of the words annotation and bibliography. An annotation is a set of notes, comments, or critiques. A bibliography is a list of references that helps a reader identify sources of information. An annotated bibliography, then, is a list of references that not only identifies the sources of information but also includes information such as a summary, a critique or analysis, and an application of those sources’ information.

Module 2 Assignment 2 (due in Week 5) will be a paper on nurse leadership during transitions of care for two selected entities. In preparation for that paper, you will develop an Annotated Bibliography and submit it to your Instructor for feedback.

To prepare:

  • Select a transition of care (hospital, specialty care, rehabilitation, nursing home, homebound, etc.).
  • Use the Walden Library and other reputable academic resources to locate 5 scholarly resources on nurse leadership during this transition of care. Identify what constitutes effectiveness (i.e., cost, care management, best/effective providers, best setting, sustaining outcomes) for this transition of care within each setting. What evidence supports this transition of care or transition of care intervention?
  • Review the Writing Center resources on annotated bibliographies and scholarly writing. Also review the Module 2 Assignment 1 Rubric for specific details about the requirements for your annotated bibliography.
  • Create an annotated bibliography of the 5 scholarly resources you located on your selected transition of care. Follow the annotated bibliography format presented in the Writing Center resource.

Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values.

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:
Include the following:

  • A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.
    • What is its purpose?
    • How is it conducted?
    • What information does it gather?
  • Based on your research, evaluate the test or the tool’s validity and  reliability, and explain any issues with sensitivity, reliability, and  predictive values.

Explain both sides of the debate on whether the politics-administration dichotomy exists in practice or only in theory.

1. Describe the politics-administration dichotomy.

2. Explain both sides of the debate on whether the politics-administration dichotomy exists in practice or only in theory. Give specific real-world examples in your debate.

3. Describe what side you tend to agree with more and why.

Use two to four scholarly resources to support your explanations.

How do norms of the informal groups to which you belong influence your behavior and that of other group members?

(1)Influence of Informal Groups

Informal groups exist in almost every kind of organization. Answer the following questions and provide examples to support your position:

· What types of informal groups do you belong to in your workplace?

· How do norms of the informal groups to which you belong influence your behavior and that of other group members?

(2) Positive Interdependence and Knowledge Sharing

Select a contemporary article that you perceive as demonstrating positive interdependence and knowledge sharing. Using the course textbook, the article, and at least one other scholarly source, explain how the article proves or refutes the interrelational processes involved.

Discuss completing and closing all project cost accounts and other financial closeouts.

In Unit VIII, you are required to complete the Project Closeout section of your project plan. Refer to your unit lesson and required unit resources to advance your project plan. For this unit, create the section listed below.

  1. Project Closeout: All necessary project closeout documentation should be included. Work completed or soon to be-completed must be identified, along with any configuration management changes.
    • 8.1 Close Cost Accounts: Discuss completing and closing all project cost accounts and other financial closeouts.
    • 8.2 Lessons Learned: Complete a Lessons Learned assessment that identifies key concepts learned and suggestions for future projects. What is your plan for retention of this information?

The Project Closeout section should be a minimum of two pages in length. You will need to add the Project Closeout section to your previous work from Units II–VII and submit a cohesive, complete, polished document for your final project plan. You will submit only one document; you do not have to submit the Project Closeout section separately. Be sure that you have incorporated modifications based on your professor’s feedback throughout Units II–VII.

Describe the assessment process for determining student needs and eligibility for special education services.

It is important to understand the purpose of special education assessment and be able to convey that information to parents or other caregivers. Demonstrate your understanding and ability to communicate this information to the student and his or her caregivers by composing a letter in which you:

  • Explain the purpose of special education assessment.
  • Explain the importance of special education assessment.
  • Describe the assessment process for determining student needs and eligibility for special education services.
  • Emphasize parental rights in the assessment process.
  • Identify the major principles of that law concerning assessment and evaluation.

Support your assignment with at least three scholarly resources. In addition to these specified resources, other appropriate scholarly resources, including seminal articles, may be included.

According to the accounts written by las Casas, what treatment do the natives receive from the Spanish?

You have learned about the Spanish conquest and colonization of the Caribbean. The accounts Of the Island of Hispaniola Preview the documentand The Devastation of the IndiesPreview the document by Bartolome de las Casas reveal the human cost of Spanish conquest and colonization.

Please note that Las Casas arrived in the New World in 1502 and that these readings were published in 1542 and 1565, respectively, which means that Las Casas was recalling/writing about events that had occurred many years in the past at the date of publication.

In this assignment, please respond to the bolded questions below by 6 AM on Monday, March 16. Click the “Submit Assignment” button above to type in your response.

  • According to the accounts written by las Casas, what treatment do the natives receive from the Spanish?
    • What accounts for the Spanish treatment of the natives (in other words, what do you think is the reason/factor motivating the Spanish treatment of the natives?)?
  • What is the significance of the anecdote about the native cacique, Hatuey?
  • Why do you think las Casas wrote these accounts? What do you think he was trying to achieve?