[Answered] Assessing and Treating Clients with Bipolar Disorder

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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 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

To prepare for this Assignment:

* Review this week’s Learning Resources. Consider how to assess and treat clients requiring bipolar therapy.

The Assignment

Examine Case Study: An Asian American Woman With Bipolar 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.

I want you to answer the questions given to you (decision points one, two, and three) before you click on the option. The answers will be based on your decisions made and patient outcomes during the decision tree. I am looking for an essay that is long enough to cover the topic BUT short enough to keep my interest. I do not need you to tell me the treatment options available to you – I am very familiar with the cases. Remember this is a Pharmacology class that incorporates Pharmacotherapy and not a class on diagnosing disease. I want you to tell me why you selected an option (why is it the best option- using clinically relevant and patient specific data) AND why you did not choose the other options (with clinically relevant and patient specific data).

At each decision point stop to complete the following:

* Decision #1

Select what the PMHNP should do next:
  • You decided to start patient with on Begin Seroquel XR 100 mg orally at HS
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • Why did you not choose Begin Lithium 300 mg orally BID or Begin Risperdal 1 mg orally BID
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

Decision #2

Select what the PMHNP should do next:
  • You decide to Discontinue Seroquel and start Geodon 40 mg orally BID. Administer with 500 calorie meal (see attachment for result of decision#1)
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • Why did you not choose the options to either Increase Seroquel XR to 300 mg orally daily or continue same dose of Seroquel and counsel client regarding ways to prevent constipation
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

Decision #3

Select what the PMHNP should do next:
  • You decide to Continue same dose and reassess in 4 weeks (see attachment for result of decision#1)
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • Why did you not choose the options to either Augment with Lithium sustained release 300 mg orally BID or Increase Geodon to 60 mg orally BID with a 500 calorie meal
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • 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.

**reminder that I require five references based on the grading rubric**

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Assessing and Treating Clients 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.