NU 670 Advanced Psychopharmacology and Health Promotion Latest
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NU 670 Advanced Psychopharmacology and Health Promotion
Latest
Unit 1 Discussion Introduction
Instructions:
Welcome to NU670! I am looking forward to learning about
each and every one of you, and I know your classmates are as well. This
discussion board is for you to share information with your classmates and me so
we can begin to create relationships with our online classroom environment.
Using Zoom, create a 2-3 minute video introducing
yourself to your instructor and peers. In the video, please address the
following:
If you would like to use Zoom, please see the Zoom
Tutorial for more detailed instructions.
After your
recording is complete, follow these instructions to create a private, unlisted YouTube video (Links
to an external site.). You will
need the YouTube video website/URL for this discussion. Submit your YouTube
video website/URL to this discussion page. The best way to do this is to copy
and paste the website/URL for the YouTube video into a Word document and then
post the Word document. Your instructor and peers will access your video via
the link.
As a way of introducing yourselves to the instructor and
your peers, please post the following:
- Your name
- Location
- Description of your current position (If not employed, what are
your expectations when you complete your program?)
- Previous Nursing experience specialty background
- Why you chose PMHNP as your concentration?
- What made you consider enrolling the Herzing online PMHNP program?
- Your career goals
Please be sure to validate your opinions and ideas with
citations and references in APA format.
Please
review post and response expectations. Please review the rubric to ensure that
your response meets criteria.
Unit 2 Discussion
Discussion Prompt
- Choose a medication that is in the Antipsychotic
Classification. This can be a first-generation or second-generation
antipsychotic.
- You may not duplicate this medication in the thread – Please
choose different medications!!
- In your post, use the opportunity to teach your peers about this
medication
- The FDA indications for treatment
- The mechanism of action
- The side effects
- Dosage
- Pearls for treatment
- Side effects
- Special considerations
- Lab work to monitor
- Pregnancy/breastfeeding indication
- Elderly special considerations
- Renal and hepatic considerations, etc.
- Then find 2 research articles to support your
medication with research, new findings, etc.
- The articles should be published within the last 3
years and peer-reviewed.
Responses need to address all components of the question,
demonstrate critical thinking and analysis, and include peer-reviewed journal
evidence to support the student’s position.
Please be sure to validate your opinions and ideas with
in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response
meets the criteria.
Estimated time to complete: 2 hours
Unit 3 Discussion
Discussion Prompt
- Discuss the use of conventional mood stabilizers in the treatment
of bipolar depression. For this discussion, list at least two medications
that have an FDA approval for bipolar depression. What are the
risks/benefits of using these medications to treat bipolar depression?
- Which mood stabilizers are preferred for use in the geriatric
population?
- Discuss topiramate. What is it used for (in psychiatry)? For this
discussion include any associated monitoring, testing, or major side
effects.
- Which mood stabilizers are FDA approved in children and adolescents
for psychiatric disorders?
- Discuss gabapentin. What is it used for (in
psychiatry)? For this discussion include any associated monitoring,
testing, or major side effects.
Responses need to address all components of the question,
demonstrate critical thinking and analysis and include peer-reviewed journal
evidence to support the student’s position.
Please be sure to validate your opinions and ideas with
in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response
meets the criteria.
Estimated time to complete: 3 hours
Unit 4 Discussion
Discussion Prompt
- Side effects
are a common reason that patients discontinue
medications. List one common side effect for each medication
and one potential way to manage it.
- Amitriptyline
- Bupropion
- Fluoxetine
- Paroxetine
- Some potential side effects from antidepressants can be serious;
what is the difference between neuroleptic malignant syndrome (NMS) and
serotonin syndrome? How are they treated?
- Are any antidepressants approved for or preferred in postpartum
depression?
- Which class of antidepressants (if any) are generally recommended
to be used in geriatrics?
- Side effects are a common
reason that patients discontinue medications. List one
common side effect for each medication and one potential way to
manage it.
Review
prescribing guidelines for benzodiazepines for anxiety in your state.
Are there any limitations for APRN’s to prescribe? How do the numbers of
scripts written by APRN’s compare to those of physicians?
Unit 5 Discussion
Special
Population Peer Review
Initial
Discussion Question/Prompt
Post the link to your substance use presentation for this
week so peers can view. No replies to others’ presentations are required
but you are encouraged to view others’ presentations and comment.
- Submit the
unlisted Youtube link to your created presentation for peer
review. Ensure that your link is listed as “unlisted” and not
private so it can be viewed.
Unit 6 Discussion
Discussion Prompt
- Naltrexone is often used in psychiatric mental
health care for many reasons related to addiction
and/or impulse control. It is also occasionally used to
help patients with self-harm behaviors or weight loss.
Considering the mechanism of action of naltrexone,
how does it aid in addiction treatment?
- Compare and
contrast methadone and buprenorphine for substance abuse treatment.
For this discussion, addiction use (what substances) include the
mechanism of action, contraindications, and the pros or cons of each
option.
Responses need to address all components of the question,
demonstrate critical thinking and analysis and include peer-reviewed journal
evidence to support the student’s position.
Please be sure to validate your opinions and ideas with
in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response
meets the criteria.
Estimated time to complete: 2 hours
Unit 7 Discussion
Discussion Prompt
Explore options for complementary and alternative
medicine in psychiatric mental health care or functional medicine aspects that
you could envision incorporating into your practice. For this discussion,
since this ends our psychopharmacology and prescribing course, keep your
options focused on supplements, herbs, etc… Include the
following:
- Diagnostic testing and assessments:
- Pharmacologic interventions: including dosage, route, and
frequency
- Mechanism of Action (MOA)
- Contraindications
- Education, including health promotion, maintenance, and
psychosocial needs:
- Referrals:
- Follow-up, including return to clinic (RTC) with a
time frame and reason and any labs that support
your choice with at least 1 peer-reviewed article within the timeframe of
the last five (5) years.
Responses need to address all components of the question,
demonstrate critical thinking and analysis and include peer-reviewed journal
evidence to support the student’s position.
Please be sure to validate your opinions and ideas with
in-text citations and corresponding references in APA format.
Please review the rubric to ensure that your response
meets the criteria.
Estimated time to complete: 2 hours
Unit 8 Discussion
Reflection
Please respond to the following questions based upon
these course objectives:
- Understand and be able to articulate the fundamentals of
neurotransmission as it relates to prescribing psychotropic medications
for clients with acute and chronic mental health conditions.
- Discuss major categories of psychotropic drugs, their rationale for
use, mechanisms of action, common side effects, and drug interactions.
- Discuss evidence to support and the appropriate use of
complimentary alternative medications in patients that are experiencing
acute and chronic mental health conditions seeking adjunctive or
monotherapy treatment while considering cultural and genetic factors as
well as patient values.
- Utilize clinical assessment tools associated with diagnosing and
prescribing for psychiatric disorders and begin to utilize these tools in
clinical settings to assist with diagnosis and treatment of chronic mental
health conditions.
- Propose psychotherapeutic medication for selected patients keeping
in mind safety concerns while utilizing knowledge of current mental
health, medical concerns, age, gender, cultural factors, genetic factors,
ethical concerns, patient values, and prescriptive authority impact
decision making.
- Utilize research and provide basic diagnostic and
psychopharmacology education to your client and his/her family when
prescribing.
- Understand ethical and legal considerations and
controversies in current pharmacological treatment of mental health
patients.
Please answer the following questions with supporting
examples and full explanations.
- For each of the learning objectives, provide an analysis of how the
course supported each objective.
- Explain how the material learned in this course,
based upon the objectives, will be applicable to the professional
application.
Unit 1 Assignment Portfolio: Neuroanatomy & Neurotransmission
Chart
Instructions
Please watch
the interactive Neuroanatomy and
Neurophysiology (Links to
an external site.)presentation the complete this unit’s
portfolio assignment quiz
Unit 2 Assignment Portfolio: Antipsychotic Chart
Instructions
Conduct a. scholarly search for several options of a
“comparison chart of antipsychotics”. You will then complete the template
to add to your program portfolio for entry clinical practice.
Use PMPNP
Portfolio for Clinical Practice Template here for the Antipsychotics chart
completion.
Unit 3 Assignment Case Study: Mood Disorders
Instructions
Patient
Intake and History
The patient
is a 26-year-old college graduate who is currently euthymic but who has a
history of major depressive episodes
He has
experienced major depressive episodes, mostly untreated, of varying lengths and
severities since he was a teenager
His symptoms
have included insomnia, despondent thoughts, depressed mood, low interest in
activities, poor energy, and impaired cognition
He says his
self-esteem drops and he feels rejection-sensitive and guilt-ridden for no
apparent reason
He has never
had suicidal thoughts
Some of the
depressive episodes have been incapacitating and have interfered with school
and work
He appears
to have good inter-episode recovery and is able to return to class and
work
The patient
also has symptoms of social anxiety
He is often nervous
around new people and acquaintances
He
experiences anticipatory anxiety and will avoid certain social
events
These
symptoms are present regardless of his affective state
He has asked
for a consultation because he has legal issues regarding drinking and driving
that he thinks were likely fueled by his psychiatric symptoms
At the time
of the infraction (several months ago, just before graduating college), he had
been started on a selective serotonin reuptake inhibitor (SSRI) for the
depression and SAD symptoms
Within days
of starting he experienced elevated mood in a sustained fashion over several
days
He lost all
anxiety, fear, and avoidance
He was
unusually talkative; had racing thoughts; was distractible, hyperactive, and
impulsive; and had decreased need for sleep
He exhibited
grandiosity, in which he felt invincible and that the law did not apply to him;
this led him to purposefully antagonize a man in a bar, drive while drinking,
and challenge authority when police were called
The mood
elevation is complicated by the fact that the patient admits to heavy alcohol
use on weekends throughout college
The mood
elevation abated with cessation of the SSRI treatment
He has now
completed college; he has few friends in the immediate area but his
family is very supportive
He wants to
be a news reporter and is planning on applying to graduate school
The patient
has no family history of bipolar disorder; his mother has generalized anxiety
disorder (GAD)
He is not
currently taking any medications
Vitals:
- 98.8
- 160/80
- 76
- 18
- 5’10”
- 190 lbs.
Please use
the case study template to complete the case and answer the questions listed
below:
- Does the patient’s history support a diagnosis of bipolar disorder
even though his symptoms appear to have been triggered by a selective
serotonin reuptake inhibitor?
- What would be the expected future course of illness for this
patient?
- If the patient develops another depressive episode, how would you
treat it?
- What medication would you choose (there could be many correct
answers). What is the MOA of this medication? (Be specific i.3. What
receptor does it work on, etc.)
- Provide and reference a recent research article
(Published over the last 3 years) on the
medication treatment of Mood Disorders
Unit 4 Assignment Depression & Anxiety Case Study
Instructions
Complete a full intake on this patient and then develop a
treatment plan using the template offered.
Patient
History
The patient
is a 59-year-old married woman with 5 grown children
She is
moderately overweight (BMI 30) and was diagnosed with non-insulin-dependent
diabetes 10 years ago; she is fairly well managed on an oral hypoglycemic
medication (glipizide 10 mg twice per day)
Two years
ago, the patient experienced 2 tremendous stressors: her oldest child
developed leukemia (now in remission), and her mother and father
both passed away
She suffered
a significant and impairing major depressive episode that went untreated until
recently
This was her
fifth episode of depression; she experienced 2 major depressive episodes as a
teenager, and she developed postpartum depression and
anxiety following the births of 2 of her children
Four months
ago, after she was too fatigued to get out of bed, she sought treatment
for the first time in her life
After
receiving education and support from her clinician, she reluctantly agreed to
take Paxil 30 mg/day
The patient
has experienced a near-complete resolution of her symptoms in the
last 6 months; however, she has developed side effects and wants to discontinue
the medication
Specifically,
she has increased appetite and has correspondingly gained 7 pounds in the last
4 months, with an increase in HgA1c of 1 full percentage point
She also
reports excess daytime sedation and anorgasmia (very unusual for her)
What
options can you offer to manage these side effects? Be specific
What
education should you give the patient about stopping this medication
abruptly?
What is your
treatment plan?
Unit 5 Assignment – Case Study
Instructions
Review all
the learning material for this week; videos, webinars, lectures, articles, and
guidelines.
For this
week’s case study assignment, you will create a presentation to
educate other providers about caring for the mental health needs
of special populations in psychiatric mental health/primary
care. Then record voice over for your presentation
using PowerPoint, zoom, or Youtube, etc…
You will
then upload your recorded presentation file to Youtube for
easier access and viewing by faculty and peers. Please select the
UNLISTED option. This allows your instructor and peers to view and anyone
you share the link with but will not publish it to public view.
You will
submit the link to your video in the assignment dropbox as well as to
the discussion board this week.
For your assigned special
population, you will provide information for the following listed
slides:
- Slide 1: TITLE SLIDE
- Slide 2: POPULATION: Introduction
to population
- Slide 3: PREVALENCE of MENTAL ILLNESS: mental health
statistics for this population
- Slide 4: PSYCHOPHARMACOLOGY TX CONSIDERATIONS: medications to
avoid and why, considerations r/t pathophysiology and changes for this
population (think genetics, renal clearance, blood volume, development,
genetics-CYP450, etc…)
- Slide 5: CONTRAINDICATIONS: are there any
specific contraindications to prescribing psychotropic to this
population
- Slide 6: REFERENCES
See your
assigned population listed below:
If your LAST NAME starts with A through E please use
the following circumstance:
Elderly/Geriatrics:
polypharmacy, physiological consideration of aging
If your LAST NAME starts with F through I please use
the following circumstance:
Pediatric/Adolescents:
considerations for prescribing, FDA approvals
If your LAST NAME starts with J through Q please use
the following circumstance:
Perinatal/Lactation:
considerations for prescribing, teratogenicity, physiological
considerations of pregnancy
If your LAST NAME starts with R through Z please use
the following circumstance: Minority (specific Ethnicities) Groups:
specific genetic considerations for metabolism of medication (think
CYP450, etc…)
To Submit Your Assignment:
- Select the Add Submissions button.
- Submit your video link.
- Select Save Changes.
Unit 6 Assignment – Prescribing Assignment
Instructions
- Please complete the questions listed below in the
assignment.
·
- Provide supporting Documentation and Resource Links.
- This must be at least 2-3 pages paper, APA
format.
- Submit to the dropbox by the due date.
Questions
- Determine if your practice state is an independent practice state
for APRNs using the AANP map (Links to an external site.).
- Look up the APRN prescribing regulations in your state.
- What are the safe prescribing recommendations for APRN’s in your
state? This will vary depending on the level of practice authority.
- Does your state have a Prescriptions Drug Monitoring Program? If
so, explain. If not, please describe current legislation regarding this
topic.
- What are the barriers to APRN’s prescribing in your state?
- What local or national organizations are available
for you to join to support the cause for advancing practice/prescribing
for APRN’s?
Unit 7 Assignment – Case Study Discussion
Instructions
Evaluating
and managing the side effects of psychotropics is an important part of
prescribing. Some side effects can be safely monitored and managed by a PMHNP.
While others may require additional tests, collaboration with primary care
providers, or even referrals to specialists. It is key to know which side effects
are “ok” to treat and which should really be treated by a different provider.
Part of this answer may depend on the state in which you ultimately practice,
as what you are allowed to prescribe may vary state by state.
For
this assignment, you will review the PowerPoint
Locate your
assigned case study and answer the questions which correspond to the FIRST
letter of your LAST name. The answers to these questions will be located in the
PowerPoint, but you will need to do additional research to support your
decisions.
Then you
will respond to the main postings of two other learners; at least one response
should be to a peer who has answered questions different from yours.
Recall that
your main posting should be submitted by Friday at 11:59 p.m., Eastern time.
All responses to other learners’ discussion questions must be submitted no
later than Sunday at 11:59 p.m, Eastern time in order to be considered for
grading purposes.
Unit 7 Assignment – Portfolio Charts
Instructions
Portfolio: Completed Portfolio Charts from all units
(Unit 1, 2, 3, 4)
Conduct a
scholarly search for several options of “antidepressants and
anxiolytics”. You will then complete the template to add to your program
portfolio for entry clinical practice.
Use
PMPNP Portfolio for Clinical Practice Template here for the Antipsychotics
chart completion.
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