NU673-7D Unit 11 Discussion – Managing Mood Disorders and Adjunctive
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NU673-7D Unit 11 Discussion – Managing Mood Disorders and
Adjunctive
Discussion Prompt
Rebecca
Cole is a 39 years old, single, African
American female. She has never been married or had children. She has
been institutionalized at a state mental health hospital
for more than 7 years since she was diagnosed with
unspecified schizophrenia. She was diagnosed at age 21 and has undergone
more than 8 psychiatric hospital admissions over her lifespan.
Ms. Cole has been transferred to a local acute
care hospital due to uncontrolled diabetes and hypertension. She has been
refusing blood glucose monitoring daily, so the charge
nurse on the women’s floor has not been able to check her blood
sugar for 2 days. She has also been refusing her antihypertensive and
antipsychotic medication for 3 days. This has now led to
more uncontrolled hypertension and an increase in psychosis and
behavioral issues today. The nursing staff has become very frustrated
and voiced their issues with hospital administration because they don’t
feel the administration is listening to their concerns about
the challenges faced on the psychiatric units, and particularly
the challenges they are facing in caring for Rebecca.
You are the
PMHNP who is assigned and is managing her psychiatric care while in
the acute care hospital.
- At this point, can Rebecca make her own healthcare
decisions? Why or why not? What legal risk for the PMHNP could be
associated with caring for Rebecca in the acute care hospital
setting?
- How can integrative care be an approach that is utilized with this
patient?
- What other specialties should be involved and when she they be
involved?
- Discuss the potential ethical issues facing the staff nurses caring
for Rebecca in both the acute care hospital setting currently and the
state psychiatric hospital setting?
- Why is continued integrative care a better option
for patient outcomes and a better option from an ethical and legal
perspective?
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
Discussion Peer/Participation Prompt
Please respond to at least 2 of your peer’s posts with substantive
comments using the following steps:
·
- Substantive comments add to the discussion and provide your fellow
students with information that will enhance the learning environment.
- References and citations should conform to APA standards.
- Remember: Please respect the opinions of others, even if their
views differ. In other words, disagree professionally and respectfully.
- Plagiarism is never acceptable – give credit when credit
is due – cite your sources.
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. Collaboration points will be forfeited if you fail to meet the
response post guidelines.
Estimated time to complete: 1 hour
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