Adult and Geriatric Antidepressant Therapy.List three questions you might ask the patient if he or she were in your office. c) Provide a rationale for why you might ask these questions.
Adult and Geriatric Antidepressant Therapy.List three questions you might ask the patient if he or she were in your office. c) Provide a rationale for why you might ask these questions.
a) Provide the case number in the subject line of the Discussion thread.
b) List three questions you might ask the patient if he or she were in your office. c) Provide a rationale for why you might ask these questions.
d) Identify people in the patients life you would need to speak to or get feedback from to further assess the patients situation. e) Include specific questions you might ask these people and why.
f) Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
g) List three differential diagnoses for the patient. h) Identify the one that you think is most likely and explain why.
i) List two pharmacologic agents and their dosing that would be appropriate for the patients antidepressant therapy based on pharmacokinetics and pharmacodynamics. j) From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
k) For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the clients ethnicity.l) Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?
If your assigned case includes check points (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
m) Explain lessons learned from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.
Required Readings
Note: All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.
Stahl, S. M. (2013). Stahls essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
Chapter 7, Antidepressants
Stahl, S. M. (2014b). The prescribers guide (5th ed.). New York, NY: Cambridge University Press.
Howland, R. H. (2008a). Sequenced treatment alternatives to relieve depression (STAR*D). Part 1: Study design. Journal of Psychosocial Nursing and Mental Health Services, 46(9), 2124. doi:10.3928/02793695-20080901-06
Note: Retrieved from Walden Library databases.
Howland, R. H. (2008a). Sequenced treatment alternatives to relieve depression (STAR*D). Part 2: Study outcomes. Journal of Psychosocial Nursing and Mental Health Services, 46(19), 2124. doi:10.3928/02793695-20081001-05
Note: Retrieved from Walden Library databases.
Yasuda, S.U., Zhang, L. & Huang, S.-M. (2008). The role of ethnicity in variability in response to drugs: Focus on clinical pharmacology studies. Clinical Pharmacology & Therapeutics, 84(3), 417423. Retrieved from #www.fda.gov/downloads/Drugs/ScienceResearch/…/UCM085502.pdf
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