REGIS NU643 2021 January Week 12 Discussion Latest

NU643 Advanced Psychopharmacology

Week 12 Discussion

Geriatric Case Study

Initial Post

E.L. is a 84 year-old-woman who lives in her own home with a full-time caregiver and attends a day program on weekdays. E.L. has a history of bipolar disorder and moderate dementia. At baseline she is cantankerous and opinionated. More recently her caregiver reports that behaviors are agitated and oppositional.

E.L. is refusing most cares, is paranoid that, when her caregiver is on the phone, she is talking about E.L. She has been resisting sleep, staying up late and waking in the middle of the night.

Her caregiver denies aggressive behaviors, but E.L. is arguing with other participants in her day program and is at risk of being kicked out of the program.

Current medications are depakote 1500 mg daily (last level was therapeutic), quetiapine 100 mg qhs, and bupropion 75 mg qd.

Write an assessment and tentative treatment plan. You may use the Assessment and Plan sections from the PMHNP SOAP note template for this, or choose to write this out in a paragraph form. However, both the Assessment and Plan sections must be clearly identified and all components in these sections, as described in the PMHNP SOAP note template, must be included.

Assessment — Identify preliminary diagnoses, supporting information, and target symptoms.

Plan: Tentative treatment plan and rationale.

Using proper citations and APA formatting, you must include references for your statements.

Reply Posts

Read your peers' posts and respond to at least two of your peers. In your post, critique the plan by answering the following questions:

Do you agree/disagree with the plan?

Is anything missing from the plan?

Compare your peers' plan to yours – what are the advantages and disadvantages of each?

Your response should include evidence of review of the course material through proper citations using APA format.

Please refer to the Grading Rubric for details on how this activity will be graded.

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.