Unit 11 Discussion Managing Mood Disorders and Adjunctive Tx Options
Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options
It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
Classroom Participation (Unit 11 Discussion – Managing Mood Disorders and Adjunctive Tx Options)
Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however, should be correlated to the literature.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing, and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
Discussion Prompt [Due Wednesday]
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.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
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?(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
- 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?(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
- 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
Managing Mood Disorders and Adjunctive Treatment Options
The prevalence of mood disorders is nondiscriminatory and affects individuals of all age groups ranging from children, adolescents and adults. Therefore, in the assigned case study, the patient known as Rebecca Cole happens to be a 39year old unmarried African American woman with no children and has been admitted to a mental health hospital for over seven years of care of unspecified schizophrenia. She also has uncontrolled diabetes and hypertension, necessitating her transfer to an acute care facility, but she has refused to have her blood sugar checked for the last two days, and neither does she take her antipsychotic medication or antihypertensive drugs.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
According to Neilson & Chaimowitz (2015), RC Rebecca may not be allowed to make her own healthcare decisions. One might argue that the consent does not bind the client to accept treatment and neither does it envisage a scenario where the patient’s right to withdraw consent at any time is withdrawn. Be that as it may, the provider must appreciate that RC is in the care setting involuntarily. Subsequently, the physician must not halt the treatment because existing medical evidence indicates that terminating the therapy has the potential of causing severe and immediate health problems to the patient that could even be life-threatening in the case of antihypertensive drugs.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
The PMHNP attending to RC faces the legal risk of being accused of unwarranted infringement s on the patient’s autonomy leading to multifaceted liability. Failing to secure appropriate consent before treatment might see RC sue for negligence where consent is an inadequate or criminal liability because consent was not given (Neilson & Chaimowitz, 2015).(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
Integrative care associates conventional treatment like cognitive medication and behavioral therapy with alternative modalities (Ee et al., 2020). Since RC has both psychological and medical comorbidities, utilizing the integrated care model in her case would make her enjoy seamless, effective, and efficient care that addresses the whole of an individual’s health needs. A diagnosis of schizophrenia implies the functional doctor has to seek to understand the underlying causes triggering the schizophrenic episodes. Like other mood disorders, lifestyle, diet, environmental, and emotional reasons significantly contribute to the individual’s well bell.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
Other specialties that can be used to care for RC are complementary intervention and diet. Ganguly et al. (2018) also list yoga therapy and cognitive behavioral therapy as effective strategies to manage schizophrenia successfully.
Ethics requires that honesty in the nursing profession is a top priority, just like in other fields. The first ethical issue involved is informed consent (Moeini et al. 2020). This occurs when the patient and the family do not know about the treatments applied to a sick person. If RC feels supported and believes in her nurse and doctor, she is more likely to adhere to a treatment plan and get good health results. The second ethical issue involved is shared patient decision-making. If the nurse facilitates shared decision-making, it will improve trust between them, which will help improve open conversations. In conclusion, it is essential to acknowledge that a physician seeking to administer involuntary medication to a client may be required to seek a judicial determination of the patient’s incompetency in most jurisdictions.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
Ee, C., Lake, J., Firth, J., Hargraves, F., de Manincor, M., Meade, T., … & Sarris, J. (2020). An integrative, collaborative care model for people with mental illness and physical comorbidities. International journal of mental health systems, 14(1), 1-16.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
Ganguly, P., Soliman, A., & Moustafa, A. A. (2018). Holistic management of schizophrenia symptoms using pharmacological and non-pharmacological treatment. Frontiers in public health, 6, 166.Moeini, S., Shahriari, M., & Shamali, M. (2020). Ethical challenges of obtaining informed consent from surgical patients. Nursing Ethics, 27(2), 527-536.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
Neilson, G., & Chaimowitz, G. (2015). Informed consent to treatment in psychiatry. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 60(4), 1.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
What are the management and treatment of mood disorders?
Supporting mental well-being involves a blend of talk therapy, pharmacotherapy, lifestyle tweaks, and a reliable social network. Talk therapy, like cognitive-behavioral or dialectical behavior approaches, aids in skill development and tackling negative cognitions. Medications, encompassing antidepressants and mood stabilizers, may be recommended by a psychiatrist to modulate mood chemistry. Lifestyle modifications such as regular physical activity, sufficient sleep, and a balanced diet also contribute to positive outcomes. A robust support system involving family, friends, and mental health specialists commonly proves pivotal in fostering sound mental health.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
What method of therapy would be best to treat someone with a mood disorder?
The optimal therapeutic approach for addressing a mood disorder would involve a synergistic employment of cognitive-behavioral techniques along with personalized medication oversight. Cognitive Behavioral Therapy (CBT) is instrumental in pinpointing and reframing detrimental thought patterns and behaviors, fostering the acquisition of more constructive coping mechanisms. Additionally, the judicious administration of medication, under the guidance of a qualified psychiatrist, can significantly contribute to stabilizing mood fluctuations and alleviating symptomatic distress. Tailoring the treatment strategy to the individual’s diagnosis, inclinations, and the gravity of their condition is paramount.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
What is effective adjunctive therapy for bipolar disorder?
Effective additional treatments for bipolar disorder often involve using medications that work alongside mood stabilizers. These can include non-typical antipsychotic drugs (such as quetiapine or aripiprazole) to address manic or mixed episodes. In some cases, carefully monitored use of antidepressants or talk therapy can be beneficial for managing depressive episodes. Psychosocial interventions like cognitive-behavioral therapy and family-focused strategies can assist in symptom control, medication adherence, and enhanced coping mechanisms. However, it’s important that treatment approaches are personalized and overseen by a qualified mental health professional to ensure both safety and efficacy.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)
What are the coping strategies a person with a mood disorder can use to help them deal with their illness?
People dealing with mood disorders can adopt effective coping mechanisms. These include establishing a steady daily schedule encompassing adequate sleep, physical activity, and regular meals to promote stability. Incorporating mindfulness practices and relaxation exercises like meditation and controlled breathing aids in stress and anxiety management. Nurturing a reliable support circle by confiding in trusted individuals or engaging in group support sessions fosters emotional well-being. Lastly, it’s important to consider professional interventions like therapy or medication for the ongoing and successful handling of mood disorders.(Comprehensive Essay Example on Managing Mood Disorders and Adjunctive Tx Options)