Posted: May 8th, 2022

Assessing and Treating Pediatric Patients With Mood Disorders

Task: Assessing and Treating Pediatric Patients With Mood Disorders
When pediatric sufferers current with temper problems, the method of assessing, diagnosing, and treating them might be fairly advanced. Youngsters not solely current with completely different indicators and signs than grownup sufferers with the identical problems, additionally they metabolize medicines a lot in another way. But, there could also be occasions when the identical psychopharmacologic therapies could also be utilized in each pediatric and grownup circumstances with main depressive problems. In consequence, psychiatric nurse practitioners should train warning when prescribing psychotropic medicines to those sufferers. For this Task, as you look at the affected person case research on this week’s Studying Assets, think about the way you would possibly assess and deal with pediatric sufferers presenting with temper problems.

To organize for this Task:
Evaluation this week’s Studying Assets, together with the Treatment Assets indicated for this week.
Replicate on the psychopharmacologic therapies you would possibly advocate for the evaluation and therapy of pediatric sufferers requiring antidepressant remedy.
The Task: 5 pages
Look at Case Research: An African American Baby Struggling From Melancholy. You’ll be requested to make three choices regarding the treatment to prescribe to this affected person. You should definitely think about components that may impression the affected person’s pharmacokinetic and pharmacodynamic processes.

At every resolution level, it is best to consider all choices earlier than deciding on your resolution and shifting all through the train. Earlier than you make your resolution, just be sure you have researched every possibility and that you simply consider the choice that you’ll choose. You should definitely analysis every possibility utilizing the first literature.
Introduction to the case (1 web page)

Briefly clarify and summarize the case for this Task. You should definitely embrace the particular affected person components that will impression your resolution making when prescribing treatment for this affected person.
Determination #1 (1 web page)

Which resolution did you choose?
Why did you choose this resolution? Be particular and assist your response with clinically related and patient-specific sources, together with the first literature.
Why did you not choose the opposite two choices offered within the train? Be particular and assist your response with clinically related and patient-specific sources, together with the first literature.
What have been you hoping to attain by making this resolution? Assist your response with proof and references to the Studying Assets (together with the first literature).
Clarify how moral concerns could impression your therapy plan and communication with sufferers. Be particular and present examples.
Determination #2 (1 web page)

Why did you choose this resolution? Be particular and assist your response with clinically related and patient-specific sources, together with the first literature.
Why did you not choose the opposite two choices offered within the train? Be particular and assist your response with clinically related and patient-specific sources, together with the first literature.
What have been you hoping to attain by making this resolution? Assist your response with proof and references to the Studying Assets (together with the first literature).
Clarify how moral concerns could impression your therapy plan and communication with sufferers. Be particular and present examples.
Determination #three (1 web page)

Why did you choose this resolution? Be particular and assist your response with clinically related and patient-specific sources, together with the first literature.
Why did you not choose the opposite two choices offered within the train? Be particular and assist your response with clinically related and patient-specific sources, together with the first literature.
What have been you hoping to attain by making this resolution? Assist your response with proof and references to the Studying Assets (together with the first literature).
Clarify how moral concerns could impression your therapy plan and communication with sufferers. Be particular and present examples.
Conclusion (1 web page)

Summarize your suggestions on the therapy choices you chose for this affected person. You should definitely justify your suggestions and assist your response with clinically related and patient-specific sources, together with the first literature.

Observe: Assist your rationale with a minimal of 5 tutorial sources. Whilst you could use the course textual content to assist your rationale, it is not going to rely towards the useful resource requirement. Try to be using the first and secondary literature.

Reminder : The Faculty of Nursing requires that each one papers submitted embrace a title web page, introduction, abstract, and references. The Pattern Paper offered on the Walden Writing Middle offers an instance of these required components (out there at https://academicguides.waldenu.edu/writingcenter/templates/basic#s-lg-box-20293632).All papers submitted should use this formatting

Assessing and Treating Pediatric Patients with Mood Disorders

Scholar’s Title
Institutional Affiliation
Course
Professor’s Title
Date

Assessing and Treating Pediatric Patients with Mood Disorders
Introduction
Treating pediatric sufferers with temper problems can current numerous concerns. The concerns embrace deciding on the treatment, the necessity to enhance the dosage, change the drug, and observe moral rules. The case research entails an Eight-year-old African American male. The kid presents with numerous signs akin to unhappiness, isolation, lack of urge for food, and irritation. The choice to deal with the situation will contain Zoloft 25mg pill day by day throughout bedtime. The drug will likely be elevated to 50mg to extend the probabilities of restoration. The availability of care will observe completely different moral concerns akin to knowledgeable consent and beneficence.
Determination One
The primary resolution to deal with the melancholy within the baby is to prescribe Zoloft 25mg pill day by day throughout bedtime. Zoloft is an antidepressant categorized beneath selective serotonin reuptake inhibitors.
The rationale for choosing the treatment is that it successfully treats melancholy and different psychological or temper problems. Zoloft is efficient amongst youngsters because it acts as a temper stabilizer and lessens the symptom’s severity (Stahl, 2013). For instance, the treatment reduces concern and nervousness, enhances sleep, urge for food, and curiosity in day by day actions. Addressing sleep problems amongst sufferers with melancholy improves restoration and prevents relapse (Cameron et al., 2020). The treatment was chosen as a result of it successfully treats melancholy and different psychological or temper problems. Zoloft is efficient in youngsters as a result of it acts as a temper stabilizer and reduces the severity of the signs (Stahl, 2013). For instance, the treatment alleviates concern and nervousness whereas additionally bettering sleep, urge for food, and curiosity in day by day actions. Addressing sleep problems in depressed sufferers improves restoration and prevents relapse (Cameron et al., 2020).
One other rationale for choosing the drug is the age of the sufferers. Youngsters require 25mg pill day by day because it presents minimal negative effects. Prescribing a excessive dose to youngsters can set off adverse results akin to nausea, sleepiness, and drowsiness (Cameron et al., 2020). The drug dosage will likely be elevated after an evaluation of the affected person’s progress. The rationale for choosing Zoloft is as a result of it’s licensed by Meals and Drug Administration (FDA) for pediatric use (Cameron et al., 2020).
The opposite two choices, together with Wellbutrin 75mg and Paxil 10mg, usually are not efficient in treating the affected person’s situation. One of many causes is that the medication usually are not licensed by FDA to be used amongst youngsters (Diener et al., 2021). Another excuse is that medication akin to Paxil 10mg usually are not preferable as the primary line of protection in treating melancholy. Paxil causes anticholinergic results in youngsters making it much less preferable (Diener et al., 2021). Wellbutrin is efficient, however the outcomes of the impact will take longer in comparison with Zoloft.
I anticipate the affected person’s temper to stabilize and relieve the melancholy. Zoloft is efficient amongst youngsters because it acts as a temper stabilizer and lessens the symptom’s severity (Diener et al., 2021). I anticipate enhancements after 4 weeks when the shopper will return to the clinic. Enchancment ought to embrace 50 p.c of the abatement of the signs.
Moral and authorized points will have an effect on therapy and communication. One of many concerns is knowledgeable consent (Singh et al., 2017). For instance, the affected person is under the age of consenting to therapy. A dad or mum or guardian ought to consent to the therapy.
Determination Two
The second resolution is to extend the dosage to Zoloft 50mg pill day by day throughout bedtime to reinforce restoration.
The rationale for growing the dose is to reinforce the efficacy of the drug. Proof-based apply exhibits that larger dosage triggers higher restoration. Another excuse is that after the shopper returned to the clinic, there was little enchancment in comparison with the expectations (DeFilippis, 2018). Zoloft can take between two to 4 weeks to show high quality outcomes. Rising the identical dosage is efficient in comparison with altering the drug. It would enhance the reuptake of serotonin and neurotransmission of the chemical parts within the mind. I didn’t choose the opposite two choices since polypharmacy will not be beneficial since it might set off various psychological sickness therapy outcomes. For instance, growing the dosage to 37.5 will not be a standard pattern since evidence-based apply exhibits that augmenting the drug from 25 to 50 is environment friendly. Introducing the opposite alternate options can set off negative effects which might undermine the restoration course of (DeFilippis, 2018). For instance, the opposite medication can result in serotonin syndrome, growing the severity of the signs.
The aim of the choice is to alleviate the signs akin to melancholy. The intention was to reinforce the steadiness of the affected person (DeFilippis, 2018). The reason being that the earlier resolution didn’t attain the expectations of stabilizing the affected person’s situation.
When the shopper returns after 4 weeks for the clinic, there may be optimistic suggestions. The shopper’s situation has stabilized with a 50 p.c abatement of the signs. The rise within the dosage didn’t have an effect on the affected person’s situation (Walkup, 2017). The development justifies Stahl’s (2012) argument that antidepressants can relieve signs of melancholy.
The moral and authorized points that have an effect on the standard of care are beneficence and belief. Doctor ought to use their greatest information to handle the affected person whereas eliminating the danger of adverse outcomes (Walkup, 2017). High quality communication and rapport ought to enhance belief with the affected person and dad or mum or guardian.
Determination Three
The choice was to take care of the treatment, frequency, and mode of administration. Sustaining the drug successfully ensures full restoration and stabilization of the kid (Diener et al., 2021). In line with the American Psychiatric Affiliation, psychiatrists are accountable for altering treatment if shoppers don’t expertise optimistic outcomes. For instance, if, after four to eight weeks, the shopper doesn’t present any progress, the practitioner can change the treatment (Diener et al., 2021).
The rationale for sustaining the treatment, frequency, and mode of administration is as a result of the shopper is bettering considerably. It’s anticipated that within the subsequent few weeks, the shoppers will resume regular day by day actions (Diener et al., 2021). I didn’t choose the opposite two choices for the reason that shopper is already exhibiting optimistic indicators of restoration. Polypharmacy will not be preferable within the provision of care to shoppers with psychological sickness. Mixing completely different can alter the mind’s chemical steadiness resulting in extreme negative effects (Stahl, 2013). Another excuse for avoiding the opposite choices is as a result of therapy with one drug helps the psychiatrists to hint the outcomes. A number of medication can result in a combination of outcomes that may complicate the therapy choices. Polypharmacy in pediatric sufferers can set off extreme outcomes that may undermine the restoration course of (Stahl, 2013).
I hoped to attain a optimistic restoration from the affected person. I anticipate the affected person’s temper to stabilize and relieve the melancholy. The stabilization ought to assist the shopper to enhance interactions with different learners. One other expectation is aid from occasional irritation. Through the subsequent clinic, the affected person ought to show restoration indicators akin to attending college, enjoying, and interacting with learners. The temper ought to stabilize with out indicators of unhappiness. Remedy of melancholy is important for pediatric sufferers since it might have an effect on their bodily well being (Stahl, 2013). One other danger of suicidal ideas or self-harm could happen.
Moral points have an effect on the therapy course of and choices. Healthcare staff are accountable for observing affected person autonomy and establishing belief (Cameron et al., 2020). Affected person-centered care improves affected person belief since a affected person or members of the family understand the psychiatrist is genuinely within the affected person’s profitable restoration.
Moral Concerns Impacting Remedy and Communication
Moral concerns are necessary precautions within the provision of care. Healthcare staff ought to use moral rules to ship environment friendly, authorized, and patient-centered care. One of many necessities is to look at beneficence (Singh et al., 2017). Healthcare staff ought to take precautions with pediatric sufferers to keep away from poor well being outcomes. Beneficence entails informing the affected person or dad or mum concerning the therapy. For instance, it is very important educate the affected person or the household about Zoloft and its negative effects (Singh et al., 2017). The affected person training will cut back the danger of suspicion in case negative effects emerge. For example, the guardian or dad or mum ought to know that a excessive dosage of Zoloft can set off negative effects akin to suicidal ideas (Singh et al., 2017). Open, sincere, and evidence-based communication will enhance the standard of care and improve belief.
Conclusion
Pediatricians have a duty to diagnose and deal with psychological situations. The case research of an Eight-year-old African American male exhibits the necessity for antidepressants. Remedy of melancholy requires Zoloft 25mg. Rising the dosage to 50mg is important to reinforce the effectivity and probabilities of restoration. Polypharmacy will not be recommendable within the therapy of psychological diseases since it might set off combined outcomes. One of many necessities is to look at beneficence. Healthcare staff ought to take precautions with pediatric sufferers to keep away from poor well being outcomes. On the finish of the therapy, the affected person ought to show restoration indicators akin to attending college, enjoying, and interacting with learners. The temper ought to stabilize with out indicators of unhappiness.

References
Cameron, L. A., Phillips, Okay., Melvin, G. A., Hastings, R. P., & Grey, Okay. M. (2020). Psychological interventions for melancholy in youngsters and younger folks with an mental incapacity and/or autism: systematic evaluate. The British Journal of Psychiatry, 1-10.
DeFilippis, M. (2018). Melancholy in youngsters and adolescents with autism spectrum dysfunction. Youngsters, 5(9), 112.
Diener, M. J., Gottdiener, W. H., Keefe, J. R., Levy, Okay. N., & Midgley, N. (2021). Remedy of melancholy in youngsters and adolescents. The Lancet Psychiatry, Eight(2), 97.
Singh, I., Morgan, C., Curran, V., Nutt, D., Schlag, A., & McShane, R. (2017). Ketamine therapy for melancholy: alternatives for medical innovation and moral foresight. The Lancet Psychiatry, four(5), 419-426.
Stahl, S. M. (2013). Stahl’s important psychopharmacology: Neuroscientific foundation and sensible functions (4th ed.). New York, NY: Cambridge College Press.
Walkup, J. T. (2017). Antidepressant efficacy for melancholy in youngsters and adolescents: industry-and NIMH-funded research. American Journal of Psychiatry, 174(5), 430-437.

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