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Posted: July 7th, 2022

Discussion: Prescribing for Older Adults and Pregnant Women

Discussion: Prescribing for Older Adults and Pregnant Women
After assessing and diagnosing a patient, PMHNPs must take into consideration special characteristics of the patient before determining an appropriate course of treatment. For pharmacological treatments that are not FDA-approved for a particular use or population, off-label use may be considered when the potential benefits could outweigh the risks.

In this Discussion, you will investigate a specific disorder and determine potential appropriate treatments for when it occurs in an older adult or pregnant woman.

Photo Credit: Getty Images/Blend Images
To Prepare:
Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the DSM-5 to use.
Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.
By Day 3 of Week 9
Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.
Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration. By Day 3 of Week 9, make a recommendation for one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women, depending on your experience.
Explain how you would do a risk assessment to guide your treatment decision-making process. What are the dangers and benefits of using the medication that has been approved by the FDA? What are the potential risks and benefits of using an off-label medication?
Explain whether or not there are clinical practice guidelines for this illness, and if there are, how you plan to use them to support your suggestions. If not, please explain what additional information you would require to make a decision.
At least three current and credible scientific resources, one on the FDA-approved drug, one on an off-label treatment, and one on a nonpharmacological intervention for the disease, should be used to support your argument. https://content.waldenu.edu/b2c39f624633ae9a739d4b64448c43ea.html
Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder. https://content.waldenu.edu/b2c39f624633ae9a739d4b64448c43ea.html

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