NURS6630 week 3 discussion latest 2018 june

Week 3
discussion

Discussion: The Impact of Ethnicity on Antidepressant
Therapy

Major depressive disorder is one of the most prevalent
disorders you will see in clinical practice. Treatment for this disorder,
however, can vary greatly depending on client factors, such as ethnicity and
culture. As a psychiatric mental health professional, you must understand the
influence of these factors to select appropriate psychopharmacologic
interventions. For this Discussion, consider how you might assess and treat the
individuals in the case studies based on the provided client factors, including
ethnicity and culture.

Learning Objectives

Students will:

Assess client factors and history to develop personalized
plans of antidepressant therapy for adult and geriatric clients

Analyze factors that influence pharmacokinetic and
pharmacodynamic processes in adult and geriatric clients requiring
antidepressant therapy

Analyze the impact of ethnicity on antidepressant therapy

Evaluate efficacy of treatment plans

Apply knowledge of providing care to adult and geriatric
clients presenting for antidepressant therapy

Learning Resources

Note: To access this week’s required library resources,
please click on the link to the Course Readings List, found in the Course
Materials section of your Syllabus.

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).
Stahl’s essential psychopharmacology: Neuroscientific basis and practical
applications (4th ed.). New York, NY: Cambridge University Press.

Note: To access the following chapters, click on the
Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select
the appropriate chapter. Be sure to read all sections on the left navigation
bar for each chapter.

Chapter 7, “Antidepressants”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New
York, NY: Cambridge University Press.

Note: To access the following medications, click on the The
Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the
appropriate medication.

Review the following medications:

amitriptyline

bupropion

citalopram

clomipramine

desipramine

desvenlafaxine

doxepin

duloxetine

escitalopram

fluoxetine

fluvoxamine

imipramine

ketamine

mirtazapine

nortriptyline

paroxetine

selegiline

sertraline

trazodone

venlafaxine

vilazodone

vortioxetine

American Psychiatric Association. (2013). Diagnostic and
statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: Retrieved from Walden Library databases.

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), 21–24.
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), 21–24.
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), 417–423. Retrieved from
https://web.archive.org/web/20170809004704/https://www.fda.gov/downloads/Drugs/ScienceResearch/…/UCM085502.pdf

To prepare for this Discussion:

Note: By Day 1 of this week, your Instructor will have
assigned you to one of the following case studies to review for this
Discussion. To access the following case studies, click on the Case Studies tab
on the Stahl Online website and select the appropriate volume and case number.

Case 1: Volume 1, Case #1: The man whose antidepressants
stopped working

Case 2: Volume 1, Case #7: The case of physician do not heal
thyself

Case 3: Volume 1, Case #29: The depressed man who thought he
was out of options

Review this week’s Learning Resources and reflect on the
insights they provide.

Go to the Stahl Online website and examine the case study
you were assigned.

Take the pretest for the case study.

Review the patient intake documentation, psychiatric
history, patient file, medication history, etc. As you progress through each
section, formulate a list of questions that you might ask the patient if he or
she were in your office.

Based on the patient’s case history, consider other people
in his or her life that you would need to speak to or get feedback from (i.e.,
family members, teachers, nursing home aides, etc.).

Consider whether any additional physical exams or diagnostic
testing may be necessary for the patient.

Develop a differential diagnoses for the patient. Refer to the
DSM-5 in this week’s Learning Resources for guidance.

Review the patient’s past and current medications. Refer to
Stahl’s Prescriber’s Guide and consider medications you might select for this
patient.

Review the posttest for the case study.

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