Discussion: Prescribing for Older Adults and Pregnant Women
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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.
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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.
• 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.
TH DISORDER AM CHOOSING IS MAJOR DEPRESSIVE DISORDER IN THE OLDER ADULTS
RUBRICS;
Rubric Detail
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Name: NRNP_6675_Week9_Discussion_Rubric
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Excellent
90%–100% Good
80%–89% Fair
70%–79% Poor
0%–69%
Main Posting:
Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. 40 (40%) – 44 (44%)
Thoroughly responds to the Discussion question(s)
Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources
No less than 75% of post has exceptional depth and breadth
Supported by at least three current credible sources 35 (35%) – 39 (39%)
Responds to most of the Discussion question(s)
Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module
50% of the post has exceptional depth and breadth
Supported by at least three credible references 31 (31%) – 34 (34%)
Responds to some of the Discussion question(s)
One to two criteria are not addressed or are superficially addressed
Is somewhat lacking reflection and critical analysis and synthesis
Somewhat represents knowledge gained from the course readings for the module
Post is supported by fewer than two credible references 0 (0%) – 30 (30%)
Does not respond to the Discussion question(s)
Lacks depth or superficially addresses criteria
Lacks reflection and critical analysis and synthesis
Does not represent knowledge gained from the course readings for the module
Contains only one or no credible references
Main Posting:
Writing 6 (6%) – 6 (6%)
Written clearly and concisely
Contains no grammatical or spelling errors
Adheres to current APA manual writing rules and style 5 (5%) – 5 (5%)
Written concisely
May contain one to two grammatical or spelling errors
Adheres to current APA manual writing rules and style with minor errors 4 (4%) – 4 (4%)
Written somewhat concisely
May contain more than two spelling or grammatical errors
Contains some APA formatting errors 0 (0%) – 3 (3%)
Not written clearly or concisely
Contains more than two spelling or grammatical errors
Does not adhere to current APA manual writing rules and style
Main Posting:
Timely and full participation 9 (9%) – 10 (10%)
Meets requirements for timely, full, and active participation
Posts main Discussion by due date 8 (8%) – 8 (8%)
Posts main Discussion by due date
Meets requirements for full participation 7 (7%) – 7 (7%)
Posts main Discussion by due date 0 (0%) – 6 (6%)
Does not meet requirements for full participation
Does not post main Discussion by due date
First Response:
Post to colleague’s main post that is reflective and justified with credible sources 9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings
Responds to questions posed by faculty
The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. 8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. 7 (7%) – 7 (7%)
Response is on topic, may have some depth. 0 (0%) – 6 (6%)
Response may not be on topic, lacks depth.
First Response:
Writing 6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues.
Response to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in standard, edited English. 5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues.
Response to faculty questions are mostly answered, if posed.
Provides opinions and ideas that are supported by few credible sources
Response is written in standard, edited English. 4 (4%) – 4 (4%)
Response posted in the Discussion may lack effective professional communication.
Response to faculty questions are somewhat answered, if posed.
Few or no credible sources are cited. 0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication.
Responses to faculty questions are missing.
No credible sources are cited.
First Response:
Timely and full participation 5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation
Posts by due date 4 (4%) – 4 (4%)
Meets requirements for full participation
Posts by due date 3 (3%) – 3 (3%)
Posts by due date 0 (0%) – 2 (2%)
Does not meet requirements for full participation
Does not post by due date
Second Response:
Post to colleague’s main post that is reflective and justified with credible sources 9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings.
Responds to questions posed by faculty
The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. 8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. 7 (7%) – 7 (7%)
Response is on topic, may have some depth. 0 (0%) – 6 (6%)
Response may not be on topic, lacks depth.
Second Response:
Writing 6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues.
Response to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in standard, edited English. 5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues.
Response to faculty questions are mostly answered, if posed.
Provides opinions and ideas that are supported by few credible sources
Response is written in standard, edited English. 4 (4%) – 4 (4%)
Response posed in the Discussion may lack effective professional communication.
Response to faculty questions are somewhat answered, if posed.
Few or no credible sources are cited. 0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication.
Responses to faculty questions are missing.
No credible sources are cited.
Second Response:
Timely and full participation 5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation
Posts by due date 4 (4%) – 4 (4%)
Meets requirements for full participation
Posts by due date 3 (3%) – 3 (3%)
Posts by due date 0 (0%) – 2 (2%)
Does not meet requirements for full participation
Does not post by due date
Total Points: 100
Name: NRNP_6675_Week9_Discussion_Rubric
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