Nursing Question
Week 3 Class assignment information. • THE DISORDER IS POST TRAUMATIC STRESS DISORDER. PRESCRIBING FOR CHILDREN AND ADOLESCENTS Off-label prescribing is when a physician gives you a drug that the U.S. Food and Drug Administration (FDA) has approved to treat a condition different than your condition. This practice is legal and common. In fact, one in five prescriptions written today are for off-label use. —Agency for Healthcare Research and Quality Psychotropic drugs are commonly used for children and adolescents to treat mental health disorders, yet many of these drugs are not FDA approved for use in these populations. Thus, their use is considered “off-label,” and it is often up to the best judgment of the prescribing clinician. As a PMHNP, you will need to apply the best available information and research on pharmacological treatments for children in order to safely and effectively treat child and adolescent patients. Sometimes this will come in the form of formal studies and approvals for drugs in children. Other times you may need to extrapolate from research or treatment guidelines on drugs in adults. Each individual patient case will need to be considered independently and each treatment considered from a risk assessment standpoint. What psychotherapeutic approach might be indicated as an initial treatment? What are the potential side effects of a particular drug? For this Assignment, you consider these questions and others as you explore FDA-approved (“on label”) pharmacological treatments, non-FDA-approved (“off-label”) pharmacological treatments, and nonpharmacological treatments for disorders in children and adolescents. Reference: Agency for Healthcare Research and Quality. (2015). Off-label drugs: What you need to know. https://www.ahrq.gov/patients-consumers/patient-involvement/offlabel-drug-usage.htmlLinks to an external site. RESOURCES Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. WEEKLY RESOURCE TO PREPARE • Your Instructor will assign a specific disorder for you to research for this Assignment. • Use the Walden library to research evidence-based treatments for your assigned disorder in children and adolescents. You will need to recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating this disorder in children and adolescents. THE ASSIGNMENT (1–2 PAGES) • Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents. • 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 offlabel 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 scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Attach the PDFs of your sources. Rubric NRNP_6665_Week3_Assignment1_Rubric NRNP_6665_Week3_Assignment1_Rubric Criteria This criterion is linked to a Learning OutcomeIn 1–2 pages, address the following: • Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your assigned disorder in children and adolescents. Ratings 25 to >22.0 pts 22 to >19.0 pts 19 to >17.0 pts 17 to >0 pts Excellent Good Fair Poor The response accurately and concisely explains one FDA-approved drug, one off-label drug, and one nonpharmacological intervention that would be appropriate for treating the assigned disorder in children and adolescents. The response accurately explains one FDA-approved drug, one off-label drug, and one nonpharmacological intervention that would be appropriate for treating the assigned disorder in children and adolescents. The response somewhat vaguely or inaccurately explains one FDA-approved drug, one off-label drug, and one nonpharmacological intervention that would be appropriate for treating the assigned disorder in children and adolescents. The response vaguely or inaccurately explains interventions that would be appropriate for treating the assigned disorder in children and adolescents. Interventions may not represent the three types of interventions required, or response may be missing. NRNP_6665_Week3_Assignment1_Rubric Criteria This criterion is linked to a Learning Outcome• 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? This criterion is linked to a Learning Outcome• 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. Ratings 25 to >22.0 pts 22 to >19.0 pts 19 to >17.0 pts 17 to >0 pts Excellent Good Fair Poor The response accurately and concisely explains the risk assessment you would use to inform your treatment decision making. A concise and accurate explanation of the risks and benefits of each pharmacological intervention is provided. The response accurately explains the risk assessment you would use to inform your treatment decision making. An adequate explanation of the risks and benefits of each pharmacological intervention is provided. The response somewhat vaguely or inaccurately explains the risk assessment you would use to inform your treatment decision making. The explanation of the risks and benefits of each pharmacological intervention is somewhat vague or inaccurate. The response vaguely or inaccurately explains the risk assessment you would use to inform your treatment decision making. The risks and benefits of each pharmacological intervention is vague or inaccurate. Or, the response is missing. 25 to >22.0 pts 22 to >19.0 pts 19 to >17.0 pts 17 to >0 pts Excellent Good Fair Poor The response accurately and concisely uses either clinical guidelines (if available) or other information from the literature to justify intervention recommendations. The response accurately uses either clinical guidelines (if available) or other information from the literature to justify intervention recommendations. The response somewhat vaguely or inaccurately uses either clinical guidelines (if available) or other information from the literature to justify intervention recommendations. The response vaguely or inaccurately uses either clinical guidelines (if available) or other information from the literature to justify intervention recommendations. Or, the response is missing. NRNP_6665_Week3_Assignment1_Rubric Criteria Ratings This criterion is linked to a Learning Outcome• Support your reasoning with at least three scholarly resources, one each on the FDA-approved drug, the off-label, and a non-medication intervention for the disorder. Be sure they are current (no more than 5 years old). Attach the PDFs of your sources. 10 to >8.0 pts 8 to >7.0 pts 7 to >6.0 pts 6 to >0 pts Excellent Good Fair Poor The response provides at least three current, evidence-based resources from the literature to support the intervention recommendations. The resources reflect the latest clinical guidelines and provide strong justification for decision making. The response provides at least three current, evidence-based resources from the literature to support the intervention recommendations. Three evidencebased resources are provided to support the intervention recommendations, but they may only provide vague or weak justification. Two or fewer resources are provided to support the intervention recommendations. The resources may not be current or evidence based. NRNP_6665_Week3_Assignment1_Rubric Criteria This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support welldeveloped ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation Ratings 5 to >4.0 pts 4 to >3.5 pts 3.5 to >3.0 pts 3 to >0 pts Excellent Good Fair Poor Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic. Paragraphs and sentences follow writing standards for flow, continuity, and clarity 4.0 pts 4 to >3.5 pts 3.5 to >3.0 pts 3 to >0 pts Excellent Good Fair Poor Uses correct grammar, spelling, and punctuation with no errors Contains one or two grammar, spelling, and punctuation errors Contains several (three or four) grammar, spelling, and punctuation errors Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding NRNP_6665_Week3_Assignment1_Rubric Criteria Ratings This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/narrative intext citations, and reference list. 5 to >4.0 pts 4 to >3.5 pts 3.5 to >3.0 pts 3 to >0 pts Excellent Good Fair Poor Uses correct APA format with no errors Contains one or two APA format errors Contains several (three or four) APA format errors Contains many (five or more) APA format errors Total Points: 100 PreviousNext LEARNING RESOURCES Required Readings • • Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental healthLinks to an external site.. American Psychiatric Association Publishing. o Chapter 14, “Psychosocial Interventions” o Chapter 15, “Psychotherapeutic Interventions” o Chapter 16, “Psychopharmacological Interventions”Links to an external site. Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell. o • Chapter 43, “Pharmacological, Medically-Led and Related Treatments” Walden University. (n.d.). Developing SMART goalsLinks to an external site.. https://academicguides.waldenu.edu/ld.php?content_id=51901492Links to an external site. • Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer. o • • Chapter 5, “Psychopharmacology” CriticalThinkRx. (2019, June 9). Module 5: Links to an external site.Specific drug classes: Focus on adverse effectsLinks to an external site. [Video]. YouTube. https://youtu.be/Gbq6RnOsGKQLinks to an external site. CriticalThinkRx. (2019, June 9). Module 2: Use of psychotropics with youth_prevalence and concernsLinks to an external site. [Video]. YouTube. https://youtu.be/NRef-g4Ding
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