Assessing and Treating Patients With Sleep/Wake Disorders
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Assignment 2: Assessing and Treating Patients With Sleep/Wake Disorders
Sleep disorders are conditions that result in changes in an individual’s pattern of sleep (Mayo Clinic, 2020). Not surprisingly, a sleep disorder can affect an individual’s overall health, safety, and quality of life. Psychiatric nurse practitioners can treat sleep disorders with psychopharmacologic treatments, however, many of these drugs can have negative effects on other aspects of a patient’s health and well-being. Additionally, while psychopharmacologic treatments may be able to address issues with sleep, they can also exert potential challenges with waking patterns. Thus, it is important for the psychiatric nurse practitioner to carefully evaluate the best psychopharmacologic treatments for patients that present with sleep/wake disorders.
Reference: Mayo Clinic. (2020). Sleep disorders. https://www.mayoclinic.org/diseases-conditions/sleep-disorders/symptoms-causes/syc-20354018
To prepare for this Assignment:
Review this week’s Learning Resources, including the Medication Resources indicated for this week.
Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with sleep/wake disorders.
BELOW IS THE QUESTION———————————-
The Assignment: 5 pages
Examine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
BELOW IS THE REQUIRED READING / LEARNING RESOURCES
Learning Resources
Required Readings (click to expand/reduce)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Fernandez-Mendoza, J., & Vgontzas, A. N. (2013). Insomnia and its impact on physical and mental health. Current Psychiatry Reports, 15(12), 418. https://doi.org/10.1007/s11920-012-0418-8
Levenson, J. C., Kay, D. B., & Buysse, D. J. (2015). The pathophysiology of insomnia. Chest, 147(4), 1179–1192. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388122/
Morgenthaler, T. I., Kapur, V. K., Brown, T. M., Swick, T. J., Alessi, C., Aurora, R. N., Boehlecke, B., Chesson, A. L., Friedman, L., Maganti, R., Owens, J., Pancer, J., & Zak, R. (2007). Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin. SLEEP, 30(12), 1705–1711. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_Narcolepsy.pdf
Morgenthaler, T. I., Owens, J., Alessi, C., Boehlecke, B, Brown, T. M., Coleman, J., Friedman, L., Kapur, V. K., Lee-Chiong, T., Pancer, J., & Swick, T. J. (2006). Practice parameters for behavioral treatment of bedtime problems and night wakings in infants and young children. SLEEP, 29(1), 1277–1281. https://j2vjt3dnbra3ps7ll1clb4q2-wpengine.netdna-ssl.com/wp-content/uploads/2017/07/PP_NightWakingsChildren.pdf
Sateia, M. J., Buysse, D. J., Krystal, A. D., Neubauer, D. N., & Heald, J. L. (2017). Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults: An American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 13(2), 307–349. https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.6470
Winkleman, J. W. (2015). Insomnia disorder. The New England Journal of Medicine, 373(15), 1437–1444. https://doi.org/10.1056/NEJMcp1412740:
BELOW IS THE MEDICATION RESOURCES——————-
Medication Resources (click to expand/reduce)
U.S. Food & Drug Administration. (n.d.). Drugs@FDA: FDA-approved drugs. https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm
Note: To access the following medications, use the Drugs@FDA resource. Type the name of each medication in the keyword search bar. Select the hyperlink related to the medication name you searched. Review the supplements provided and select the package label resource file associated with the medication you searched. If a label is not available, you may need to conduct a general search outside of this resource provided. Be sure to review the label information for each medication as this information will be helpful for your review in preparation for your Assignments.
alprazolam
amitriptyline
amoxapine
amphetamine
desipramine
diazepam
doxepin
eszopiclone
flunitrazepam
flurazepam
hydroxyzine
imipramine
lemborexant
lorazepam
melatonin
methylphenedate
modafinil
armodafinil
carnitine
clomipramine
clonazepam
nortriptyline
pitolisant
ramelteon
sodium oxybate
solriamfetol
SSRI’s
temazepam
trazodone
triazolam
trimipramine
wellbutrin
zaleplon
zolpidem
BELOW IS AN ADDITIONAL INFORMATION———————————–
For Assignment #2 Patient Case Decision Tree Assignment:
o Complete the case study assignment which involves a decision tree by day 7 by Sunday by 11:59 p.m. Mountain Time MT/ 1:59 a.m. Eastern Time the next day.
o The required readings
o The medication resources
o The required media-read the case study under the required media
o Carefully read and follow the assignment instructions, my announcement about the decision tree/case study from week 4, and review the grading rubric for grading criteria. Be sure you have all required elements (see grading rubric, assignment instructions and my detailed instructions from week 4). The ethical considerations may be included with the decision or in the conclusion.
o This paper should follow APA 7 format with a title page, reference page, in-text citations, etc.
o Your case study must have at least 5 credible academic sources, and although you may use the textbook, it will not count as 1 of the 5 required sources. Therefore, if the textbook is used, you will still need to use at least 5 more sources per the assignment instructions. WebMD is not an acceptable academic resource.
o While reading the case study, evaluate and research each option. Then select the option you choose (click on it) and continue forward through the 3 decision points. Do not start over or go back and repeat. Select your option and continue forward to the next screen which will reveal the outcome prior to giving you the next decision point. Not following instructions may result in a 0 or decreased grade.
o Follow the assignment instructions for each of the 5 pages, not including the title page or reference page, for this assignment. Do not exceed the page limits for any of the 5 parts. It is acceptable to have more than 1 page of references, but you need to keep to the page limits for the other sections of your paper. You need to be concise and only include the required information. Exceeding the page limits for each part and/or providing excessive unnecessary information will only count against you in grading.
o All work must be your own work in your own words with proper citations.
o Do not view or use other students work as this is cheating and will be treated as such. This includes but is not limited to: other students currently in this course in any section; students who previously took this course; students’ work posted online; students’ work posted on assistive sites; using other students’ work for your research or as guidance, etc. and all of these aforementioned are considered cheating. This is not allowed or permissible. When I grade, I will research this and if I find this has been done, I will start the Academic Integrity inquiry process for the College of Nursing program and program director to make the determination and establish the punishment if a violation is found.
o Your work should not match other student’s work.
o Paraphrasing using your own words, thoughts, understanding, and ideas is required.
o No direct quotes in your assignments, which will result in point deductions. I want to see that you understand the material and can apply this in patient case situations and in clinical situations with real patients.
Posted by: Matthew Bledsoe
Posted to: DNRS-6630-14/NURS-6630N-14-Approaches to Treatment-2022-Fall-QTR-Term-wks-1-thru-11-(08/29/2022-
PLEASE MAKE SURE TO USE APA FORMAT; REFERENCE PAGE; INTEXT CITATION, 5 references
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