NURS 6630C: Psychopharmacology

Patient 5: 27-year-old male with a diagnosis of schizophrenia. He has been hospitalized three (3) times in the past 1 year due to symptoms. When symptomatic, he becomes disorganized and paranoid. He will respond to auditory hallucinations. He will scream out at night after seeing a shadow in his room. He has delusions that the CIA is poisoning food and will not eat for multiple days. He has unintentionally hurt his mother after “slapping” food out of her hand, as he did not want her to ingest the “poisoned food.” Symptoms are treated very well with paliperidone, but he struggles to remember to take it. 

Med List: paliperidone palmitate, clozapine, lamotrigine

• Construct a 4-5 paper concerning your assigned vulnerable population patient case. In your paper include the following:

Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.

• Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.

Explain the dosing schedule for the specific patient including the therapeutic endpoint.

Provide necessary education to the patient to review risks, benefits, and potential side effects of the medication.

Describe any necessary labs or additional diagnostics needed prior to prescribing this medication.

Explain how you might monitor efficacy or side effects of the medication.

• Include any additional collaboration or education to others that would be necessary for this patient. Consider family members, home health care, primary care providers, etc.
• What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario? What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.

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