NURS 6630 Week 3 Assignment
Patient Guide
Understanding that prescribing medication is not the same for all individuals is imperative to becoming a safe and effective psychiatric nurse practitioner. In clinical practice, you will see many patients in different stages of their lives and need to consider these in developing your prescribing treatment plan.
For this Assignment, you will choose a vulnerable patient and develop a 2- to 3-page Medication Guide for them and their family. In your guide, you will consider their ages, birth-assigned sex, FDA approvals, and considerations for increased or decreased risk for side effects. You will choose the most appropriate medication for each of these individuals. Support your answers with evidence-based, peer-reviewed scholarly literature. APA style format title page, citations and references will apply.
Note: You will not set up this Medication Guide as a paragraph-formatted paper but, instead, as a creative, visually appealing guide.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare for this Assignment:
• Select a vulnerable patient from the list provided.
• Consider age, birth-assigned sex, FDA approvals, and risk and side-effect consideration.
• Select the most appropriate medication for your selected patient based upon the information provided.
• Review the textbook for commonly prescribed antidepressants, Fast Facts for Psychopharmacology for Nurse Practitioners.
• Review the textbook Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th ed.). Chapters assigned
• Conduct research through the FDA websiteLinks to an external site..
• Review prescriber information for professionals of the medications.
Note: These can be located free online with web search.
• Review national guidelines for prescribing for these vulnerable individuals:
o Depression Treatments for AdultsLinks to an external site.
o Depression Treatments for Older AdultsLinks to an external site.
o Depression Treatments for Children and AdolescentsLinks to an external site.
The Assignment
Step 1: Choose one of the following vulnerable patients to create a Medication Guide for the patient:
• Patient 1: 26-year-old female with a diagnosis of major depressive disorder and social anxiety disorder who is increasing in isolation and poor self-care. She is in her third trimester of pregnancy.
• Patient 2: 16-year-old male with a diagnosis of major depressive disorder, severe. He has seen a therapist weekly for the past 6 months and has had minimal change in symptoms. He has expressed thoughts of wanting to die.
• Patient 3: 72-year-old male with diagnosis of major depressive disorder and panic disorder. He has cardiac history and takes antihypertensive medications.
• Patient 4: 8-year-old Asian female with a diagnosis of severe depressive disorder presents to the office with a report of worsening symptoms. She has never taken psychotropic medication before.
Step 2: Create a Medication Guide for a patient. In your guide, you should provide the following specific instructions for the patient:
• Describe the chosen classification of medications, from the classification category, for your chosen vulnerable patient. Explain your rationale for your choice.
• Explain what dose you would start the chosen medication with and the frequency.
• Discuss how the medication works to treat their symptoms.
• Explain how long they should take the medication.
• Discuss the typical or common side effects of the medication.
• Explain the urgent or emergent considerations for the patient taking the medication.
The Medication Guide should also include:
• Directions you would provide the patient on how to take the prescribed medication
• Instructions on what the patient should do if a medication dose is missed
• List of any other medications, over-the-counter medications, and/or supplements/herbals the patient should avoid while taking the prescribed medication
• List of foods the patient should avoid when taking this medication
• Date when the patient should return for follow-up visit with you
• Discussion about the legal and ethical considerations for the medication being prescribed
• Answers in consideration of Social Determinants of Health on how you would:
o Assist the patient who cannot not afford to pay financially for the medication you are recommending/prescribing; and/or
o Has difficulty with transportation that impacts their ability to present for regular appointments with you
• Discuss how financial hardship and lack of transportation could relate to Social Determinants of Health, as well as why they are important considerations for you as a prescriber.
By Day 7 of Week 3
Submit by Day 7 of Week 3.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
1. To submit your completed assignment, save your Assignment as WK3Assgn_LastName_Firstinitial
2. Then, click on Start Assignment near the top of the page.
3. Next, click on Upload File and select Submit Assignment for review.
LEARNING RESOURCES
Readings
• Goldin, D. S. (2023). Fast facts for psychopharmacology for nurse practitioners. Springer Publishing.
o Chapter 5, “Antidepressants” (pp. 66–82)
• Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th ed.). Cambridge University Press.
o Chapter 7, “Treatments for Mood Disorders: So-Called “Antidepressants” and “Mood Stabilizers” ” (pp. 284–353)
• American Psychological Association. (2019). Clinical practice guideline for the treatment of depression across three age cohortsLinks to an external site.. https://www.apa.org/depression-guideline/guideline.pdf
• Healthy People 2030. (n.d.). Social determinants of healthLinks to an external site. [Multimedia]. https://health.gov/healthypeople/priority-areas/social-determinants-health
• Drugs.comLinks to an external site.. (2023). https://www.drugs.com/
Note: Please use the following resource to check the most up-to-date box warnings, FDA approvals and indications, recommendations for follow-up evaluations. changes, etc.
• Antidepressant Medication Table
Note: Utilize this medication table to familiarize yourself with the medications aligned with the topics presented this week.
Citalopram Escitalopram Paroxetine Fluoxetine Fluvoxamine Sertraline
Vortioxetine Vilazodone Duloxetine Venlafaxine Levomilnacipran Desvenlafaxine
Amoxapine Amitriptyline Desipramine Nortriptyline Doxepin Trimipramine
Imipramine Protriptyline Mirtazapine Bupropion Selegiline Isocarboxazid
Phenelzine Tranylcypromine
Media Resources
• NEI Psychopharm. (2022, March 15). Symptoms to circuits in mood disordersLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=5RzS573_bWM&list=PLYAIFzMMgrFpTVhVqfIyB9tPLT43Ec7In&index=5
• NEI Psychopharm. (2022, March 15). Combinations for treatment-resistant depressionLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=3jJtfO1-vaA&list=PLYAIFzMMgrFpTVhVqfIyB9tPLT43Ec7In&index=9
• NEI Psychopharm. (2022, March 15). Ketamine for unipolar depressionLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=l71RegYgaPA&list=PLYAIFzMMgrFpTVhVqfIyB9tPLT43Ec7In&index=8
Optional Media
• Mental Health TV. (2022, Oct 7). Psychopharmacology—module fiveLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=1ynTQB59KW0&t=16s
Rubric
NURS_6630_Week3_Assignment_Rubric
NURS_6630_Week3_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeSelected patient guide describes how the medication works, length of use, side effects, and other considerations. The student patient guide addresses all of the specific information for the patient as outlined in the Assignment directions. 40 to >29.0 pts
Excellent
The response comprehensively and clearly explains medication use. The response clearly addresses all the specific information for the patient as outlined in the Assignment directions. 29 to >19.0 pts
Good
The response clearly explains medication use. The response clearly addresses 75% of the specific information for the patient as outlined in the Assignment directions. 19 to >9.0 pts
Fair
The response vaguely explains medication use. The response clearly addresses 50% of the specific information for the patient as outlined in the Assignment directions. 9 to >0 pts
Poor
The response includes inaccurate and vague examples that does not explain medication use, or it is missing. The response clearly addresses 25% of the specific information or does not address the specific information for the patient as outlined in the Assignment directions.
40 pts
This criterion is linked to a Learning OutcomeThe medication guide is accurate in information and written for the appropriate patient audience. The medication guide is creative and visually appealing. 10 to >7.0 pts
Excellent
The medication guide is accurate in information and written for the appropriate patient audience. The medication guide is creative and visually appealing. 7 to >4.0 pts
Good
The medication guide is accurate in information and written for the appropriate patient audience. The medication guide shows some creativity and/or some visually appealing. 4 to >1.0 pts
Fair
The medication guide contains some inaccurate information. Not written for the appropriate patient audience. The medication guide does not show creativity and/or is not visually appealing. 1 to >0 pts
Poor
The medication guide is not accurate in information and appropriate for the patient audience. The submission is not designed as a patient guide, but the submission is a written paper.
10 pts
This criterion is linked to a Learning OutcomeEthical and Legal considerations are discussed. 20 to >18.0 pts
Excellent
The response comprehensively and clearly explains both the ethical and legal considerations of medication use. 18 to >15.0 pts
Good
The response clearly explains one of the ethical and/or legal considerations of medication use. 15 to >10.0 pts
Fair
The response vaguely explains one of the ethical and/or legal considerations of medication use. 10 to >0 pts
Poor
The response includes inaccurate and vague examples that do not explain the ethical and legal considerations of the medication use, or it is missing.
20 pts
This criterion is linked to a Learning OutcomeSocial determinants of health considerations are applied regarding financial responsibility and ability to attend appointments. 20 to >18.0 pts
Excellent
The response comprehensively and clearly explains considerations for social determinants of health. 18 to >15.0 pts
Good
The response clearly explains considerations for social determinants of health. 15 to >10.0 pts
Fair
The response vaguely explains considerations for social determinants of health. 10 to >0 pts
Poor
The response includes inaccurate and vague examples that do not explain considerations for social determinants of health, or it is missing.
20 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English writing standards: Correct grammar, mechanics, and proper punctuation 5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors. 4 to >3.0 pts
Good
Contains a couple (one or two) grammar, spelling, and punctuation errors. 3 to >1.0 pts
Fair
Contains several (three or four) grammar, spelling, and punctuation errors. 1 to >0 pts
Poor
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: The submission contains an APA format for title page, citations, and Reference List. 5 to >4.0 pts
Excellent
Uses correct APA format for title page, citations, and reference list with no errors. 4 to >3.0 pts
Good
Contains one or two APA format errors with title page, citations, and reference list. 3 to >1.0 pts
Fair
Contains three or four APA format errors with title page, citations, and reference list. 1 to >0 pts
Poor
Missing APA format title page, citations, and/or reference list.
5 pts
Total Points: 100
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