Discuss how the psychiatric mental health nurse practitioner could assist the client in the creation of a more viable medication management plan
Tate is a 30-year-old client. When he was 16, he was in foster care and began to show signs of the prodromal symptoms of schizophrenia. At 17, he began to experience hallucinations and delusions. He was hospitalized for treatment where he was diagnosed with schizophrenia and treated with risperidone which was effective in managing his symptoms. At 18, he graduated from high school and aged out of foster care leaving him with no support system. He did not have consistent housing and frequently stayed with friends and acquaintances. Over the next few years, he was hospitalized with several acute psychotic episodes. Following the most recent episode, he was prescribed olanzapine 15 mg. He adheres to his treatment regimen when he can find transportation to the community clinic, but he sometimes runs out of medication. He self-medicates with alcohol to “make the voices be quiet.”
Tate has no college or vocational training. He occasionally works odd jobs but lacked steady employment. He receives a small amount of supplemental security income, food assistance, and his health care is provided via Medicaid. He lacks the social and cognitive skills to obtain consistent employment and housing without assistance.
Include the following sections:
Application of Course Knowledge
1. Discuss how the psychiatric mental health nurse practitioner could assist the client in the creation of a more viable medication management plan.
2. Write a prescription appropriate for the client with evidence support.
3. Identify housing and support resources available in your community that are relevant for this client.
4. Discuss how services provided via a mental health clubhouse model may benefit the client. Consider the effectiveness of the model according to research findings.
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