case study

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zvxb124

Health Medical

Moraine Valley Community College

Description

Case study is attached. 

General Directions

Review the provided case study to complete this week’s discussion.

Include the following sections:

Application?of?Course?Knowledge: Answer all questions/criteria with explanations and detail.

Select one drug to treat the diagnosis(es) or symptoms.

List medication class and mechanism of action for the chosen medication.

  1. Write the prescription in prescription format.

Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.

List any side effects or adverse effects associated with the medication.

  1. Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
  2. Provide a minimum of three appropriate medication-related teaching points for the client and/or family.
  3. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:

Unformatted Attachment Preview

NR 546 Week 3 Case Study Subjective Objective Physical Examination: General Patient’s Chief Complaints: “I’m in danger” History of Present Illness WS is a 22-year-old Hispanic male brought in by his parents due to increasingly erratic behavior, social withdrawal, and impaired occupational functioning. WS states he believes he is being followed and “they are trying to get me and take me.” WS states the voices tell him he is being watched. He states he can hear two people talking to him and “they tell me everything, I know what people are saying.” He reports the voices tell him people want to lock him up. This has been occurring for the past 6 months now and the voices have become more frequent. WS displays disorganized thoughts, paranoid ideation, and auditory hallucinations. Family members express worry about his well-being and seek professional help due to a decline in WS functioning. Alert, appropriately dressed Hispanic male in no apparent distress. He appears older than his stated age. Vital Signs: BP-124/84, T-98.8F, P-82, RR-20, SpO2: 98% Wt 200 lbs, Ht 5’10” Past psychiatric history: None Past Medical History: Acid reflux treated with OTC Tums. Family History • Father is alive, has anxiety 3.24 MWS • • • Mother is alive, has history of Diabetes One sister- healthy Family reports father’s brother has schizophrenia Social History • • • • • • • • • • • • •Cranial nerves II-VIII intact •Gait steady •Denies headache and dizziness Lives with parents and sister does not have many friends unemployed, has not been able to keep a job due to worsening paranoia High school graduate Smokes ½ pack a day Drinks socially, 1-2 times a week, mostly beer Appearance: Disheveled appropriate dress for age and situation, well nourished, eye contact poor, No apparent distress Several gasses of coke or sweet tea during the day Smoke marijuana occasionally, 3-4 times a week. no formal exercise no hobbies Mood: Euthymic Review of Systems • Mental status exam: Occasional GERD, relieved with TUMS Appetite poor, weight stable Sleeps 4-5 hours at night Allergies: NKDA Alertness and Orientation: Fully oriented to person‚ place‚ time‚ and situation, Alert Behavior: Cooperative Speech: Soft, flat Affect: Constricted, congruent Thought Process: Tangential, loose associations Thought content: Paranoid with delusions that he is being followed. No thoughts of suicide‚ self-harm‚ or passive death wish, Denies thoughts of wanting to harm others. Perceptions: No response to internal stimuli noted during interview, reports auditory hallucinations. Memory: Recent and remote WNL Judgement/Insight: Insight is poor, Judgement is poor Attention and observed intellectual functioning: Attention intact for purpose of assessment. Fund of knowledge: Good general fund of knowledge and vocabulary Musculoskeletal: Normal gait and station Diagnosis: F20.9 Schizophrenia, unspecified Psychopharmacology Questions: see the discussion guidelines rubric 3.24 MWS
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Explanation & Answer

Attached.

1

NR 546 Week 3 Case Study

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2
NR 546 Week 3 Case Study
WS is a 22-year-old Hispanic male diagnosed with schizophrenia after his parents
brought him to the clinic due to persistently worsening erratic behavior, social withdrawal, and
impaired occupational functioning. The mental status exam showed that WS has constricted
effects, delusions with paranoia, auditory hallucinations, tangential and loosely connected
thought processes, and poor insights and judgment. Therefore, the purpose of this discussion
paper is to illustrate how Aripiprazole is the right medication for his treatment due to its
mechanism of action, safety, limited severe side effects, and strength of the evidence supporting
its use for young adult schizophrenia patients.
Medication Class and Mechanism of Action
Aripiprazole (Abilify or Aristada) is a third-generation antipsychotic that belongs to the
class of dopamine-serotonin partial agonists (DS-PRA) due to its high affinity for dopamine and
serotonin receptors (Stelmach et al., 2023). In this regard, Stelmach et al. (2023) state that
Aripiprazole's mechanism of action is characterized by its partial ag...


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