Assignment Help | Describe the HPI and clinical impression for the client.

As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the “captain of the ship” concerning caring for a patient population. The “captain of the ship” is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the “captain of the ship” and NPs played a peripheral role.

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In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.
Students will:
Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with depression disorders
Recommend psychotherapy based on therapeutic endpoints for clients with depression disorders
Identify medical management needs for clients with depression disorders
Identify community support resources for clients with depression disorders
Recommend follow-up plans for clients with depression disorders
To prepare for this Assignment:

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Select an adult or older adult client with a depressive disorder you have seen in your practicum.
In 5 pages, write a treatment plan for your client in which you do the following:

Describe the HPI and clinical impression for the client.
Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
Identify medical management needs, including primary care needs, specific to this client.
Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

MODEL ANSWER

Depressive Disorder

A depressive disorder refers to a clinical condition in which the patient loses interest in normal activities that they once considered enjoyable. Their life is characterized by loss of appetite, sleep, and moodiness. Mrs. Jean Richards is a 55-year-old woman who has a depressive disorder. Of late, she has not had any motivation and zeal to do anything she loved doing. She has two children who testify to experiencing and feeling the mood | PLACE YOUR ORDER NOW AT writtask.com | also noted that she seems to be getting slimmer and excessively | PLACE YOUR ORDER NOW AT writtask.com | also not able to do any of the chores that were part of her routine, such as walking the dog.

HPI and Clinical Impressions

Mrs. Richards’s | PLACE YOUR ORDER NOW AT writtask.com | of present illness | PLACE YOUR ORDER NOW AT writtask.com | life has been worsening since she cannot function as | PLACE YOUR ORDER NOW AT writtask.com | due to the personality changes, memory difficulties, and acute physical pain she has been experiencing. The severity of her pain, on a scale of 1 to 10, has been at 6 constantly since her symptoms | PLACE YOUR ORDER NOW AT writtask.com | her symptoms showed up 3 weeks ago, after which they continued to worsen consistently as the days went by. However, her condition seems to worsen substantially in the evening as she walks the dog on the beach. After noticing the changes, her children tried to change her schedule | PLACE YOUR ORDER NOW AT writtask.com | started traveling with her to give her a change of scenery. Some of the associated signs and symptoms that helped in bringing the patient’s condition to the…

Psychopharmacologic Treatments Psychopharmacology | PLACE YOUR ORDER NOW AT writtask.com | the use of medication to | PLACE YOUR ORDER NOW AT writtask.com | a patient’s depressive | PLACE YOUR ORDER NOW AT writtask.com | information, the nurse can prescribe some medication that would help in dealing with the disorder more effectively, as well as give her family | PLACE YOUR ORDER NOW AT writtask.com | much-needed peace of | PLACE YOUR ORDER NOW AT writtask.com | needs Benzodiazepines to deal with severe anxiety and sleep | PLACE YOUR ORDER NOW AT writtask.com | needs anti-depressants, which will work through the neurotransmitters in her brain such as dopamine, serotonin, and norepinephrine to significantly change her mood and disposition not only to her environment but towards herself and her family as well. They …

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