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Assignment NURS 6630  Therapy for Patients With Bipolar Disorders

Assignment: NURS 6630  Therapy for Patients With Bipolar Disorders

Marcus, an 18-year-old high school senior, presents with symptoms of difficulty sleeping and feeling sad,
which result in an initial diagnosis of depression. His mother later reports, however, that Marcus exhibits
symptoms of irritability and risk-taking behaviors. (His little brother reported to his mother that they
were driving over 90 miles an hour on the highway.) After further evaluation, Marcus’ psychiatric nurse
practitioner diagnoses him with bipolar disorder.
Cases like this are not uncommon with bipolar disorder, as initial assessments rarely provide all the
information needed. In your role, as a psychiatric nurse practitioner, you must develop strategies for
properly assessing and diagnosing these patients because treatments for bipolar disorder are
significantly different than treatments for depression or other mood disorders.
This week, as you examine bipolar therapies, you explore the assessment and treatment of patients with
bipolar disorder. You also consider ethical and legal implications of these therapies.
Learning Objectives
Students will:
 Assess patient factors and history to develop personalized plans of bipolar therapy for patients
 Analyze factors that influence pharmacokinetic and pharmacodynamic processes in patients
requiring bipolar therapy
 Synthesize knowledge of providing care to patients presenting for bipolar therapy
 Analyze ethical and legal implications related to prescribing bipolar therapy to patients across
the life span

Learning Resources

Required Readings (click to expand/reduce)

Ostacher, M. J., & Hsin, H. (2016). The use of antiepileptic drugs in psychiatry. In T. A. Stern, M. Favo, T.
E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and
neurotherapeutics (pp. 93–98). Elsevier.
Perlis, R. H., & Ostacher, M. J. (2016a). Bipolar disorder. In T. A. Stern, M. Favo, T. E. Wilens, & J. F.
Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp.
48–60). Elsevier.
Perlis, R. H., & Ostacher, M. J. (2016b). Lithium and its role in psychiatry. In T. A. Stern, M. Favo, T. E.
Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and
neurotherapeutics (pp. 86–92). Elsevier.

Traeger, L., Brennan, M. M., & Herman, J. B. (2016). Treatment adherence. In T. A. Stern, M. Favo, T. E.
Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and
neurotherapeutics (pp. 20–26). Elsevier.

American Psychiatric Association. (2010b). Practice guideline for the treatment of patients with bipolar
disorder (2nd ed.).
https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bipolar.pdf

Assignment NURS 6630  Therapy for Patients With Bipolar Disorders

Assignment NURS 6630  Therapy for Patients With Bipolar Disorders

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS:Assignment: NURS 6630  Therapy for Patients With Bipolar Disorders

Chen, R., Wang, H., Shi, J., Shen, K., & Hu, P. (2015). Cytochrome P450 2D6 genotype affects the
pharmacokinetics of controlled-release paroxetine in healthy Chinese subjects: Comparison of
traditional phenotype and activity score systems. European Journal of Clinical Pharmacology, 71(7),
835–841. https://doi.org/10.1007/s00228-015-1855-6

Hirschfeld, R. M. A. (n.d.). Guideline watch: Practice guideline for the treatment of patients with bipolar
disorder (2nd ed.).
https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bipolar-watch.pdf

Vitiello, B. (2013). How effective are the current treatments for children diagnosed with manic/mixed
bipolar disorder? CNS Drugs, 27(5), 331–333. https://doi.org/10.1007/s40263-013-0060-3

Medication Resources (click to expand/reduce)

U.S. Food & Drug Administration. (n.d.). Drugs@FDA: FDA-approved drugs.
https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm

Note: To access the following medications, use the Drugs@FDA resource. Type the name of each
medication in the keyword search bar. Select the hyperlink related to the medication name you
searched. Review the supplements provided and select the package label resource file associated with
the medication you searched. If a label is not available, you may need to conduct a general search
outside of this resource provided. Be sure to review the label information for each medication as this
information will be helpful for your review in preparation for your Assignments.
Review the following medications:

 amitriptyline
 bupropion
 citalopram
 clomipramine
 desipramine
 desvenlafaxine
 doxepin
 duloxetine
 escitalopram
 fluoxetine
 fluvoxamine

 imipramine
 ketamine
 mirtazapine
 nortriptyline
 paroxetine
 selegiline
 sertraline
 trazodone
 venlafaxine
 vilazodone
 vortioxetine

Required Media (click to expand/reduce)

Case Study: An Asian American Woman with Bipolar Disorder
Note: This case study will serve as the foundation for this week’s Assignment.

Optional Resources (click to expand/reduce)

Mostafavi, A., Solhi, M., Mohammadi, M., Hamedi, M., Keshavarzi, M., & Akhondzadeh, S. (2014).
Melatonin decreases olanzapine induced metabolic side-effects in adolescents with bipolar disorder: A
randomized double-blind placebo-controlled trial. Acta Medica Iranica, 52(10), 734–739.
http://acta.tums.ac.ir/index.php/acta

Assignment: Assessing and Treating Patients With Bipolar Disorder

Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression
and mania for patients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) patients
often present as depressive or manic but may have both; and 2) many symptoms of bipolar disorder are
similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep
understanding of the disorder’s pathophysiology. For this Assignment, as you examine the patient case
study in this week’s Learning Resources, consider how you might assess and treat patients presenting
with bipolar disorder.
To prepare for this Assignment:
 Review this week’s Learning Resources, including the Medication Resources indicated for this
week.
 Reflect on the psychopharmacologic treatments you might recommend for the assessment and
treatment of patients requiring bipolar therapy.
The Assignment: 5 pages
Examine Case Study: An Asian American Woman. Diagnosis-Bipolar Disorder. You will be asked to make
three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that
might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving
throughout the exercise. Before you make your decision, make sure that you have researched each
option and that you evaluate the decision that you will select. Be sure to research each option using the
primary literature.
Introduction to the case (1 page)
 Briefly explain and summarize the case for this Assignment. Be sure to include the specific
patient factors that may impact your decision making when prescribing medication for this
patient.
Decision #1 (1 page)
 Which decision did you select?
 Why did you select this decision? Be specific and support your response with clinically relevant
and patient-specific resources, including the primary literature.
 Why did you not select the other two options provided in the exercise? Be specific and support
your response with clinically relevant and patient-specific resources, including the primary
literature.
 What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
 Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
Decision #2 (1 page)

 Why did you select this decision? Be specific and support your response with clinically relevant
and patient-specific resources, including the primary literature.
 Why did you not select the other two options provided in the exercise? Be specific and support
your response with clinically relevant and patient-specific resources, including the primary
literature.
 What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
 Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
Decision #3 (1 page)
 Why did you select this decision? Be specific and support your response with clinically relevant
and patient-specific resources, including the primary literature.
 Why did you not select the other two options provided in the exercise? Be specific and support
your response with clinically relevant and patient-specific resources, including the primary
literature.
 What were you hoping to achieve by making this decision? Support your response with evidence
and references to the Learning Resources (including the primary literature).
 Explain how ethical considerations may impact your treatment plan and communication with
patients. Be specific and provide examples.
Conclusion (1 page)
 Summarize your recommendations on the treatment options you selected for this patient. Be
sure to justify your recommendations and support your response with clinically relevant and
patient-specific resources, including the primary literature.
Note: Support your rationale with a minimum of five academic resources. While you may use the course
text to support your rationale, it will not count toward the resource requirement. You should be utilizing
the primary and secondary literature.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction,
summary, and references. The Sample Paper provided at the Walden Writing Center provides an
example of those required elements (available at
https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers
submitted must use this formatting.

By Day 7
Submit your Assignment.

Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Please save your Assignment using the naming convention “WK5Assgn+last name+first
initial.(extension)” as the name.
 Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment.
 Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from
this area.
 Next, from the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK5Assgn+last name+first initial.(extension)” and click Open.
 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my
paper(s) to the Global Reference Database.
 Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:
Week 5 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 5 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 5

To participate in this Assignment:
Week 5 Assignment

What’s Coming Up in Week 6?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
Next week, you will continue to build on your assessment and treatment skills as you examine patients
presenting with signs and symptoms consistent with anxiety and PTSD. You will also complete your
Midterm Exam.
Next Week

To go to the next week:
Week 6

Important information for writing discussion questions and participation

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

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