Sample Answer for Assessing and Treating Patients With Bipolar Disorder NURS 6630 Included After Question<\/strong><\/span><\/h2>\nAssessing and Treating Patients With Bipolar Disorder<\/span><\/b>\u00a0<\/span><\/b>\u00a0<\/span><\/p>\nBipolar 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<\/a> are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder\u2019s pathophysiology. For this Assignment, as you examine the patient case study in this week\u2019s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.<\/span>\u00a0<\/span><\/p>\nResources<\/span><\/b>\u00a0<\/span><\/h2>\nBe sure to review the Learning Resources before completing this activity. <\/span>
\nClick the weekly resources link to access the resources.\u202f<\/span>\u00a0<\/span><\/p>\n![\"Assessing](\"http:\/\/nursingassignmentcrackers.com\/wp-content\/uploads\/2024\/02\/Capture-9-1-300x62.png\")
Assessing and Treating Patients With Bipolar Disorder NURS 6630<\/figcaption><\/figure>\nWEEKLY RESOURCES<\/span><\/b><\/a>\u00a0<\/span><\/h2>\nTo prepare for this Assignment:<\/span><\/b>\u00a0<\/span><\/h3>\n\n- Review this week\u2019s Learning Resources, including the Medication Resources indicated for this week.<\/span>\u00a0<\/span><\/li>\n
- Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring bipolar therapy.<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
The Assignment: 5 pages<\/span><\/b>\u00a0<\/span><\/h2>\nFor this assignment, you will write a 5\u20136-page paper on the topic of bipolar and bipolar and related disorders.\u202fYou will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.<\/span>\u00a0<\/span><\/p>\nIn your paper, you will choose one of the following diagnoses: Bipolar I, Bipolar II, Cyclothymic Disorder, Substance\/Medication-Induced Bipolar and Related Disorder, Bipolar and Related Disorder Due to Another Medical Condition. Your paper will include discussion for your chosen diagnosis of bipolar and related disorder on the following:<\/span>\u00a0<\/span><\/p>\n\n- Prevalence and Neurobiology of your chosen disorder<\/span>\u00a0<\/span><\/li>\n
- Discuss the differences between your chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria<\/span>\u00a0<\/span><\/li>\n
- Discuss special populations and considerations (children, adolescents, pregnancy\/post-partum, older adult, emergency care) for your chosen bipolar and related disorder; demonstrating critical thinking beyond basics of HIPPA and informed consent with discussion of at least one for EACH category:\u202f legal considerations, ethical considerations, cultural considerations, social determinants of health<\/span>\u00a0<\/span><\/li>\n
- Discuss FDA and\/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for your chosen bipolar and related disorder<\/span>\u00a0<\/span><\/li>\n
- Of the medication treatment options for your chosen disorder discuss side effects, FDA approvals and warnings.\u202f What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring<\/span>\u00a0<\/span><\/li>\n
- Provide 3 examples of how to write a proper prescription that you would provide to the patient or transmit to the pharmacy.\u202f<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
Note:<\/span><\/i><\/b> 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.<\/span><\/i>\u00a0<\/span><\/p>\nReminder<\/span><\/b>: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. <\/span>The Sample Paper provided at the Walden Writing Center\u00a0<\/span><\/a>\u00a0<\/span><\/p>\nLinks to an external site.<\/span><\/a> provides an example of those required elements (available at\u202f https:\/\/academicguides.waldenu.edu\/writingcenter\/templates\/general#s-lg-box-20293632)<\/a>. All papers submitted must use this formatting.<\/span>\u00a0<\/span><\/p>\nBy Day 7<\/span><\/b>\u00a0<\/span><\/h2>\nSubmit<\/span><\/b> your Assignment.\u202f<\/span>\u00a0<\/span><\/p>\nsubmission information<\/span><\/b>\u00a0<\/span><\/h2>\nBefore submitting your final assignment, you can check your draft for authenticity. To check your draft, access the <\/span>Turnitin Drafts<\/span><\/b> from the <\/span>Start Here<\/span><\/b> area.\u202f<\/span>\u00a0<\/span><\/p>\n\n- To submit your completed assignment, save your Assignment as <\/span>WK5Assgn_LastName_Firstinitial<\/span><\/b>\u00a0<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n- Then, click on <\/span>Start Assignment<\/span><\/b> near the top of the page.<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\n- Next, click on <\/span>Upload File<\/span><\/b> and select <\/span>Submit Assignment<\/span><\/b> for review.<\/span>\u00a0<\/span><\/li>\n<\/ol>\n
\u00a0<\/span><\/p>\nRubric<\/span><\/b>\u00a0<\/span><\/p>\nNURS_6630_Week5_Assignment_Rubric\u00a0<\/span>\u00a0<\/span><\/p>\n\n\n\nNURS_6630_Week5_Assignment_Rubric\u00a0<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\nCriteria<\/span><\/b>\u00a0<\/span><\/td>\n Ratings<\/span><\/b>\u00a0<\/span><\/td>\n Pts\u00a0<\/span><\/b>\u00a0<\/span><\/td>\n<\/tr>\n\nThis criterion is linked to a Learning Outcome Write a 5\u20136-page paper on the topic of bipolar and bipolar related disorders: \u2022 Prevalence \u2022 Neurobiology\u00a0<\/span>\u00a0<\/span><\/td>\n \n\n\n\n20 to >17.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nExcellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nDiscussion includes Prevalence and Neurobiology of chosen bipolar and related disorder.<\/span>\u00a0<\/span><\/td>\n
17 to >15.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nGood Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nDiscussion is vague regarding Prevalence and Neurobiology of chosen bipolar and related disorder.<\/span>\u00a0<\/span><\/td>\n
15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nFair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nDiscussion is missing one section for Prevalence and Neurobiology of chosen bipolar and related disorder.<\/span>\u00a0<\/span><\/td>\n
13 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nPoor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nDiscussion is inaccurate or missing more than one section for Prevalence and Neurobiology of chosen bipolar and related disorder.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\u00a0<\/span><\/td>\n
20 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\nThis criterion is linked to a Learning Outcome \u2022 Discuss the differences between your chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria.\u00a0<\/span>\u00a0<\/span><\/td>\n \n\n\n\n20 to >17.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nExcellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nDiscussion includes the differences between chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria.<\/span>\u00a0<\/span><\/td>\n
17 to >15.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nGood Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nDiscussion includes the differences between chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM version older than DSM 5 TR criteria.<\/span>\u00a0<\/span><\/td>\n
15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nFair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nDiscussion is vague in differences between chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria and\/or missing discussion presentation of symptoms according to DSM 5 TR criteria or older version of DSM.<\/span>\u00a0<\/span><\/td>\n
13 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nPoor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nDiscussion is inaccurate or does not include the differences between chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria or older version of DSM.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\u00a0<\/span><\/td>\n
20 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\nThis criterion is linked to a Learning Outcome \u2022 Discuss special populations and considerations (children, adolescent, pregnancy\/post-partum, older adult, emergency care) for your chosen bipolar and related disorder-be specific, not general and address at least one for EACH category demonstrating critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.\u00a0<\/span>\u00a0<\/span><\/td>\n \n\n\n\n20 to >17.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nExcellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nSpecial Populations and Considerations are discussed and specific, not general and address at least one for EACH category demonstrating critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.<\/span>\u00a0<\/span><\/td>\n
17 to >15.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nGood Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nSpecial Populations and Considerations are discussed not specific, but general and address at least one for EACH category demonstrating critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.<\/span>\u00a0<\/span><\/td>\n
15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nFair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nSpecial Populations Considerations are discussed not specific, but general and missing 1-2 of EACH category and does not demonstrate critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.<\/span>\u00a0<\/span><\/td>\n
13 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nPoor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nSpecial Populations Considerations are vaguley or not discussed, not specific, is inaccurate and\/or general and missing 3+ or more of or none of EACH category, inaccurate discussion and\/or does not demonstrate critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\u00a0<\/span><\/td>\n
20 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\nThis criterion is linked to a Learning Outcome \u2022 Discuss FDA and\/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for your chosen bipolar and related disorder \u2022 Of the medication treatment options for your chosen disorder discuss side effects, FDA approvals and warnings. What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring.\u00a0<\/span>\u00a0<\/span><\/td>\n \n\n\n\n15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nExcellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nDiscussion includes FDA and\/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for chosen bipolar and related disorder; Of the medication treatment options chosen for the disorder there is discussion regarding side effects, FDA approvals and warnings. Paper includes what is important to monitor in terms of labs, comorbid medical issues with why important formonitoring.<\/span>\u00a0<\/span><\/td>\n
13 to >11.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nGood Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nDiscussion includes vague FDA and\/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for chosen bipolar and related disorder; Of the medication treatment options chosen for the disorder there is vague discussion regarding side effects, FDA approvals and warnings. Paper includes vague discussion what is important to monitor in terms of labs, comorbid medical issues with why important for monitoring.<\/span>\u00a0<\/span><\/td>\n
11 to >9.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nFair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nDiscussion includes pharmacological treatment options but not aligned with FDA approved and\/or clinical practice guidelines in relation to acute and mixed episodes vs maintenance pharmacological treatment for chosen bipolar and related disorder; Of the medication treatment options chosen for the disorder there is missing elements for discussion regarding side effects, FDA approvals and warnings. Paper includes what is important to monitor in terms of labs, comorbid medical issues but does not discuss why important for monitoring.<\/span>\u00a0<\/span><\/td>\n
9 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nPoor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nDiscussion inaccurate and\/or missing pharmacological treatment options but not aligned with FDA approved and\/or clinical practice guidelines in relation to acute and mixed episodes vs maintenance pharmacological treatment for chosen bipolar and related disorder; Of the medication treatment options chosen for the disorder there is inaccurate or no elements for discussion regarding side effects, FDA approvals and warnings. Paper does not include what is important to monitor in terms of labs, comorbid medical issues but does not discuss why important for monitoring.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\u00a0<\/span><\/td>\n
15 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\nThis criterion is linked to a Learning Outcome Provides three examples of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription contains date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.\u00a0<\/span>\u00a0<\/span><\/td>\n \n\n\n\n15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nExcellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nProvides three examples of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription contains date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.<\/span>\u00a0<\/span><\/td>\n
13 to >11.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nGood Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nProvides three examples of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription is missing 1-2 elements of the following; date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.<\/span>\u00a0<\/span><\/td>\n
11 to >9.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nFair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nProvides two examples of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription is missing 3 of the following: date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.<\/span>\u00a0<\/span><\/td>\n
9 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nPoor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nProvides one example of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription is missing 4+ or is inaccurately written for date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\u00a0<\/span><\/td>\n
15 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\nThis criterion is linked to a Learning Outcome Written Expression and Formatting\u2014Paragraph development and organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused\u2014neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.\u00a0<\/span>\u00a0<\/span><\/td>\n \n\n\n\n5 to >4.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nExcellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nParagraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.<\/span>\u00a0<\/span><\/td>\n
4 to >3.5 pts\u00a0<\/span>\u00a0<\/span><\/p>\nGood Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time….Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.<\/span>\u00a0<\/span><\/td>\n
3.5 to >3.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nFair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%\u201379% of the time…. Purpose, introduction, and conclusion of the assignment is vague or off topic.<\/span>\u00a0<\/span><\/td>\n
3 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nPoor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nParagraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion were provided.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\u00a0<\/span><\/td>\n
5 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\nThis criterion is linked to a Learning Outcome Written Expression and Formatting\u2014English writing standards: Correct grammar, mechanics, and punctuation; Includes title page and reference page with a minimum of 3 scholarly supporting resources outside of course provided resources; Paper is 5-6 pages not counting title page and reference page.\u00a0<\/span>\u00a0<\/span><\/td>\n \n\n\n\n5 to >4.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nExcellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nUses correct grammar, spelling, and punctuation with no errors; Includes title page and reference page with a minimum of 3 scholarly supporting resources outside of course provided resources. Paper is 5-6 pages not counting title page and reference page.<\/span>\u00a0<\/span><\/td>\n
4 to >3.5 pts\u00a0<\/span>\u00a0<\/span><\/p>\nGood Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nContains a few (one or two) grammar, spelling, and punctuation errors; includes the following: title page and reference page. Only contains 2 scholarly supporting resources outside of course provided resources. Paper is 4 pages not counting title page and reference page.<\/span>\u00a0<\/span><\/td>\n
3.5 to >3.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nFair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nContains several (three or four) grammar, spelling, and punctuation errors; missing one of the following; title page or reference page; only contains 1 scholaraly supporting resources outside of course provided. Paper is 3 pages or exceeds to page 7 not counting title page and reference page.<\/span>\u00a0<\/span><\/td>\n
3 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\nPoor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nContains many (\u2265 five) grammar, spelling, and punctuation errors that interfere with the reader\u2019s understanding; missing the following; title page and reference page; contains no scholaraly supporting resources outside of course provided resources. Paper is 2 pages or exceeds 8 pages not counting title page and reference page.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\u00a0<\/span><\/td>\n
5 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n\nTotal Points: 100<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\u00a0<\/span><\/p>\nA Sample Answer For the Assignment: Assessing and Treating Patients With Bipolar Disorder NURS 6630<\/strong><\/h2>\nTitle: Assessing and Treating Patients With Bipolar Disorder NURS 6630<\/strong><\/h2>\nA mental illness known as bipolar disorder is characterized by alternating episodes of mania and depression. However, mania or depression tend to have a greater impact on the majority of those who have this disorder. An intense stage of symptoms precedes the onset of the condition, which is subsequently followed by a cycle of remission and recurrence that occurs periodically (Carvalho et al., 2020). A period of time when a person’s mood is consistently expansive, high, or irritable as well as an apparent boost in energy is what is known as a manic episode. Hypomania is a milder form of mania that can occur in a patient and is characterized by a single episode lasting at least four days. Compared to experiences of mania or hypomania, episodes of depression often last longer (Carvalho et al., 2020). This essay’s goal is to describe a patient who has been diagnosed with bipolar disorder, her treatment strategy, and the ethical issues that may affect that strategy.<\/span>\u00a0<\/span><\/p>\nIntroduction to the Case<\/span><\/b>\u00a0<\/span><\/h2>\nA female client of Korean heritage, age 26, is seeing a doctor for the first time to get her bipolar I disease under control. The customer is 110 pounds and 5′ 5″ tall. She claims to be in a wonderful mood and finds sleep to be dull. Her medical records show she is in generally good condition, and her blood results fall within the expected ranges. Despite this, she has the CYP2D6*10 allele, according to genetic tests. Lithium was last taken by her two weeks ago. She receives a 22 on the Young Mania Rating Scale (YMRS), which is administered by the PMHNP. Patient characteristics that may affect prescribing choices include past and present drugs, previous treatment response, physical and mental comorbidities, side effects of prior medications, and the patient’s treatment preferences (Carvalho et al., 2020). The current mood (mania\/depression) will also affect the drug that is prescribed.<\/span>\u00a0<\/span><\/p>\n\u00a0<\/span><\/p>\nDecision 1<\/span><\/b>\u00a0<\/span><\/h2>\nLithium 300 mg orally BID.<\/span>\u00a0<\/span><\/p>\nWhy is this decision appropriate?<\/span><\/b>\u00a0<\/span><\/h2>\nBecause lithium is the preferred medication for people with classic mania, it was chosen. Lithium has been a cornerstone of BD treatment for decades and is still regarded as first-line therapy, claim Baldessarini et al. (2019). Lithium has a short-term effect for acute mania in adult bipolar patients and lengthens the interval between any mood episode relapses.<\/span>\u00a0<\/span><\/p>\nWhy not consider other two available options?<\/span><\/b>\u00a0<\/span><\/h2>\nBecause it is not advised for patients who have the CYP2D6*10 allele, Risperdal was a poor choice. According to Cui et al. (2020), people with the CYP2D6*10 allele have a slower metabolism for the drug risperidone. Risperdal clearance is decreased by the decreased metabolic rate, which leads to higher serum levels of the medication, drowsiness, and eventually low drug compliance. Seroquel’s metabolic side effects, which result in elevated levels of total cholesterol and triglycerides as well as weight gain, make it less than optimal (Butler et al., 2018). Seroquel would make the patient’s elevated BMI worse.<\/span>\u00a0<\/span><\/p>\n
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<\/a> are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder\u2019s pathophysiology. For this Assignment, as you examine the patient case study in this week\u2019s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.<\/span>\u00a0<\/span><\/p>\n Be sure to review the Learning Resources before completing this activity. <\/span> For this assignment, you will write a 5\u20136-page paper on the topic of bipolar and bipolar and related disorders.\u202fYou will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.<\/span>\u00a0<\/span><\/p>\n In your paper, you will choose one of the following diagnoses: Bipolar I, Bipolar II, Cyclothymic Disorder, Substance\/Medication-Induced Bipolar and Related Disorder, Bipolar and Related Disorder Due to Another Medical Condition. Your paper will include discussion for your chosen diagnosis of bipolar and related disorder on the following:<\/span>\u00a0<\/span><\/p>\n Note:<\/span><\/i><\/b> 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.<\/span><\/i>\u00a0<\/span><\/p>\n Reminder<\/span><\/b>: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. <\/span>The Sample Paper provided at the Walden Writing Center\u00a0<\/span><\/a>\u00a0<\/span><\/p>\n Links to an external site.<\/span><\/a> provides an example of those required elements (available at\u202f https:\/\/academicguides.waldenu.edu\/writingcenter\/templates\/general#s-lg-box-20293632)<\/a>. All papers submitted must use this formatting.<\/span>\u00a0<\/span><\/p>\n Submit<\/span><\/b> your Assignment.\u202f<\/span>\u00a0<\/span><\/p>\n Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the <\/span>Turnitin Drafts<\/span><\/b> from the <\/span>Start Here<\/span><\/b> area.\u202f<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Rubric<\/span><\/b>\u00a0<\/span><\/p>\n NURS_6630_Week5_Assignment_Rubric\u00a0<\/span>\u00a0<\/span><\/p>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\n Discussion includes Prevalence and Neurobiology of chosen bipolar and related disorder.<\/span>\u00a0<\/span><\/td>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\n Discussion is vague regarding Prevalence and Neurobiology of chosen bipolar and related disorder.<\/span>\u00a0<\/span><\/td>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\n Discussion is missing one section for Prevalence and Neurobiology of chosen bipolar and related disorder.<\/span>\u00a0<\/span><\/td>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\n Discussion is inaccurate or missing more than one section for Prevalence and Neurobiology of chosen bipolar and related disorder.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \u00a0<\/span><\/td>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\n Discussion includes the differences between chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria.<\/span>\u00a0<\/span><\/td>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\n Discussion includes the differences between chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM version older than DSM 5 TR criteria.<\/span>\u00a0<\/span><\/td>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\n Discussion is vague in differences between chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria and\/or missing discussion presentation of symptoms according to DSM 5 TR criteria or older version of DSM.<\/span>\u00a0<\/span><\/td>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\n Discussion is inaccurate or does not include the differences between chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria or older version of DSM.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \u00a0<\/span><\/td>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\n Special Populations and Considerations are discussed and specific, not general and address at least one for EACH category demonstrating critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.<\/span>\u00a0<\/span><\/td>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\n Special Populations and Considerations are discussed not specific, but general and address at least one for EACH category demonstrating critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.<\/span>\u00a0<\/span><\/td>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\n Special Populations Considerations are discussed not specific, but general and missing 1-2 of EACH category and does not demonstrate critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.<\/span>\u00a0<\/span><\/td>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\n Special Populations Considerations are vaguley or not discussed, not specific, is inaccurate and\/or general and missing 3+ or more of or none of EACH category, inaccurate discussion and\/or does not demonstrate critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \u00a0<\/span><\/td>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\n Discussion includes FDA and\/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for chosen bipolar and related disorder; Of the medication treatment options chosen for the disorder there is discussion regarding side effects, FDA approvals and warnings. Paper includes what is important to monitor in terms of labs, comorbid medical issues with why important formonitoring.<\/span>\u00a0<\/span><\/td>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\n Discussion includes vague FDA and\/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for chosen bipolar and related disorder; Of the medication treatment options chosen for the disorder there is vague discussion regarding side effects, FDA approvals and warnings. Paper includes vague discussion what is important to monitor in terms of labs, comorbid medical issues with why important for monitoring.<\/span>\u00a0<\/span><\/td>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\n Discussion includes pharmacological treatment options but not aligned with FDA approved and\/or clinical practice guidelines in relation to acute and mixed episodes vs maintenance pharmacological treatment for chosen bipolar and related disorder; Of the medication treatment options chosen for the disorder there is missing elements for discussion regarding side effects, FDA approvals and warnings. Paper includes what is important to monitor in terms of labs, comorbid medical issues but does not discuss why important for monitoring.<\/span>\u00a0<\/span><\/td>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\n Discussion inaccurate and\/or missing pharmacological treatment options but not aligned with FDA approved and\/or clinical practice guidelines in relation to acute and mixed episodes vs maintenance pharmacological treatment for chosen bipolar and related disorder; Of the medication treatment options chosen for the disorder there is inaccurate or no elements for discussion regarding side effects, FDA approvals and warnings. Paper does not include what is important to monitor in terms of labs, comorbid medical issues but does not discuss why important for monitoring.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \u00a0<\/span><\/td>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\n Provides three examples of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription contains date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.<\/span>\u00a0<\/span><\/td>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\n Provides three examples of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription is missing 1-2 elements of the following; date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.<\/span>\u00a0<\/span><\/td>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\n Provides two examples of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription is missing 3 of the following: date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.<\/span>\u00a0<\/span><\/td>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\n Provides one example of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription is missing 4+ or is inaccurately written for date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \u00a0<\/span><\/td>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\n Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.<\/span>\u00a0<\/span><\/td>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\n Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time….Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.<\/span>\u00a0<\/span><\/td>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\n Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%\u201379% of the time…. Purpose, introduction, and conclusion of the assignment is vague or off topic.<\/span>\u00a0<\/span><\/td>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\n Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion were provided.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \u00a0<\/span><\/td>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\n Uses correct grammar, spelling, and punctuation with no errors; Includes title page and reference page with a minimum of 3 scholarly supporting resources outside of course provided resources. Paper is 5-6 pages not counting title page and reference page.<\/span>\u00a0<\/span><\/td>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\n Contains a few (one or two) grammar, spelling, and punctuation errors; includes the following: title page and reference page. Only contains 2 scholarly supporting resources outside of course provided resources. Paper is 4 pages not counting title page and reference page.<\/span>\u00a0<\/span><\/td>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\n Contains several (three or four) grammar, spelling, and punctuation errors; missing one of the following; title page or reference page; only contains 1 scholaraly supporting resources outside of course provided. Paper is 3 pages or exceeds to page 7 not counting title page and reference page.<\/span>\u00a0<\/span><\/td>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\n Contains many (\u2265 five) grammar, spelling, and punctuation errors that interfere with the reader\u2019s understanding; missing the following; title page and reference page; contains no scholaraly supporting resources outside of course provided resources. Paper is 2 pages or exceeds 8 pages not counting title page and reference page.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \u00a0<\/span><\/td>\n \u00a0<\/span><\/p>\n A mental illness known as bipolar disorder is characterized by alternating episodes of mania and depression. However, mania or depression tend to have a greater impact on the majority of those who have this disorder. An intense stage of symptoms precedes the onset of the condition, which is subsequently followed by a cycle of remission and recurrence that occurs periodically (Carvalho et al., 2020). A period of time when a person’s mood is consistently expansive, high, or irritable as well as an apparent boost in energy is what is known as a manic episode. Hypomania is a milder form of mania that can occur in a patient and is characterized by a single episode lasting at least four days. Compared to experiences of mania or hypomania, episodes of depression often last longer (Carvalho et al., 2020). This essay’s goal is to describe a patient who has been diagnosed with bipolar disorder, her treatment strategy, and the ethical issues that may affect that strategy.<\/span>\u00a0<\/span><\/p>\n A female client of Korean heritage, age 26, is seeing a doctor for the first time to get her bipolar I disease under control. The customer is 110 pounds and 5′ 5″ tall. She claims to be in a wonderful mood and finds sleep to be dull. Her medical records show she is in generally good condition, and her blood results fall within the expected ranges. Despite this, she has the CYP2D6*10 allele, according to genetic tests. Lithium was last taken by her two weeks ago. She receives a 22 on the Young Mania Rating Scale (YMRS), which is administered by the PMHNP. Patient characteristics that may affect prescribing choices include past and present drugs, previous treatment response, physical and mental comorbidities, side effects of prior medications, and the patient’s treatment preferences (Carvalho et al., 2020). The current mood (mania\/depression) will also affect the drug that is prescribed.<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n Lithium 300 mg orally BID.<\/span>\u00a0<\/span><\/p>\n Because lithium is the preferred medication for people with classic mania, it was chosen. Lithium has been a cornerstone of BD treatment for decades and is still regarded as first-line therapy, claim Baldessarini et al. (2019). Lithium has a short-term effect for acute mania in adult bipolar patients and lengthens the interval between any mood episode relapses.<\/span>\u00a0<\/span><\/p>\n Because it is not advised for patients who have the CYP2D6*10 allele, Risperdal was a poor choice. According to Cui et al. (2020), people with the CYP2D6*10 allele have a slower metabolism for the drug risperidone. Risperdal clearance is decreased by the decreased metabolic rate, which leads to higher serum levels of the medication, drowsiness, and eventually low drug compliance. Seroquel’s metabolic side effects, which result in elevated levels of total cholesterol and triglycerides as well as weight gain, make it less than optimal (Butler et al., 2018). Seroquel would make the patient’s elevated BMI worse.<\/span>\u00a0<\/span><\/p>\nResources<\/span><\/b>\u00a0<\/span><\/h2>\n
\nClick the weekly resources link to access the resources.\u202f<\/span>\u00a0<\/span><\/p>\nWEEKLY RESOURCES<\/span><\/b><\/a>\u00a0<\/span><\/h2>\n
To prepare for this Assignment:<\/span><\/b>\u00a0<\/span><\/h3>\n
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The Assignment: 5 pages<\/span><\/b>\u00a0<\/span><\/h2>\n
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By Day 7<\/span><\/b>\u00a0<\/span><\/h2>\n
submission information<\/span><\/b>\u00a0<\/span><\/h2>\n
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\n NURS_6630_Week5_Assignment_Rubric\u00a0<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n Criteria<\/span><\/b>\u00a0<\/span><\/td>\n Ratings<\/span><\/b>\u00a0<\/span><\/td>\n Pts\u00a0<\/span><\/b>\u00a0<\/span><\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Write a 5\u20136-page paper on the topic of bipolar and bipolar related disorders: \u2022 Prevalence \u2022 Neurobiology\u00a0<\/span>\u00a0<\/span><\/td>\n \n \n\n
\n 20 to >17.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 17 to >15.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 13 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 20 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome \u2022 Discuss the differences between your chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria.\u00a0<\/span>\u00a0<\/span><\/td>\n \n \n\n
\n 20 to >17.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 17 to >15.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 13 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 20 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome \u2022 Discuss special populations and considerations (children, adolescent, pregnancy\/post-partum, older adult, emergency care) for your chosen bipolar and related disorder-be specific, not general and address at least one for EACH category demonstrating critical thinking beyond basics of HIPPA and informed consent: legal considerations, ethical considerations, cultural considerations, social determinants of health.\u00a0<\/span>\u00a0<\/span><\/td>\n \n \n\n
\n 20 to >17.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 17 to >15.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 13 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 20 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome \u2022 Discuss FDA and\/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for your chosen bipolar and related disorder \u2022 Of the medication treatment options for your chosen disorder discuss side effects, FDA approvals and warnings. What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring.\u00a0<\/span>\u00a0<\/span><\/td>\n \n \n\n
\n 15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 13 to >11.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 11 to >9.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 9 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 15 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Provides three examples of how to write a proper prescription that would be provided to patient and\/or transmitted to pharmacy. Prescription contains date, medication and strength, amount to be taken, route to be taken, frequency, indication, quantity, refills; providers signature.\u00a0<\/span>\u00a0<\/span><\/td>\n \n \n\n
\n 15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 13 to >11.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 11 to >9.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 9 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 15 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Written Expression and Formatting\u2014Paragraph development and organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused\u2014neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.\u00a0<\/span>\u00a0<\/span><\/td>\n \n \n\n
\n 5 to >4.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 4 to >3.5 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 3.5 to >3.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 3 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 5 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n This criterion is linked to a Learning Outcome Written Expression and Formatting\u2014English writing standards: Correct grammar, mechanics, and punctuation; Includes title page and reference page with a minimum of 3 scholarly supporting resources outside of course provided resources; Paper is 5-6 pages not counting title page and reference page.\u00a0<\/span>\u00a0<\/span><\/td>\n \n \n\n
\n 5 to >4.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 4 to >3.5 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 3.5 to >3.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 3 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n 5 pts<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n Total Points: 100<\/span>\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n A Sample Answer For the Assignment: Assessing and Treating Patients With Bipolar Disorder NURS 6630<\/strong><\/h2>\n
Title: Assessing and Treating Patients With Bipolar Disorder NURS 6630<\/strong><\/h2>\n
Introduction to the Case<\/span><\/b>\u00a0<\/span><\/h2>\n
Decision 1<\/span><\/b>\u00a0<\/span><\/h2>\n
Why is this decision appropriate?<\/span><\/b>\u00a0<\/span><\/h2>\n
Why not consider other two available options?<\/span><\/b>\u00a0<\/span><\/h2>\n