\n20 to >17.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nDiscussion includes Depressive disorder causes and symptoms; Discussion includes how depression is diagnosed for the chosen vulnerable population. The response accurately and clearly explains in detail the specific patient factors that impact decision making when prescribing medication for this patient.<\/span>\u00a0<\/span><\/td>\n | 17 to >15.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nDiscussion is vague regarding Depressive disorder causes and symptoms; Discussion is vague on how depression is diagnosed for the chosen vulnerable population.<\/span>\u00a0<\/span><\/td>\n | 15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nDiscussion is vague regarding Depressive disorder and missing causes and\/or symptoms; Discussion is vague on how depression is diagnosed for the chosen vulnerable population.<\/span>\u00a0<\/span><\/td>\n | 13 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nDiscussion is inaccurate regarding Depressive disorder and missing causes and\/or symptoms; Discussion is missing and\/or inaccurate on how depression is diagnosed for the chosen vulnerable population.<\/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 Medication treatment options including risk vs benefits; side effects; FDA approvals for the vulnerable population of your choice \u2022 Medication considerations of medication examples prescribed \u2022 What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring of medications prescribed\u00a0<\/span>\u00a0<\/span><\/td>\n | \n\n\n\n20 to >17.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nMedication treatment options are discussed including risk vs benefits; side effects; FDA approvals for the chosen vulnerable population; Medication considerations of medication examples prescribed; contains discussion of items important to monitor in terms of labs, comorbid medical issues with why important for monitoring.<\/span>\u00a0<\/span><\/td>\n | 17 to >15.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nMedication treatment options are briefly discussed and vague regarding risk vs benefits; side effects; FDA approvals for the chosen vulnerable population is vague; vague discussion medication considerations of medication examples prescribed; contains discussion of items important to monitor in terms of labs, comorbid medical issues with why important for monitoring.<\/span>\u00a0<\/span><\/td>\n | 15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nMedication treatment options are vague and missing risk vs benefits; side effects; missing discussion of FDA approvals for the chosen vulnerable population; no medication considerations of medication examples prescribed; missing elements of discussing items important to monitor in terms of labs, comorbid medical issues with why important for monitoring.<\/span>\u00a0<\/span><\/td>\n | 13 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nMedication treatment options are inaccurate, vague and\/or missing including risk vs benefits; side effects; missing or inaccurate discussion on FDA approvals for the chosen vulnerable population; no medication considerations of medication examples prescribed discussed; contains inaccurate, minimal, or no discussion of items important to monitor in terms of labs, comorbid medical issues with why important for monitoring.<\/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 Special Considerations (you must be specific, not general and address at least one for EACH category; you must demonstrate critical thinking beyond basics of HIPPA and informed consent!): legal considerations, ethical considerations, cultural considerations, social determinants of health \u2022 Where to follow up in your local community for further information\u00a0<\/span>\u00a0<\/span><\/td>\n | \n\n\n\n20 to >17.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nSpecial 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. Discussion includes directions for where to follow up in local community for further information.<\/span>\u00a0<\/span><\/td>\n | 17 to >15.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nSpecial 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. Discussion includes directions for where to follow up in local community for further information.<\/span>\u00a0<\/span><\/td>\n | 15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nSpecial 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. Discussion directions for where to follow up in local community for further information are vague.<\/span>\u00a0<\/span><\/td>\n | 13 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nSpecial Considerations are discussed not specific, is inaccurate and\/or general and missing 3+ or more or does not discuss any 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. Discussion does not include directions for where to follow up in local community for further information.<\/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 The medication guide discusses why the chosen population is considered vulnerable. The medications guide language is appropriate for the intended audience (patient, caregiver, parent, etc). The medication guide is interesting and appealing including use of graphics\/tables.\u00a0<\/span>\u00a0<\/span><\/td>\n | \n\n\n\n15 to >13.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Excellent Point range: 90\u2013100<\/span>\u00a0<\/span><\/p>\nThe medication guide discusses why the chosen population is considered vulnerable. The medications guide language is appropriate for the intended audience (patient, caregiver, parent, etc). The medication guide is interesting and appealing including use of graphics\/tables.<\/span>\u00a0<\/span><\/td>\n | 13 to >11.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Good Point range: 80\u201389<\/span>\u00a0<\/span><\/p>\nThe medication guide is vague in discussion why the chosen population is considered vulnerable. The medications guide language is not consistently appropriate for the intended audience (patient, caregiver, parent, etc). The medication guide is interesting and appealing including use of graphics\/tables.<\/span>\u00a0<\/span><\/td>\n | 11 to >9.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Fair Point range: 70\u201379<\/span>\u00a0<\/span><\/p>\nThe medication guide does not discuss why the chosen population is considered vulnerable. The medications guide language is not consistently appropriate for the intended audience (patient, caregiver, parent, etc). The medication guide has limited appeal with use of graphics\/tables.<\/span>\u00a0<\/span><\/td>\n | 9 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nThe medication guide does not discuss why the chosen population is considered vulnerable. The medications guide language is not appropriate for the intended audience (patient, caregiver, parent, etc). The medication guide is not interesting and appealing in and\/or missing use of graphics\/tables.<\/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>\n Excellent 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>\n Good 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>\n Fair 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>\n Poor 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>\n Excellent 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>\n Good 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>\n Fair 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>\n Poor Point range: 0\u201369<\/span>\u00a0<\/span><\/p>\nParagraphs and sentences follow writing standards for flow, continuity, and clarity less than 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 limited to 5 pages not including title and reference page.\u00a0<\/span>\u00a0<\/span><\/td>\n | \n\n\n\n5 to >4.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Excellent 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 limited to 5 pages not including title and reference page.<\/span>\u00a0<\/span><\/td>\n | 4 to >3.5 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Good 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 6 pages not including title and reference page.<\/span>\u00a0<\/span><\/td>\n | 3.5 to >3.0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Fair 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 7 pages not including title and reference page resources.<\/span>\u00a0<\/span><\/td>\n | 3 to >0 pts\u00a0<\/span>\u00a0<\/span><\/p>\n Poor 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 8+ pages not including title 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 <\/p>\n \u00a0<\/span><\/p>\nA Sample Answer For the Assignment: ASSESSING AND TREATING VULNERABLE POPULATIONS FOR DEPRESSIVE DISORDERS NURS 6630<\/strong><\/h2>\nTitle: ASSESSING AND TREATING VULNERABLE POPULATIONS FOR DEPRESSIVE DISORDERS NURS 6630<\/strong><\/h2>\nMajor depression is a mental disorder among most of the American population. Depression affects health, wellbeing and quality of life of the patients and their families. Psychiatric practitioners should be competent in the assessment, diagnosis, treatment, monitoring, and evaluation of depression. They should be able to select evidence-based treatments for vulnerable populations for their recovery and health. Therefore, this essay examines depression among the elderly populations. It focuses on topics such as causes and symptoms, diagnosis, medication treatment options, monitoring and special considerations.\u00a0<\/span>\u00a0<\/span><\/p>\nCauses and Symptoms of Depression<\/span><\/b>\u00a0<\/span><\/h2>\nDepression among the elderly is attributed to several causes. One of the causes is genetics. An elderly patient born to a family with a history of major depression is at a risk of developing the disorder because of the role of genetics. Chronic illnesses also contribute to the development of major depression. For example, the experiences with health issues such as cancer or chronic obstructive pulmonary disease predispose patients to major depression. The use of alcohol and other drugs can also cause depression. Substance use and abuse may produce side effects, which include major depression. Traumatic experiences in life also cause major depression. Patients with histories such as loss of a significant other, job, or undergoing challenges such as a divorce also increases the risk of developing major depression. Imbalances in the neurotransmitters and hormones in the brain also cause major depression. Imbalances in hormones such as acetylcholine and dopamine predispose individuals to major depression (Trenoweth, 2022). Similarly, any disruption in the levels of neurotransmitters such as serotonin and norepinephrine also cause major depression.\u00a0<\/span>\u00a0<\/span><\/p>\nThe elderly patients suffering from major depression experience several symptoms. One of them is feeling sad in most of the days, nearly every day. They also raise a significant decline in their interest or pleasure nearly every day. The patients also report weight gain from increased appetite or loss because of decline in appetite. They also experience slowed thought processes, fatigue, and feel worthless or guilty almost every day. The depressed mood makes it hard for them to concentrate or make decisions. In some cases, patients report recurrent suicidal thoughts, attempts, with or without a plan. A comprehensive history taking reveals that the symptoms are not because of a medical condition, medication use or substance abuse (Trenoweth, 2022). In addition, the symptoms affect the normal functioning of the patients in their environments.\u00a0<\/span>\u00a0<\/span><\/p>\nDiagnosis<\/span><\/b>\u00a0<\/span><\/h2>\nThe diagnosis of major depression in the elderly patients require a detailed history taking and physical assessment. History taking provides subjective information about the disorder to the practitioner. The psychiatric nurse asks questions that quantify the existence and severity of a health problem. History taking provides insights into potential causes of major depression such as family history of the disease, substance abuse, a history of depression, and the patient experiencing a traumatic event. Physical examination provides subjective information about the disorder. The practitioner relies on methods such as inspection, palpation, percussion, and auscultation. There are also the use of diagnostic and laboratory investigations in physical assessment. The investigations help rule out other potential causes of major depression symptoms in this population (Alshawwa et al., 2019). Nurse practitioners use both subjective and objective assessments to develop accurate diagnoses of their clients\u2019 problems.\u00a0<\/span>\u00a0<\/span><\/p>\nThe elderly are considered a vulnerable population when diagnosing and treating mental health problems. First, they are a vulnerable population because of their increased predisposition to multiple comorbidities. Besides major depression, the elderly people also have a high risk of developing chronic conditions such as hypertension, heart failure, and dementia. The elderly patients are also a vulnerable population because of their decline in productivity. Social and occupational productivity decline with aging. The elderly patients have limited involvement in most of the social and occupational roles. As a result, their access to healthcare and other social opportunities is low, making them a vulnerable population. Aging is also associated with decline in physiological functioning. Accordingly, the elderly patients have reduced functioning of the vital organs such as the liver and kidneys. The reduced functioning alters the normal processes such as drug metabolism and excretion (Saedi et al., 2019). The changes places them at a high risk of drug toxicity in disease management, hence, them being a vulnerable population.\u00a0<\/span>\u00a0<\/span><\/p>\nMedication Treatment Options<\/span><\/b>\u00a0<\/span><\/h2>\nPharmacotherapy is the gold approach to depression treatment in the elderly patients. The treatment phases are three. They include acute, continuation, and maintenance phase. Prescription of drugs for this population should consider their environmental and social contexts. For example, the availability of adequate social support and socialization improves outcomes in the elderly patients suffering from major depression. Most of the elderly patients have pre-existing comorbid conditions such as diabetes and heart failure (Hoel et al., 2021). As a result, the treatment options for major depression should be considered for safety and quality outcomes.\u00a0<\/span> | | | | | | | | | | | | | |