Mood disorder and children • BestNursingWriters

Mood disorder and children Essay Assignment Paper

The client is an 8-year-old African American male, Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. who arrives at the ER with his mother complained of feeling “sad” He is exhibiting signs of depression. Client complained of feeling “sad” Self-reported mood is “sad”. Mother reports that teacher said child is withdrawn from peers in class, Mother notes decreased appetite and occasional periods of irritation. Client reached all developmental landmarks at appropriate ages. Physical exam unremarkable. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age appropriate. He is not endorsing active suicidal ideation but does admit that he often thinks about himself being dead and what it would be like to be dead. the Children’s Depression Rating Scale was done, obtaining a score of 30 (indicating significant depression). Child was referred and seen by a psychiatry for evaluation.

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· make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. Also include how ethical considerations might impact the treatment plan and communication with clients.

Decision #1(Begin Zoloft 25 mg orally daily, Client returns to clinic in four weeks, No change in depressive symptoms at all)

· Which decision did you select? (Begin Zoloft 25 mg orally daily, Client returns to clinic in four weeks, No change in depressive symptoms at all)

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

· Decision #2 ( increase the dose of Zoloft to 50mg po daily) Client returns to clinic in four weeks, Depressive symptoms decrease by 50%. Client tolerating well.

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

· Decision #3 (maintain current dose of medication)

· Why did you select this decision? Support your response with evidence and references to the Learning Resources.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

· Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

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