Assessing and Treating Clients With Psychosis and Schizophrenia
Examine Case Study: Pakistani Woman with Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to assess client factors and history to develop personalized plans of antipsychotic therapy for clients. Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring antipsychotic therapy. Evaluate efficacy of treatment plans. Analyze ethical and legal implications related to prescribing antipsychotic therapy to clients across the lifespan.
At each decision point stop to complete the following:
Decision #1– Start Invega Sustenna 234 mg intramuscular once followed by 156 mg intramuscular on day 4 and monthly thereafter.
Which decision did you select?
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- – Continue same decision made but instruct administering nurse to begin injections into the deltoid at this visit and moving forward
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– Continue with the Invega Sustenna. Counsel client on the fact that weight gain from Invega Sustenna is not as much as what other drugs with similar efficacy can cause. Make appointment with a dietician and an exercise physiologist. Follow up in one month
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?
Also, include how ethical considerations might impact your treatment plan and communication with clients.
