NURS 6630 Treating Clients with With Bipolar Disorder

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NURS 6630 Treating Clients with With Bipolar Disorder

NURS 6630 Treating Clients with With Bipolar Disorder

Bipolar disorder is a unique disorder that causes shifts in mood and energy, which
results in depression and mania for clients. Proper diagnosis of this disorder is often a
challenge for two reasons: 1) clients 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 client case
study in this week’s Learning Resources, consider how you might assess and treat
clients presenting with bipolar disorder.
Learning Objectives
Students will:
 Assess client factors and history to develop personalized plans of bipolar therapy for clients
 Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring bipolar therapy
 Evaluate efficacy of treatment plans
 Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the
lifespan
Learning Resources
Note: To access this week’s required library resources, please click on the link to the
Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Note: All Stahl resources can be accessed through this link provided.

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and
practical applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the Essential Psychopharmacology, 4th ed
tab on the Stahl Online website and select the appropriate chapter. Be sure to read all
sections on the left navigation bar for each chapter.
 Chapter 6, “Mood Disorders”
 Chapter 8, “Mood Stabilizers”
Stahl, S. M., & Ball, S. (2009b). Stahl’s illustrated mood stabilizers. New York, NY:
Cambridge University Press.

To access the following chapters, click on the Illustrated Guides tab and then the
Mood Stabilizers tab.
 Chapter 4, “Lithium and Various Anticonvulsants as Mood Stabilizers for Bipolar Disorder”
 Chapter 5, “Atypical Antipsychotics as Mood Stabilizers for Bipolar Disorder”
Vitiello, B. (2013). How effective are the current treatments for children diagnosed with
manic/mixed bipolar disorder? CNS Drugs, 27(5), 331-333. doi:10.1007/s40263-013-
0060-3

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. doi:10.1007/s00228-015-1855-6
Required Media
Laureate Education. (2016f). Case study: An Asian American woman with bipolar
disorder [Interactive media file]. Baltimore, MD: Author

Note: This case study will serve as the foundation for this week’s Assignment.
Optional Resources

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:NURS 6630 Treating Clients with With Bipolar Disorder

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.
Retrieved from http://acta.tums.ac.ir/index.php/acta
To prepare for this Assignment:

 Review this week’s Learning Resources. Consider how to assess and treat clients requiring
bipolar therapy.
The Assignment
Examine Case Study: An Asian American Woman With Bipolar Disorder. You will be
asked to 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.
At each decision point stop to complete the following:
 Decision #1
o Which decision did you select?
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #1 and the results
of the decision. Why were they different?
 Decision #2
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o Explain any difference between what you expected to achieve with Decision #2 and the results
of the decision. Why were they different?
 Decision #3
o Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
o What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
o 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.
Note: Support your rationale with a minimum of three academic resources. While you
may use the course text to support your rationale, it will not count toward the resource
requirement.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Save your Assignment using the naming convention “WK4Assgn+last name+first
initial.(extension)” as the name.
 Click on the Assignment Rubric to review the Grading Criteria for the Assignment.
 Click on the Week 4 Assignment link. Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK4Assgn+last name+first
initial.(extension)” and click on Open.
 If applicable: From the Plagiarism Tools area, click in the checkbox for I agree to submit my
paper(s) to the Global Reference Database.
Grading Criteria
To access your rubric:
Week 4 Assignment Rubric

Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 4 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 4 Assignment

Making Connections

Now that you have:
 Assessed clients presenting with bipolar disorder
 Developed personalized plans of bipolar therapy for clients
 Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring bipolar therapy
 Explored ethical and legal implications of prescribing bipolar therapy to clients
Next week, you will build on your assessment and treatment skills as you examine
clients presenting for anxiolytic therapy and PTSD treatment.
To go to the next week:
Week 5

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