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NURS 6670 Mrs. Bowen is a 33-year-old female who presents as a new patient requesting medication for depression.

NURS 6670 Mrs. Bowen is a 33-year-old female who presents as a new patient requesting medication for depression.

Mrs. Bowen is a 33-year-old female who presents as a new patient requesting medication for depression.

Answer:  Mrs. Bowen is a 33-year-old female who presents as a new patient requesting medication for depression. 

Mrs. Bowen is a 33-year-old female who presents as a new patient requesting medication for depression. She reports a long history of mood disorders on and off going back to adolescence. She is very articulate in describing her history and reports that neither sertraline norfluoxetine has worked for her before. Although she has been in therapy for many years, the therapist says that she is not interested in medication but only wants therapy. You believe that Mrs. Bowen should continue trying medications because they have been proved to be extremely beneficial in correcting biochemical imbalances associated with mood disturbances.

Matching patient with the appropriate mental health medication is a complex task, and nurses and nurse practitioners should consult the formal psychopharmacology resources for information on drug-specific dosing and toxicity. For this case study, I revisit the concept of starting low and going slow, as Mrs. Bowen has had depression for years and a multitude of clinicians have prescribed medications for her in the past. The PMHNP follows the same reasoning process used to select an antidepressant for a patient presenting to psychopharmacology: Does it fit the patient’s age group? Is it tolerated by patients? Would it be a good drug to try for this type of illness?

Chapter 4 regarding depression will help you better understand what is a safe and effective strategy for treating elderly patients. This chapter emphasizes that Mrs. Bowen presents

Identifying a patient’s patterns of medication usage over the course of their life and determining when symptoms are ‘exacerbated’ by medication; All patients should be educated regarding the medications they take, what they are for, how they work, amount prescribed, and possible side effects/interactions.

 

Question:

Mrs. Bowen is a 33-year-old female who presents as a new patient requesting medication for depression. She reports a long history of mood disorders on and off going back to adolescence. She is very articulate in describing her history and reports that neither sertraline nor fluoxetine ?worked for her.? She was unable to remember the dose or how long she took the medication. With respect to considering Mrs. Bowen’s medication history, the PMHNP knows that:

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