Discussion: Prescribing for Older Adults and Pregnant Women
After assessing and diagnosing a patient, PMHNPs must take into consideration special characteristics of the patient before determining an appropriate course of treatment. For pharmacological treatments that are not FDA-approved for a particular use or population, off-label use may be considered when the potential benefits could outweigh the risks.
In this Discussion, you will investigate a specific disorder and determine potential appropriate treatments for when it occurs in an older adult or pregnant woman.
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To Prepare:
- Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the DSM-5-TR to use.
- Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.
Asssignment
- Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.
- Explain the risk assessment you would use to inform your treatment decision What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
- Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.
- Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.
Learning Resources
Required Readings (click to expand/reduce)
https://effectivehealthcare.ahrq.gov/sites/default/files/pdf/protocol-pharm-pregnant-women_0.pdf
- Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.
- Chapter 27, “Psychiatry and Reproductive Medicine”
- Chapter 33, “Geriatric Psychiatry”
- Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning.
- Chapter 3, “Vulnerable Populations”
- Chapter 4, “Mental Health and Primary Care: A Critical Intersection”
- Chapter 5, “Cultural Sensitivity and Global Health”
- Required Media (click to expand/reduce)
- American Psychiatric Association. (2020). Geriatric telepsychiatry [Video]. https://www.psychiatry.org/psychiatrists/practice/telepsychiatry/toolkit/geriatric-telepsychiatry
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Main Posting:
Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. |
40 (40%) – 44 (44%)
Thoroughly responds to the Discussion question(s) Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources No less than 75% of post has exceptional depth and breadth Supported by at least three current credible sources |
35 (35%) – 39 (39%)
Responds to most of the Discussion question(s) Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module 50% of the post has exceptional depth and breadth Supported by at least three credible references |
31 (31%) – 34 (34%)
Responds to some of the Discussion question(s) One to two criteria are not addressed or are superficially addressed Is somewhat lacking reflection and critical analysis and synthesis Somewhat represents knowledge gained from the course readings for the module Post is supported by fewer than two credible references |
0 (0%) – 30 (30%)
Does not respond to the Discussion question(s) Lacks depth or superficially addresses criteria Lacks reflection and critical analysis and synthesis Does not represent knowledge gained from the course readings for the module Contains only one or no credible references |
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Main Posting:
Writing |
6 (6%) – 6 (6%)
Written clearly and concisely Contains no grammatical or spelling errors Adheres to current APA manual writing rules and style |
5 (5%) – 5 (5%)
Written concisely May contain one to two grammatical or spelling errors Adheres to current APA manual writing rules and style with minor errors |
4 (4%) – 4 (4%)
Written somewhat concisely May contain more than two spelling or grammatical errors Contains some APA formatting errors |
0 (0%) – 3 (3%)
Not written clearly or concisely Contains more than two spelling or grammatical errors Does not adhere to current APA manual writing rules and style |
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Main Posting:
Timely and full participation |
9 (9%) – 10 (10%)
Meets requirements for timely, full, and active participation Posts main Discussion by due date |
8 (8%) – 8 (8%)
Posts main Discussion by due date Meets requirements for full participation |
7 (7%) – 7 (7%)
Posts main Discussion by due date |
0 (0%) – 6 (6%)
Does not meet requirements for full participation Does not post main Discussion by due date |
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First Response:
Post to colleague’s main post that is reflective and justified with credible sources |
9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings Responds to questions posed by faculty The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. |
8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
7 (7%) – 7 (7%)
Response is on topic, may have some depth. |
0 (0%) – 6 (6%)
Response may not be on topic, lacks depth. |
