Examine Case Study: A Puerto Rican Woman With Comorbid Addiction.<\/p>\n
Comorbid Ad Assignment 1: Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction<\/p>\n
When assessing and treating patients with impulsivity, compulsivity, and addiction, it is important to take a comprehensive approach that considers the individual’s physical, psychological, and social needs. This may involve conducting a thorough assessment to determine the specific symptoms and underlying causes of the patient’s impulsivity, compulsivity, and addiction, as well as any comorbid conditions that may be contributing to these behaviors.<\/p>\n
In order to effectively treat these conditions, it may be necessary to address both the impulsivity, compulsivity, and addiction, as well as any underlying mental health conditions, such as anxiety, depression, or trauma. This may involve a combination of medications, psychotherapy, and other interventions, such as support groups or lifestyle changes.<\/p>\n
It is also important to consider the patient’s social environment and support network, as these can greatly impact their ability to engage in treatment and maintain long-term recovery. This may involve involving family members or other support systems in the treatment process, as well as providing education and support to help the patient develop healthy coping mechanisms and prevent relapse.<\/p>\n
The goal of treatment for impulsivity, compulsivity, and addiction is to help the patient develop the skills and strategies they need to manage their symptoms and prevent relapse, while also addressing any underlying mental health conditions and promoting overall health and well-being.<\/p>\n
Reference: MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions\u2019 effect on the cerebral cortex. https:\/\/www.mentalhelp.net\/addiction\/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex\/<\/p>\n
To prepare for this Assignment:<\/p>\n
\u2022 Review this week\u2019s Learning Resources, including the Medication Resources indicated for this week.
\n\u2022 Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring therapy for impulsivity, compulsivity, and addiction.<\/p>\n
The Assignment: 5 pages<\/p>\n
Examine Case Study: A Puerto Rican Woman With Comorbid Addiction.
\nYou 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\u2019s pharmacokinetic and pharmacodynamic processes.
\nAt each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.<\/p>\n
Introduction to the case (1 page)<\/p>\n
\u2022 Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.<\/p>\n
Decision #1 (1 page)<\/p>\n
\u2022 Which decision did you select?
\n\u2022 Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
\n\u2022 Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
\n\u2022 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
\n\u2022 Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.<\/p>\n
Decision #2 (1 page)<\/p>\n
\u2022 Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
\n\u2022 Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
\n\u2022 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
\n\u2022 Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.<\/p>\n
Decision #3 (1 page)<\/p>\n
\u2022 Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
\n\u2022 Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
\n\u2022 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
\n\u2022 Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Examine Case Study: A Puerto Rican Woman With Comorbid Addiction.<\/p>\n
Conclusion (1 page)<\/p>\n
\u2022 Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.<\/p>\n
Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.<\/p>\n
Comorbid Addiction (ETOH and Gambling) 53-year-old Puerto Rican Female<\/p>\n
Decision Point One
\nVivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks
\nRESULTS OF DECISION POINT ONE
\n\u2022 Client returns to clinic in four weeks
\n\u2022 Mrs. Perez says she feels \u201cwonderful\u201d as she has not \u201ctouched a drop\u201d of alcohol since receiving the injection
\n\u2022 Client reports that she has not been going to the casino, as frequently, but when she does go she \u201cdrops a bundle\u201d (meaning, spends a lot of money gambling)
\n\u2022 Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also has her concerned<\/p>\n
Decision Point Two
\nRefer to a counselor to address gambling issues<\/p>\n
RESULTS OF DECISION POINT TWO
\n\u2022 Mrs. Perez returns in 4 weeks and reports that the anxiety that she had been experiencing is gone.
\n\u2022 She reports that she has met with the counselor, but she did not really like her.
\n\u2022 She also started going to a local meeting of Gamblers Anonymous. She states that last week, for the first time, she spoke during the meeting. She reports feeling supported in this group.<\/p>\n
Decision Point Three
\nExplore the issue that Mrs. Perez is having with her counselor, and encourage her to continue attending the Gamblers Anonymous meetings<\/p>\n
Guidance to Student<\/p>\n
Although controversy exists in the literature regarding how long to maintain a client on Vivitrol, 8 weeks is probably too soon to consider discontinuation. The psychiatric mental health nurse practitioner should explore the issues that Mrs. Perez is having with her counselor. As will be covered in more depth in future courses, ruptures in the therapeutic alliance can result in clients stopping therapy. Clearly, if the client does not continue with therapy, the likelihood of the gambling problem spontaneously remitting is lower (than had the client continued to receive therapy). Recall that there are no FDA-approved treatments for gambling addiction. The mainstay of treatment for this disorder is counseling. Since Mrs. Perez reports good perceived support from the Gamblers Anonymous meetings, she should be encouraged to continue her participation with this group.<\/p>\n
You need to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health.<\/p>\n
BACKGROUND
\nMrs. Maria Perez is a 53 year old Puerto Rican female who presents today due to a rather \u201cembarrassing problem.\u201d<\/p>\n
SUBJECTIVE<\/p>\n
Mrs. Perez admits that she has had \u201cproblems\u201d with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20\u2019s and has been involved with Alcoholics Anonymous \u201con and off\u201d for the past 25 years. She states that for the past 2 years, she has been having more and more difficulty maintaining her sobriety since the opening of the new \u201cRising Sun\u201d casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during its grand opening at which point she was \u201chooked.\u201d She states that she gets \u201csuch a high\u201d when she is gambling. While gambling, she \u201cenjoys a drink or two\u201d to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past 2 years and she is concerned about the negative effects of cigarette smoking on her health.<\/p>\n
She states that she attempts to abstain from drinking but she gets such a \u201chigh\u201d from the act of gambling that she needs a few drinks to \u201ceven out.\u201d She also notices that when she drinks, she doesn\u2019t smoke \u201cas much,\u201d but she enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much. She currently weighs 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight.<\/p>\n
Mrs. Perez is quite concerned today because she borrowed over $50,000 from her retirement account to pay off her gambling debts, and her husband does not know.<\/p>\n
MENTAL STATUS EXAM<\/p>\n
The client is a 53 year old Puerto Rican female who is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. When you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is \u201csad.\u201d Affect is appropriate to content of conversation and self-reported mood. She denies visual or auditory hallucinations, and no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact; however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.<\/p>\n
Diagnosis: Gambling disorder, alcohol use disorder<\/p>\n
Comorbid Addiction (ETOH and Gambling)
\n53-year-old Puerto Rican Female
\nPuerto Rican female, Examine Case Study: A Puerto Rican Woman With Comorbid Addiction.<\/p>\n
Decision Point One
\nVivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks
\nRESULTS OF DECISION POINT ONE<\/p>\n
Client returns to clinic in four weeks
\nMrs. Perez says she feels \u201cwonderful\u201d as she has not \u201ctouched a drop\u201d of alcohol since receiving the injection
\nClient reports that she has not been going to the casino, as frequently, but when she does go she \u201cdrops a bundle\u201d (meaning, spends a lot of money gambling)
\nClient She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also has her concerned
\nDecision Point Two
\nRefer to a counselor to address gambling issues
\nRESULTS OF DECISION POINT TWO<\/p>\n
Mrs. Perez returns in 4 weeks and reports that the anxiety that she had been experiencing is gone.
\nShe reports that she has met with the counselor, but she did not really like her.
\nShe also started going to a local meeting of Gamblers Anonymous. She states that last week, for the first time, she spoke during the meeting. She reports feeling supported in this group.
\nDecision Point Three
\nExplore the issue that Mrs. Perez is having with her counselor, and encourage her to continue attending the Gamblers Anonymous meetings
\nGuidance to Student
\nAlthough controversy exists in the literature regarding how long to maintain a client on Vivitrol, 8 weeks is probably too soon to consider discontinuation. The psychiatric mental health nurse practitioner should explore the issues that Mrs. Perez is having with her counselor. As will be covered in more depth in future courses, ruptures in the therapeutic alliance can result in clients stopping therapy. Clearly, if the client does not continue with therapy, the likelihood of the gambling problem spontaneously remitting is lower (than had the client continued to receive therapy). Recall that there are no FDA-approved treatments for gambling addiction. The mainstay of treatment for this disorder is counseling. Since Mrs. Perez reports good perceived support from the Gamblers Anonymous meetings, she should be encouraged to continue her participation with this group.<\/p>\n
You need to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health.<\/p>\n","protected":false},"excerpt":{"rendered":"
Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. Comorbid Ad Assignment 1: Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction When assessing and treating patients with impulsivity, compulsivity, and addiction, it is important to take a comprehensive approach that considers the individual’s physical, psychological, and social needs. This may involve conducting a […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4486,994],"tags":[],"class_list":["post-116334","post","type-post","status-publish","format-standard","hentry","category-case-study-homework-help","category-nursing-case-study-help"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts\/116334","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/comments?post=116334"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts\/116334\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/media?parent=116334"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/categories?post=116334"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/tags?post=116334"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}