Question

Examine Case Study: An Elderly Hispanic Man With Major Depressive 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 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 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 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. 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.

Answer 1

Answer 'Cuculeferine) Decision 1: I will start with [Zoloft as ng orelly) Daily Z oloft belongs to class of selectine -Secotonen Reuptake Inhibitors It hass Less-side Effects and better tolerated * I choose this Medicine because i were to choose Wellbutrin (buprion) or Effexor it would have Caused side Effects of Seizures and Hypertension respectively. Expected Results Palicut is able to loupore los two weeks Some Signs should I night improve with his works Exercise well improve sleep eve. Differences between Expected Result and outcome Sae provenant sent in his Mental Capability after 2-3 weeks but patient complains of Sexual Dysfunction and Insonnia. Decision 2: Now I will add Wellbution isomy in Morning and because patient had complain of decreased Sex arve, Compotence or difficulty in having an Orgaton And) I will reduce dose of Zoloft to 12.5mg & Now I will look for a Suicidal lendancy - Ejaculatry & Samal Issues in Patients sopocked Result Result is Reduction of Symptoms of klajor Depresive Disorder and frepoved in the side effect profile.

other Difference between Expected Result and Outcome Major Depressive Disorder Symptome improved but the side effects of Sexul Dysfunction Love weren't Insomnia controlled Decision 3: Now will channe zoloft with Elavil (Song because beligut had complains of decreased sen arine, Lapotency or Difficult agadon. I will ever keep Wellbutrow Dose (150 m) as it is also one of the best Drus to control, Suicidal lendancy and Eoculetay Loves Expected Result Reduction of the Syrupson of Major Depressive Disorder clong with the improvenient in the Side Effect Profile
Decision 1: Start with Zoloft 25 mg

Decision 2: Wellbutrin 150mg + Zoloft 12.5mg

Decision 3: Elavil 50mg + Wellbutrin 150mg