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

The Assignment 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 clients 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. Below are the details of the case study: Adult/Geriatric Depression Hispanic Male With MDD Hispanic male BACKGROUND INFORMATION The client is a 32-year-old Hispanic American male who came to the United States when he was in high school with his father. His mother died back in Mexico when he was in school. He presents today to the PMHNPs office for an initial appointment for complaints of depression. The client was referred by his PCP after routine medical work-up to rule out an organic basis for his depression. He has no other health issues with the exception of some occasional back pain and stiff shoulders which he attributes to his current work as a laborer in a warehouse. SUBJECTIVE During todays clinical interview, client reports that he always felt like an outsider as he was teased a lot for being black in high school. States that he had few friends, and basically kept to himself. He describes his home life as good. Stating Dad did what he could for us, there were 8 of us. He also reports a remarkably diminished interest in engaging in usual activities, states that he has gained 15 pounds in the last 2 months. He is also troubled with insomnia which began about 6 months ago, but have been progressively getting worse. He does report poor concentration which he reports is getting in trouble at work. MENTAL STATUS EXAM The client is alert, oriented to person, place, time, and event. He is casually dressed. Speech is clear, but soft. He does not readily make eye contact, but when he does, it is only for a few moments. He is endorsing feelings of depression. Affect is somewhat constricted, but improves as the clinical interview progresses. He denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment and insight appear grossly intact. He is currently denying suicidal or homicidal ideation. The PMHNP administers the Montgomery- Asberg Depression Rating Scale (MADRS) and obtained a score of 51 (indicating severe depression). RESOURCES Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389. there are three treatment options: Begin zoloft 25 mg orally daily Begin Effexor XR 37.5 mg orally daily Begin Phenelzine 15 mg orally TID Decision 1: I chose to start this patient on Effexor XR 37.5 mg orally daily and this is the outcome: Decision Point One Begin Effexor XR 37.5 mg orally daily RESULTS OF DECISION POINT ONE Client returns to clinic in four weeks Client reports that there is no change in depressive symptoms at all Decision Point Two Increase dose to 75 mg of Effexor XR orally daily RESULTS OF DECISION POINT TWO Client returns to clinic in four weeks Client reports an improvement in depressive symptoms Montgomery- Asberg Depression Rating Scale (MADRS) decreased from 51 to 38 (25% reduction) Decision Point Three Continue same dose of medication Guidance to Student At this point, the PMHNP would have two choices to discuss with the client- the current dose of drug can be maintained if the client is feeling better and is not offering any complaints of side effects. The dose can also be increased at this point, but the PMHNP must counsel client regarding the possibility of side effects. The use of an augmenting agent is not appropriate at this time as we have not reached a maximum dose with Effexor (in fact, 75 mg is still a relatively small dose), displaying primarily SSRI properties only (recall that at lower doses, Effexor exerts a greater effect on serotonergic receptors than norepinephrine at low doses). Use Effexor for this paper please and explain why the Effexor instead of Zoloft or Phenelzine. A minimum of 3 references please.

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