Psychotic Disorder Essay.

Introduction

According to recent research, mental disorders are linked with change of human normal activities such as mood, behavior, and thinking. In fact, such disorder has escalated thus drawing attention to the health sector and stakeholders. This paper presents a case study involving a a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. although she is married it’s an arranged marriage since she was decided who to get married to. Currently, the patient is diagnosed with a psychotic disorder following a persistent symptom in less than a month. She is reported to have vision of Allah believing she would deliver the world. This makes it difficult for her husband to leave their children under her care. In the assessment she denies to have such allegation bearing in mind that her husband never loved her. Still, the paper will closely cover the patient assessment and examination based on the probable selected questions and the most effective decision made and as to why were made.Psychotic Disorder Essay.

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Decision point 1: Start Invega Sustenna 234mg IM X1 followed by 156mg IM on day 4 and monthly there after.

In regard to the presented case study, my initial decision is to Start Invega Sustenna 234mg IM X1 followed by 156mg IM on day 4 and monthly there after. Besides, my decision is supported by the case study with such reason including mental believe that she was Allah and could deliver the world, husband fear to leave children under her care, and believed her husband never loved her but wanted to marry an American. More so, the selected drug was appropriate to the patient since it has effective mode of action by blocking dopamine two receptors thereby decreasing psychotic symptoms as well as stabilizing effective symptoms. still, the medication function by blocking serotonin 2A receptors leading to enhancement of dopamine in the brain region. This effect results in the improvement of cognitive symptoms.Psychotic Disorder Essay.

Patient will start noting probable effective positive changes within a week. Consequently, this effect might take a couple of weeks to attain complete cognition and behavioral changes. Notably, this may change from one patient to another based on their body response towards the drug. My main goal choosing this decision was primarily aiming at reducing the client’s psychosis as well as television delusions. In the next patient return to the clinic the symptoms of psychosis disorder will have decreased at significant levels. Even though the selected choice of medicine was a choice between other two drugs that includes Zyprexa (Olanzapine) 10mg orally at bedtime and Abilify (Aripiprazole) 10mg orally at bedtime. In fact, the other medicine would be applicable to the patient condition but I critically decided to choose the above decision after patient assessment and neither of the other two would provide optimal outcome.Psychotic Disorder Essay.

Decision point 2: continue same dose made but instruct administering nurse to begin injections in to the deltoid at this visit and moving forward.

My second take for this psychosis disorder treatment is to maintain the same dose but instruct the nurse to start injections in the deltoid in the visit and thereafter. After patient’s analysis after four weeks return the psychosis disorder symptoms has continuously decreased and when asked about injection site pain the patient reports she was much better. Notably, the importance of changing injection site to recommend deltoid is that this part of the arm provides a PMHNP with enough surface area that allow squeezing of muscles from the outer part towards inner area thus increasing the depth and thickness of the muscle thus preventing nerve and muscle injuries. The aim of using my medical proposal remedy for the client was aimed at maintaining medical toleration since the patient responded positively toward the medicine as well as compliance. Still, after the visit it is noted that the patient’s Positive and Negative Syndrome Scale (PANSS) have positively increased to 50% from 25% thus showing the medicine had initiated a positive outcome (Huang et al., 2020).Psychotic Disorder Essay.

My decision excluded other probable options such as discontinuing with Invega Sustenna and Haldol Deconate 50 mg IM every 2 weeks with oral Haldol 5mg twice a day for the next three months. This was so, since my initial dosage had already established a positive outcome towards patients progress and other than slight injection site complaint, my selected choice remains recommendable.

Ethical considerations impacting treatment plan and communication

Patient confidentiality is a probable ethical consideration in the second proposed decision. This consideration upholds patient health records from getting in to unauthorized personnel without medical background (Saks et al., 2018). The rule permits disclosure of personal information with client’s consent. This rule is not guaranteed in this decision since the patient dosage is given with the supervision of the husband. However, this can be termed as a professional bleach of ethics code of conduct but since the husband is close to the patient he can intervene. Still, beneficence code of ethics consideration is applicable in this decision a point where the prescribing medic should be governed to offer the right medicine and dosage primarily to help the patient present condition (Tohid & Daugherty, 2021). In fact, this is observed in this decision since the profession will maintain the current dosage due to its positive outcome.Psychotic Disorder Essay.

Decision point 3: Decision Point Three Select what the PMHNP should instruct next

My third decision was to ccontinue with the Invega Sustenna. Counsel client on the fact that weight gain from Invega Sustenna is not as much as what other drugs with similar efficacy can cause. Make appointment with a dietician and an exercise physiologist. Follow up in one month. My choice for this decision was to maximumly optimize the medication effects towards the patient’s response with psychosis disorder by fully eliminating probable remaining signs and symptoms of the disorder. This choice will be significantly helpful to the patient since by approaching a dietician it will aid in preventing health issues that are linked with poor feeding. In this case, a nutritionist will give a well-defined eating plans that will permit healthy metabolism, good health weight gain, and good immune response (Ballini et al., 2020). A close follow up will commence to ensure the patient remains within clinically approved standards that keeps the patient in good health and brings about positive care results. Still, the consultant will discuss as well as analyzing the patient present eating habits. However, this will educate the patient on the importance oPsychotic Disorder Essay.f feeding on some specific variety for a particular reason.

Ethical considerations impacting treatment plan and communication

Informed ethical consent is applicable ethical consideration in my third decision according to the presented case study. In this case, the patient has the right to be given full information concerning changes presently done and underway changes by a dietician as well as psychologist. For instance, a psychologist should stick on this ethical guideline to provide the patient with the correct information why they decided to maintain the same dosage without creating harm to the patient’s life. By so doing, the patient is given a room to weigh probable choices that easily suits with them. Notably, the ethical consideration is not approved since the patient has inadequate knowledge about medication as well as dieting.Psychotic Disorder Essay.

Voluntary participation for patient is an ethical consideration in this decision allowing the patient to take part on a medical negotiation with their own will (Oxelmark et al., 2018). This ethical rule monitors patient’s participation is upholding while assessment and treatment is done without fear of being coerced. Ethical rule in this case is permitted to the patient to take or object a PMHNP prescription which suits them. Patient participation allows the patient to comply easily to a treatment plan thereby catalyzing the healing process.Psychotic Disorder Essay.

Recommendation

According to Hispanic woman condition the disorder is manageable and treatable. Besides, I recommend use of Invega Sustenna 234mg IM X1 followed by 156mg IM on day 4 and monthly thereafter since this medication suits psychosis disorder. This is so, since the patient experience gradual positive outcome that decreases symptoms as well as complying without side effects. The patient should stick to the dosage as prescribed by the providers to ensure healing takes place effectively (Devine et al., 2020). Also, the patient should consult a nutritionist to govern her weight gain and loss.Psychotic Disorder Essay.