NURS6630 week 7 discussion

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Discussion: Sleep/Wake Disorders

It is not uncommon to experience a night or two of disrupted
sleep when there is something major going on in your life. However, sleep/wake
disorders are much more than an occasional night of disrupted sleep. A recent
report from the Centers for Disease Control and Prevention estimated that
between 50 and 70 million American have problems with sleep/wake disorders
(CDC, 2015). Although the vast majority of Americans will visit their primary
care provider for treatment of these disorders, many providers will refer
patients for further evaluation. For this Discussion, you consider how you
might assess and treat the individuals based on the provided client factors.

Learning Objectives

Students will:

Assess client factors and history to develop personalized
therapy plans for clients with sleep/wake disorders

Analyze factors that influence pharmacokinetic and
pharmacodynamic processes in clients requiring therapy for sleep/wake disorders

Evaluate efficacy of treatment plans for clients presenting
for sleep/wake therapy

Apply knowledge of providing care to adult and geriatric
clients presenting for sleep/wake disorders

Learning Resources

Note: To access this week’s required library resources,
please click on the link to the Course Readings List, found in the Course
Materials section of your Syllabus.

Required Readings

Note: All Stahl
resources can be accessed through the Walden Library using this link. This link
will take you to a log-in page for the Walden Library. Once you log into the
library, the Stahl website will appear.

Stahl, S. M. (2013).
Stahl’s essential psychopharmacology: Neuroscientific basis and practical
applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the Essential
Psychopharmacology, 4th ed tab on the Stahl Online website and select the
appropriate chapter. Be sure to read all sections on the left navigation bar
for each chapter.

Chapter 11, “Disorders of Sleep and Wakefulness and Their
Treatment”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New
York, NY: Cambridge University Press.

To access information on the following medications, click on
The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the
appropriate medication.

Review the following medications:

For insomnia

alprazolam

amitriptyline

amoxapine

clomipramine

clonazepam

desipramine

diazepam

doxepin

flunitrazepam

flurazepam

hydroxyzine

imipramine

lorazepam

nortriptyline

ramelteon

temazepam

trazodone

triazolam

trimipramine

zaleplon

zolpidem

American Psychiatric Association. (2013). Diagnostic and
statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: Retrieved from Walden Library databases.

Davidson, J. (2016).
Pharmacotherapy of post-traumatic stress disorder: Going beyond the guidelines.
British Journal of Psychiatry, 2(6), e16-e18. doi:10.1192/bjpo.bp.116.003707.
Retrieved from http://bjpo.rcpsych.org/content/2/6/e16

To prepare for this Discussion:

Note: By Day 1 of this week, your Instructor will have
assigned you to one of the following case studies to review for this
Discussion. To access the following case studies, click on the Case Studies tab
on the Stahl Online website and select the appropriate volume and case number.

Case 1: Volume 2, Case #16: The woman who liked late-night
TV

Case 2: Volume 2, Case #11: The figment of a man who looked
upon the lady

Case 3: Volume 1, Case #5: The sleepy woman with anxiety

Review this week’s Learning Resources and reflect on the
insights they provide.

Go to the Stahl Online website and examine the case study
you were assigned.

Take the pretest for the case study.

Review the patient intake documentation, psychiatric
history, patient file, medication history, etc. As you progress through each
section, formulate a list of questions that you might ask the patient if he or
she were in your office.

Based on the patient’s case history, consider other people
in his or her life that you would need to speak to or get feedback from (i.e.,
family members, teachers, nursing home aides, etc.).

Consider whether any additional physical exams or diagnostic
testing may be necessary for the patient.

Develop a differential diagnoses for the patient. Refer to
the DSM-5 in this week’s Learning Resources for guidance.

Review the patient’s past and current medications. Refer to
Stahl’s Prescriber’s Guide and consider medications you might select for this
patient.

Review the posttest for the case study.

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