bnNursingxc2xa0Week 2: Therapy for Pediatric Clients With Mood DisordersMood disorders can impact every facet of a childxe2x80x99s life, making the most basic activities difficult for clients and their families. This was the case for 13-year-old Kara, who was struggling at home and at school. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. As a psychiatric mental health nurse practitioner working with pediatric clients, you must be able to assess whether these symptoms are caused by psychological, social, or underlying growth and development issues. You must then be able recommend appropriate therapies.This week, as you examine antidepressant therapies, you explore the assessment and treatment of pediatric clients with mood disorders. You also consider ethical and legal implications of these therapies.Photo Credit: GettyLicense_185239711.jpgAssignment: Assessing and Treating Pediatric Clients With Mood DisordersWhen pediatric clients present with mood disorders, the process of assessing, diagnosing, and treating them can be quite complex. Children not only present with different signs and symptoms than adult clients with the same disorders, but they also metabolize medications much differently. As a result, psychiatric mental health nurse practitioners must exercise caution when prescribing psychotropic medications to these clients. For this Assignment, as you examine the client case study in this weekxe2x80x99s Learning Resources, consider how you might assess and treat pediatric clients presenting with mood disorders.Note: This Assignment is the first of 10 assignments that are based on interactive client case studies. For these assignments, you will be required to make decisions about how to assess and treat clients. Each of your decisions will have a consequence. Some consequences will be insignificant, and others may be life altering. You are not expected to make the xe2x80x9crightxe2x80x9d decision every time; in fact, some scenarios may not have a xe2x80x9crightxe2x80x9d decision. You are, however, expected to learn from each decision you make and demonstrate the ability to weigh risks versus benefits to prescribe appropriate treatments for clients.Learning ObjectivesStudents will:xc2xb7 Assess client factors and history to develop personalized plans of antidepressant therapy for pediatric clientsxc2xb7 Analyze factors that influence pharmacokinetic and pharmacodynamic processes in pediatric clients requiring antidepressant therapyxc2xb7 Evaluate efficacy of treatment plansxc2xb7 Analyze ethical and legal implications related to prescribing antidepressant therapy to pediatric clientsLearning ResourcesNote: To access this weekxe2x80x99s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.Required ReadingsNote: 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). Stahlxe2x80x99s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.Note: 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 xc2xa0xc2xa0xc2xa0xc2xa0xc2xa06, xe2x80x9cMood Disordersxe2x80x9d Chapter xc2xa0xc2xa0xc2xa0xc2xa0xc2xa07, xe2x80x9cAntidepressantsxe2x80x9dStahl, S. M. (2014b). The prescriberxe2x80x99s guide (5th ed.). New York, NY: Cambridge University Press.Note: To access the following medications, click on the The Prescribers Guide, 5th 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.Review the following medications:amitriptyline bupropion citalopram clomipramine desipramine desvenlafaxine doxepin duloxetine escitalopram fluoxetine fluvoxamine imipramine ketamine mirtazapine nortriptyline paroxetine selegiline sertraline trazodone venlafaxine vilazodone vortioxetineMagellan Health, Inc. (2013). Appropriate use of psychotropic drugs in children and adolescents: A clinical monograph. Retrieved from http://www.magellanhealth.com/media/445492/magellan-psychotropicdrugs-0203141.pdfRao, U. (2013). Biomarkers in pediatric depression. Depression & Anxiety, 30(9), 787xe2x80x93791. doi:10.1002/da.22171Note: Retrieved from Walden Library databases.Vitiello, B. (2012). Principles in using psychotropic medication in children and adolescents. In J. M. Rey (Ed.), IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions. Retrieved from http://iacapap.org/wp-content/uploads/A.7-PSYCHOPHARMACOLOGY-072012.pdfPoznanski, E., & Mokros, H. (1996). Child Depression Rating ScaleRevised. Los Angeles, CA: Western Psychological Services.Note: Retrieved from Walden Library databases.Required MediaLaureate Education (2016e). Case study: An African American child suffering from depression [Interactive media file]. Baltimore, MD: Author.Note: This case study will serve as the foundation for this weekxe2x80x99s Assignment.Optional ResourcesEl Marroun, H., White, T., Verhulst, F., & Tiemeier, H. (2014). Maternal use of antidepressant or anxiolytic medication during pregnancy and childhood neurodevelopmental outcomes: A systematic review. European Child & Adolescent Psychiatry, 23(10), 973xe2x80x93992. doi:10.1007/s00787-014-0558-3Gordon, M. S., & Melvin, G. A. (2014). Do antidepressants make children and adolescents suicidal? Journal of Pediatrics and Child Health, 50(11), 847xe2x80x93854. doi:10.1111/jpc.12655Seedat, S. (2014). Controversies in the use of antidepressants in children and adolescents: A decade since the storm and where do we stand now? Journal of Child & Adolescent Mental Health, 26(2), iiixe2x80x93v. doi:10.2989/17280583.2014.938497To prepare for this Assignment:xc2xb7 Review this weekxe2x80x99s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.The AssignmentExamine Case Study: An African American Child Suffering From Depression. 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 clientxe2x80x99s pharmacokinetic and pharmacodynamic processes.xc2xb7 At each decision point stop to complete the following:o Decision #1xc2xa7 Which decision did you select?xc2xa7 Why did you select this decision? Support your response with evidence and references to the Learning Resources.xc2xa7 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.xc2xa7 Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?o Decision #2xc2xa7 Why did you select this decision? Support your response with evidence and references to the Learning Resources.xc2xa7 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.xc2xa7 Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?o Decision #3xc2xa7 Why did you select this decision? Support your response with evidence and references to the Learning Resources.xc2xa7 What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.xc2xa7 Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?xc2xb7 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.

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