a. Discuss how the psychiatric mental health nurse practitioner could assist the client
in the creation of a more viable medication management plan.
The psychiatric mental health nurse practitioner (PMHNP) have a ethical and
professional duty to improve childhood and young adult mental health illness due to the
prevalence of mental health disorders, increased impact and unmet treatment needs. The
impact of COVID had a ripple effect increasing need of the adolescent need in mental
health also resulting a shortage in clinicians to treat them (A. Kumar, 2020). The
PMHNP can collaborate with all members involved in Tates care. Collaborating can
identify any issues or barriers to care Tate may be experiencing. Finding these holes in
care can assist Tate in better mental health outcomes such as staying consistent with
medications.
Another important factor to consider is education. Educating Tate on the importance of
staying consistent with medications can help Tate schedule and keep future appointments
for medication refills. Creating a therapeutic with Tate can help my establishing trust.
Tate has been in the foster care for a long time and has probably never had a trusting
relationship. This can help Tate reach out to the PMHNP when Tate feels he is
struggling. Identifying episodes of uncertainty can help Tate reach out to the PMHNP
when needing an increase or change in medications.
b. Write a prescription appropriate for the client with evidence support.
Risperidone polymer (Perseris) 90 mg 1xmonthly IM
Peak : 1st:4 to 6 hours, 2nd:10-14 days. Steady state: 2 months, no oral supplementation.
Evidence has shown large studies suggest that long-acting injections may be more
effective for improving clinical outcomes long-term. They also have similar tolerability
to oral antipsychotics. LAI are associated with a decreased risk for hospitalizations and
relapse. The main reason an LAI is better for patients is a history of nonadherence.
Non- adherence to oral antipsychotics has been sen in 50% of patients (Hu, 2024).
c. Identify housing and support resources available in your community that are
relevant for this client.
d. Discuss how services provided via a mental health clubhouse model may
benefit the client. Consider the effectiveness of the model according to research
findings.
in the creation of a more viable medication management plan.
The psychiatric mental health nurse practitioner (PMHNP) have a ethical and
professional duty to improve childhood and young adult mental health illness due to the
prevalence of mental health disorders, increased impact and unmet treatment needs. The
impact of COVID had a ripple effect increasing need of the adolescent need in mental
health also resulting a shortage in clinicians to treat them (A. Kumar, 2020). The
PMHNP can collaborate with all members involved in Tates care. Collaborating can
identify any issues or barriers to care Tate may be experiencing. Finding these holes in
care can assist Tate in better mental health outcomes such as staying consistent with
medications.
Another important factor to consider is education. Educating Tate on the importance of
staying consistent with medications can help Tate schedule and keep future appointments
for medication refills. Creating a therapeutic with Tate can help my establishing trust.
Tate has been in the foster care for a long time and has probably never had a trusting
relationship. This can help Tate reach out to the PMHNP when Tate feels he is
struggling. Identifying episodes of uncertainty can help Tate reach out to the PMHNP
when needing an increase or change in medications.
b. Write a prescription appropriate for the client with evidence support.
Risperidone polymer (Perseris) 90 mg 1xmonthly IM
Peak : 1st:4 to 6 hours, 2nd:10-14 days. Steady state: 2 months, no oral supplementation.
Evidence has shown large studies suggest that long-acting injections may be more
effective for improving clinical outcomes long-term. They also have similar tolerability
to oral antipsychotics. LAI are associated with a decreased risk for hospitalizations and
relapse. The main reason an LAI is better for patients is a history of nonadherence.
Non- adherence to oral antipsychotics has been sen in 50% of patients (Hu, 2024).
c. Identify housing and support resources available in your community that are
relevant for this client.
d. Discuss how services provided via a mental health clubhouse model may
benefit the client. Consider the effectiveness of the model according to research
findings.
