(solved) NURS 6630 Week 4 Assignment: Assessing and Treating Pediatric Patients With Mood Disorders; The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.2022

(solved) NURS 6630 Week 4 Assignment: Assessing and Treating Pediatric Patients With Mood Disorders; The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.2022 Assignment: Assessing and Treating Pediatric Patients with Mood Disorders Manvir Pannu Walden University NURS 6630: Psychopharmalogical Approaches to Treat Psychopathology Aaron Weiner December 28, 2020 Assignment : Assessing and Treating Pediatric Patients With Mood Disorders In the given scenario, the client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression. The patient complained of feeling "sad", the mother reports that the teacher said the child is withdrawn from peers in class, decreased appetite, and occasional irritation periods. The client reached all developmental landmarks at appropriate ages. Laboratory studies are within the normal range. The child was referred to psychiatry for evaluation. The patient is alert, oriented x 3, clear, coherent, goal-directed, spontaneous. The self- reported mood was "sad." Affect was somewhat blunted but smiled appropriately at various points throughout the clinical interview. He denies visual and auditory hallucinations. No delusional or paranoid thought processes were noted. Judgment and insight appear to be age- appropriate. He is not endorsing active suicidal ideation but does admit that he often thinks about himself being dead and what it would be like to be dead. Which decision did you select? The first selected treatment option is Zoloft 25 mg orally daily for depression. Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature Major depressive disorder occurs in adults and children and adolescents (Gershon et al., 1987). According to researchers, it is appropriate for clinicians to prescribe an SSRI for children and adolescents experiencing persistent moderate to severe depression or anxiety symptoms with clear evidence of functional impairment in addition to supportive treatment or a course of psychotherapy (Garland et al., 2016). In the given scenario, the patient is exhibiting functional impairment, such as a child is withdrawn from peers in class, decreased appetite, and occasional irritation periods. In addition to psychopharmacology, child or adolescent with mild depression or anxiety symptoms, the most appropriate initial step should be supportive treatment including psychoeducation, sleep hygiene, practical problem-solving including self-help materials, as well as family and school interventions if indicated, while conducting an extended baseline evaluation for the persistence of depressive symptoms and functional assessment over several weeks. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature The reason for not prescribed Paxil 10 mg because the Medicines and Healthcare Products Regulatory Agency (MHRA) has advised that the antidepressant paroxetine (marketed as Seroxat) should not be prescribed for children or adolescents (Waechter, 2003). FDA warned that children younger than 18 should not take the antidepressant Paxil because of a possible increased risk of suicidal thinking and suicide attempts associated with the drug(Kweon & Kim, 2019). Testing bupropion in research studies of children and adolescents has been limited(Kweon & Kim, 2019). However, the effectiveness and safety of bupropion have rarely been studied in the pediatric population. Therefore, there is insufficient evidence regarding bupropion in pediatrics (Kweon & Kim, 2019). What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). The hope was to a reduction in symptoms of depression and improvement in performance until the next visit. Researchers did a study on thirty-six children with epilepsy who had a depressive disorder. All patients had an improvement in their depressive symptoms among these