NURS 6630N Week 3 Assignment (2020) | NURS- 6630N Approaches to Treatment | An Elderly Hispanic Man with Major Depressive Disorder

NURS 6630N Week 3 Assignment (2020) Topic: An Elderly Hispanic Man with Major Depressive Disorder NURS- 6630N Approaches to Treatment 3/10/2020 Introduction The help of advanced technology has helped the providers in diagnosing and validating of the mental health disorder correctly. Also evidenced based practice has helped in treating the modality of the mental health disorder and to know the prognosis of the condition. Including the best practices and scientific evidenced base in mental disorder in making sure the individual clients are set in each individual way depending on individual needs. Each client ethnicity plays a major role when treating the client with diseases with the medications that bis appropriate for the client’s disease but this type of disorder will affect individual without looking at the client’s ethnicity, age, or gender. When considering in making decision on treatment choices health care needs and the population should be put into consideration. The providers have to assess and treat clients with depressive disorder. “Depression is a life threatening and disabling mental illness affecting increasingly large proportions of the society at an alarming rate worldwide and Major depressive disorder (also referred to as clinical depression) is the most common type of depression seriously challenging health systems especially since it is often recurrent and treatment resistant” (Morres, et al., 2019). “Major depressive disorder (MDD) is diagnosed as a separate illness from bipolar disorder (BD), yet the behavioral, clinical, performance, genetic, and neuroimaging differences between these groups have been limited to modest” (Kling, et al., 2018). Diagnostic and Statistical Manual of Mental Disorders- V (DSM- V) is an assessment tool is used to diagnosing depressive disorder but the client has to meet the five or more depressive symptoms which are listed in the form. “Depressed mood or loss of interest in the client’s usual activities is one of the signs that the client with depressive disorder shows” (American Psychiatric Association (APA), 2013). “Health care professionals focus on a correct diagnosis inpatients with a major depressive or anxiety disorder, choosing a suitable treatment strategy and guiding patients and patients need monitoring and guidance at decision moments regarding treatment” (Nederlof, et al., 2017). The main reason for this paper is to assess the rationale behind the decision that I selected for the treatment for the Hispanic male client with depressive disorder and each decision that I took will a - - - - - -Which decision did I select; To start the client with mild depressive disorder, I will start with Effexor XR 37.5mg by mouth daily. Reason for selecting the above decision; It is very important to start the client on a lower dose instead of starting the client on a higher dose of Effexor XR. So it will be necessary to start the client on Effexor 37.5mg by mouth daily (Leahy, Holland & McGinn, 2012). - - - - - - - - References American Psychiatric Association. (2000). Major depressive disorder: A patient and family guide. Washington, D.C: American Psychiatric Association. American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mentaldisorders (5th ed.). Washington, DC: Author. Beeker, T., Schlaepfer, T. E., &Coenen, V. A. (2017). Autonomy in depressive patients undergoing DBS-treatment: informed consent, freedom of will and DBS’ potential to restore it. Frontiers in Integrative Neuroscience, 11, 11. Kling, L. R., Bessette, K. L., DelDonno, S. R., Ryan, K. A., Drevets, W. C., McInnis, M. G., Phillips, M. L., & Langenecker, S. A. (2018). Cluster analysis with MOODS-SR illustrates a potential bipolar disorder risk phenotype in young adults with remitted major depressive disorder. Bipolar Disorders, 20(8), 697–707. Leahy, R. L., Holland, S. J., & McGinn, L. K. (2012). Treatment plans and interventions for depression and anxiety disorders. New York: Guilford Press. Morres, I. D., Hatzigeorgiadis, A., Stathi, A., Comoutos, N., Arpin-Cribbie, C., Krommidas, C., & Theodorakis, Y. (2019). Aerobic exercise for adult patients with major depressive disorder in mental health services: A systematic review and meta-analysis. Depression And Anxiety, 36(1), 39–53. Nederlof, M., Cath, D. C., Stoker, L. J., Egberts, T. G., &Heerdink, E. R. (2017). Guidance by physicians and pharmacists during antidepressant therapy: patients' needs and suggestions for improvement. BMC Psychiatry, 17(1), 388. doi:10.1186/s Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press. Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press. Thomson PDR. (2015). Physicians' desk reference. Montvale, NJ: Thomson PDR. Preventive medicine in managed care. (2000). Jamesburg, NJ: American Medical Pub. Resident & staff physician. (1969). Port Washington, NY, etc.: Romaine Pierson Publishers, etc.