I have no one. My wife died suddenly 4 years ago and I know it was my fault. She had been complaining she was sick for a year, but the doctors kept saying it was nothing. When they finally found the cancer, it had spread throughout her body. I should have listened to her. She might have survived and I would not be alone. I seem to cry for no reason and my children don’t understand why I don’t want to go out of the house. This is where her memories are. Why would I want to leave? Depressive Disorders
Jose, age 75
Assignment 1: “Captain of the Ship” Project – Depressive Disorder
As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the “captain of the ship” concerning caring for a patient population. The “captain of the ship” is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the “captain of the ship” and NPs played a peripheral role. Depressive Disorders
In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.
· Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with depression disorders
· Recommend psychotherapy based on therapeutic endpoints for clients with depression disorders
· Identify medical management needs for clients with depression disorders
· Identify community support resources for clients with depression disorders
· Recommend follow-up plans for clients with depression disorders
To prepare for this Assignment:
· Select an adult or older adult client with a depressive disorder you have seen in your practicum. Depressive Disorders
In 4 pages, write a treatment plan for your client in which you do the following:
Describe the HPI and clinical impression for the client. Depressive Disorders
Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
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Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
Identify medical management needs, including primary care needs, specific to this client.
Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client. Depressive Disorders
Recommend a plan for follow-up intensity and frequency and collaboration with other providers.
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.
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
· Chapter 8, “Mood Disorders” (pp. 347–386) Depressive Disorders
Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.
· Chapter 12, “Psychotherapy of Mood Disorders”
· Chapter 14, “Pharmacological and Somatic Treatments for Major Depressive Disorder”
Note: You will access this textbook from the Walden Library databases.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
· “Depressive Disorders”
· Major Depressive Disorder
· Persistent Depressive Disorder (dysthymia) Depressive Disorders
· Premenstrual Dysphoric Disorder
· Substance/Medication-Induced Depressive Disorder
· Depressive Disorder Due to Another Medical Condition
· Other Specified Depressive Disorder
· Unspecified Depressive Disorder
Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.
Also check: The Diet Analysis