Psychopharmacologic Approaches to Treatment of Psychopathology.

Psychopharmacologic Approaches to Treatment of Psychopathology.

Psychopharmacologic Approaches to Treatment of Psychopathology., ,The Assignment Examine Case Study: A Caucasian Man With Hip Pain. 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 client’s pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: Decision #1 Which decision did you select? Psychopharmacologic Approaches to Treatment of Psychopathology.Why did you select this decision? Support your response with evidence and references to the Learning Resources.,What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Also include how ethical considerations might impact your treatment plan and communication with clients.Psychopharmacologic Approaches to Treatment of Psychopathology.,Psychopharmacologic Approaches to Treatment of Psychopathology,Case Description ,The case involves a 43-year-old white male. His mainly complains of severe pain in the hip. The pain resulted from a fall that occurred at his workplace around seven years ago. The pain had necessitated for various diagnostic tests, including x-rays, MRIs, and CT scans. A test conducted around 4 years ago revealed that about 75% of damage had occurred to the cartilage around his right hip. However, the issue had not been resolved since his surgeons felt that he was too young a total hip replacement. Instead, these medical practitioners believed that the tissues around his region would repair with time. Failure to operate him resulted to further complications such as cooling of the extremity and severe cramping of the extremity. Consequently, he could only walk with the assistance of a set of crutches. His state necessitates for the administration of the most appropriate medication. The most recommendable treatment decision, in this case, is the use of Amitriptyline 25 mg.Psychopharmacologic Approaches to Treatment of Psychopathology.,Decision Point One,The most appropriate treatment choice, in this case, is Amitriptyline 25 mg. The medical practitioner will administer this medicine to the patient orally. The drug will be administered at 3 times daily at regular intervals. The clinician will increase the administered dosage weekly by 25. However, the dosage should not exceed 200 mg daily.,Reason for Selecting this Decision,            Amitriptyline 25 mg was preferred in this case since it manages neuropathic pain effectively. However, as a tricyclic antidepressant, this medicine was initially used in the management of mental illnesses such as anxiety disorders and depression. Although when administered in lower dosage Amitriptyline 25 mg could reduce the level of neuropathic pain(Kamble et al, 2017).Therefore, this medication will be effective in this case since the patient has damaged nerves and tissues that result in neuropathic pain. According to Derry et al. (2015), the management ofneuropathic pain requires a different medication from the one used in damaged tissue. Additionally, Amitriptyline 25 mg is preferred in this case since the client portrays some symptoms of depression.Psychopharmacologic Approaches to Treatment of Psychopathology.,The Expected Results ,The drug was expected to lower the initial level of pain from 9 to 2. Amitriptyline 25 mg has a history of minimizing the level of neuropathic pain drastically. Therefore, patients administered with this medication can perform their daily duties without much struggle. For instance, patients can move around, groom themselves, and sleep well. However, this was not the case for the client since the medication only reduced the level of pain from 9 to 6.Psychopharmacologic Approaches to Treatment of Psychopathology.,Reasons for the Difference between the Results ,The practitioner did not achieve the desired results after the administration Amitriptyline 25 mg. In particular, the medication did not lower the patient’s pain to the expected level of around 2. Instead, the level of pain minimized from 9 to 6 after the administration of the medication. Consequently, the client’s expectations were not met. The client was willing to live with a level of pain that was below 3. Such pain would not hinder him from performing his daily activities, especially, moving around without crutches. He could only move for a short distance without clutches around his compound. Furthermore, the administration of amitriptyline 25 mg did not stop achiness and throbbing. The client could still experience achiness and throbbing severally every day.Psychopharmacologic Approaches to Treatment of Psychopathology.,Decision Point Two,Reason for Selecting this Decision,            At this point, the clinician opted to continue administering the current medication but increase the dosage to 125 mg, which would be administered during the bedtime. This decision is preferred since it would minimize the level of pain. Additionally, the client would have fewer side effects during the day if the medicine was only administered at bedtime.,The Expected Results,The administered dosage was expected to lower the level of the patient’s pain from 6 to below 2. Additionally, the clinician aimed at stopping achiness and throbbing.,Difference between the Results ,The clinician did not achieve the desired results. The level of pain did not reduce to below 2 but rather it dropped from 6 to 4. Additionally, the practitioner did not cut off all the side effects associated with this drug. The current dosage is associated with weight gain. In particular, the client had added around 5 pounds from when he started taking 125 mg at bedtime.,Decision Point Three,The clinician should continue with the current dosage of 125 mg bedtime.,Reason for Selecting this Decision,The administration of the current dosage, Amitriptyline 125 mg at bedtime for a longer duration would result in the desired results. The client’s level of pain would be lowered to below 2.,Expected Result,The practitioner aimed to lower the level of pain to below 2. This would enable the patient to perform his daily activities easily.Psychopharmacologic Approaches to Treatment of Psychopathology.,The difference in the Results,At this point, the clinician has achieved the desired results. The level of pain has reduced after administering 125 mg for around 8 weeks. The client should be advised to exercise regularly and take a balanced diet to avoid weight gain. Weight gain is a major side effect of the current dosage.         Psychopharmacologic Approaches to Treatment of Psychopathology.,Ethical Considerations,Ethical principles will affect the treatment plan. According to the principle of autonomy, the client has a right to make all decisions regarding his or her treatment plan without being interrupted (WHO, 2015).  Therefore, the client should be allowed to make decisions regarding the treatment plan. However, the client is likely to make the wrong decision. This decision will, in turn, interfere with the entire treatment plan and the outcomes.Psychopharmacologic Approaches to Treatment of Psychopathology., , 

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