Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for patients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) patients often present as depressive or manic but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.
Examine Case Study: An Asian American Woman. Diagnosis-Bipolar Disorder. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
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.
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).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Enforcement Agency which is under the DDB. The intensified fight on drugs has shown equally noticeable results. As per the statistics from PDEA on the number of drug users, figures show that on 2013 & 2014, there were 3 million drug users and an estimated 700,000 users on 2016. This number proves truth that the Philippine is the central of illegal drug mobility says Makinano (2018). Comparing the figures from an earlier stand-alone study of the Dangerous Drugs Board in 2008, there were an inferior number which amounts to 1.7 million of users which relates to the 1.9% of the demography of the Philippines in the same year pertained to. However, in 2012, the prior statistics was much lower based on the study done by DDB cooperated by Philippine Normal University which showed 24% decrease on the figures from the 2008 survey, representing 1.3% of the total population in 2012. As traced on the surveys conducted by DDB, there was a major run down of the estimates of drug users from 2004 with 6.7 million of drug users, part of which is associated with marijuana use, to year 2012 highlighting a heightened decrease of 81% within 8 years. However, based on the adapted information from DDB in the article of Makinano (2018), 1.8 million of users were counted. In 2017, during the kick-off of the war on drugs of the Duterte administration, a surprising 261% of the users elevated. PDEA pinned a total of 4.7 million drug users in 2017 affecting 42, 036 barangays all over the Philippines, where 20,872 of which are affected by drugs, 13,920 are slightly affected and 208 are seriously affected. The drugs used in the aforementioned figures and statistics were Methamphetamine or shabu being the first in the list, followed by marijuana or Cannabis Sativa, and ranking at third is ecstasy. The estimates of the Philippine Drug Enforcement Agency and the Dangerous Drugs Board is clear implication of an ‘inverse’ reverse psychology on part of the users. Law enforcers of RA 6425 hand on hand fulfill their duties and oaths to give security and orderliness in all strata of society. However, despite a stronger implementation of the law, these users resort to their continuous use of these illegal drugs resulting to a health issue known as Substance Use Disorder or simply, addiction. Regardless of how strict the state will carry out its anti-illegal drugs programs, there are still loopholes in the system making it a jaw without its teeth. Nevertheless, should the state venture on legalizing marijuana, critics say there has to be an equitable and measurable legal guideline that will make these actions of the government possible. Loosing the security of such system through legalizing an illicit drug would mean a breach to an existing law which is RA 6425, thus calls for effective and efficient measures.
The topic of legalizing the use of marijuana has currently been the subject o