Case Study: An African American Child Suffering from Depression.

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Examine Case Study: An African American Child Suffering from Depression. 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.
Decision #2 (1 page)

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.

Sample Solution

Black Americans are over-represented in populations that are particularly at risk for mental illness. Depression robs people of the enjoyment found in daily life and can even lead to suicide. Depression is a common mental health problem that involves a low mood and a loss of interest in activities. Factors like socioeconomic variables, health, and race may contribute to a higher level of predisposition to the disease (Rotheram-Borus et al., 2019). In children and adolescents, these predictors may be even stronger and have significant impact on mental health, especially in black individuals (Mellick et al., 2019). Zoloft 25 mg daily would be the first choice of therapy for this patient. Selective serotonin Reuptake Inhibitors (SSRIs) are known to be the first line of treatment for children with depression (DeFilippis & Wagner, 2014).

Prisoners at Andersonville were so malnourished they looked like walking bones. They began to lose hope and turned to their lord. In Andersonville, the shelter, or lack thereof, was another issue. Prisoners had to use twigs and blankets due to inflation in lumber prices (“Civil…) Deadliest”). This represents how every material’s price adds up and contributes to the conditions. Within 14 months of 13,000 of the 45,000 prisoners died. The prison was low on Beef, cornmeal, and bacon rations meaning the prisoners lacked vitamin C therefore, most got scurvy (“Civil…) Prison”). With the guards turning a blind eye, prisoners had to fend for themselves. Some took this lack of authority to far and those were the “Andersonville Raiders.” They stole food, attacked their equals, and stole waves from their shelters (Serena). Andersonville especially made people turn violent and caused them to lose faith in humanity. A 15-foot-high stockade guarded the camp though the true threat was a line. 19 feet within the stockade there was a line, to keep prisoners away from the walls. If a prisoner were caught crossing the line they would be shot and killed (Serena). This technique was honestly unnecessary and a waste of resources. First the conditions now, the location of Andersonville. A swamp ran through the camp, with little access to running water or toilets prisoners used the swamps. This polluted the water, making it even more non-consumable (Serena). In the process of building Andersonville Prison, slave labor was implemented to build the stockade and trenches (Davis). The camps abused their Bailey power to not only harm prisoners but to use slaves. From swelling numbers of prisoners, they started having trouble finding space to sleep (Davis). With the capacity increasing and disgusting conditions it was a funhouse for disease. Andersonville was assumed to be the optimal position for a POW camp because of the food, the only problem was farmers did not wish to sell crops to the Confederacy (“Myths”). This is just another example of how Andersonville would have been better if given more assistance.

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