PRESCRIBING FOR OLDER ADULTS AND PREGNANT WOMEN

 

After assessing and diagnosing a patient, PMHNPs must take into consideration special characteristics of the patient before determining an appropriate course of treatment. For pharmacological treatments that are not FDA-approved for a particular use or population, off-label use may be considered when the potential benefits could outweigh the risks.
In this Discussion, you will investigate a specific disorder and determine potential appropriate treatments for when it occurs in an older adult or pregnant woman.

• Choose one of the two following specific populations: either pregnant women or older adults. Older adults
• Then, select a specific disorder from the DSM-5-TR to use.
• Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.

• Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.
• Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
• Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.
• Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.

Sample Solution

uxury to one that was merely comfortable. Additionally, Edward placed further restrictions on Isabella’s life and had all of her jewels taken to the Tower of London where they were guarded. These were all drastic measures that were used as an attempt to display his power and distance himself from the reputation of his mother in order to establish himself as a strong king. However, the relationship between the two was quickly repaired as, only a year after his coup, Isabella’s lands were beginning to be returned and by 1334 even her continental lands were restored. This relationship appears to be completely repaired by 1340, as until her death she remained in regular contact with her son and the two visited each other often. One such instance occurred in 1344 when Edward elected to spend his thirty-second birthday with his mother at her residence. Furthermore post 1340, Isabella’s involvement in family affairs increased and she spent multiple Christmases with her family, such as hosting her grandson, the Black Prince, at Berkhamstead in 1354. This integration of Isabella back into the life of her son and his heirs indicate that the damage between Edward and herself had been restored which subsequently allowed her political role in this period to increase. Ormrod proposes that Edward may have calculated this reintegration by noting Isabella’s influence in France due to her heritage and may have been wishing to use this for his advantage in the upcoming peace negotiations. However, her role with negotiations with France was not exploited, leading to the conclusion that Edward partook in such a high number of meetings with his mother due to his fondness of her. Furthermore, Edward’s affection of his mother continued after her death thus suggesting that their relationship was deeper that Edward manipulating her influence. Along with an elaborate funeral, Edward ordered highstreets such as Bishopsgatestrete and Algatestrete to be “cleansed” for her body’s procession as a means to honour his mother’s last journey. Edward likewise spent a great deal commissioning chantry to pray for her soul annually and made donations to various establishments such as Holy Trinity of Aldgate, London, to accommodate these prayers. Thus, due to the money and care put into his mother’s funeral and memory, it is unlikely that her relationship with Edward was

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