L. P., age 23, is a Hispanic woman who graduated from college

L. P., age 23, is a Hispanic woman who graduated from college

N521- Advanced Pharmacology Assignment 3

L. P., age 23, is a Hispanic woman who graduated from college last year. She reports to the CNP in her local community mental health center. She began working as an accountant 1 month after graduating L. P., age 23, is a Hispanic woman who graduated from college. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L. P. reports that she has a good relationship with her boyfriend but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects L. P., age 23, is a Hispanic woman who graduated from college.

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In a paper not to exceed six pages, excluding title and reference pages, submit your answers to the following in an MS Word document:

  1. What is L. P.’s likely diagnosis?
  2. List specific pharmacotherapeutic treatment goals for L. P.
  3. L. P., age 23, is a Hispanic woman who graduated from college
  4. Should the CNP order any labs for L. P. at this time? Why?
  5. What drug therapy would the CNP likely prescribe? Why?
  6. What are the parameters for monitoring the success of the therapy?
  7. Describe specific patient monitoring based on the prescribed therapy.
  8. List one or two adverse reactions for the selected agent that would cause the CNP to change therapy.
  9. L. P. returns to see the CNP after six weeks, complaining of still feeling anxious and had heard of a medication called Klonopin that she would like to try; how should the CNP respond to her request?
  10. What health promotion activities should be recommended for this patient?
  11. What is L. P.’s long-term prognosis? L. P., age 23, is a Hispanic woman who graduated from college

Please use the Case Study Analysis rubric provided to guide you in completing this assignment. It will be used to evaluate your submitted work.

Title: Case Study: L.P.’s Mental Health

L. P. is a 23-year-old Hispanic woman who recently graduated from college. She visits her CNP at a local community mental health center. L. P. started working as an accountant a month after her graduation. Around two months ago, she moved into a two-bedroom apartment with a coworker from the accounting firm. Her roommate suggested that she see a doctor to check for anemia or “some kind of fatigue syndrome.” L. P. has been feeling restless and on edge for about 9 months. She’s easily tired, irritable, struggles to concentrate, and has difficulty falling asleep. Sometimes, her mind goes blank, and she’s concerned that her work performance has declined. Despite excelling academically, she worries more than ever and feels nervous all the time. She’s in a good relationship with her boyfriend, though they don’t meet often due to him attending graduate school far away. She denies problems with relationships and financial worries.

In a paper not exceeding six pages (excluding title and reference pages), address the following:

1. L. P.’s Likely Diagnosis: What do you think L. P.’s mental health condition might be?
2. Pharmacotherapeutic Treatment Goals: What are the specific goals for treating L. P.’s condition with medication?
3. Ordering Labs: Should the CNP order any tests for L. P. now? Why or why not?
4. Prescribed Drug Therapy: What medication might the CNP recommend for L. P.? Why?
5. Monitoring Success: What factors will indicate that the treatment is working?
6. Patient Monitoring: How should L. P. be monitored based on her prescribed therapy?
7. Adverse Reactions: Name one or two potential side effects of the prescribed medication that might lead the CNP to change treatment.
8. Responding to Medication Request: L. P. wants to try Klonopin for anxiety. How should the CNP respond?
9. Health Promotion: What activities should L. P. adopt to improve her mental health?
10. Long-Term Prognosis: What is L. P.’s outlook for the future?

Please refer to the Case Study Analysis rubric provided to help you complete this assignment. It will be used to evaluate your work.

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