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(Solved) NURS 6630 Week 7 Assignment: Assessing and Treating Patients With Psychosis and Schizophrenia; a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage

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(Solved) NURS 6630 Week 7 Assignment: Assessing and Treating Patients With Psychosis and Schizophrenia; a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage Assessing and Treating Patients with Psychosis and Schizophrenia Course: NURS-6630- Psychopharmalogical Approaches to Treat Psychopathology Week 7: Assignment Walden University Introduction The provided case study is of 34 years old Pakistani woman who was diagnosed as “brief psychotic disorder” during her 21 days hospitalization. Patient is married (her husband was selected for her when she was 9 years old). Patient has 4 children. Patient got settled in United States after getting married in her 20’s. She was diagnosed as psychotic because the psychosis persisted for less than one month. Her husband reported that she believed that she is Prophet Mohammad and she gets messages from Allah through TV. He also reported that one evening she got out of control due to which he called police and as a result she got admitted as an inpatient in psych unit. She was asked about that incident but she denied by saying that “the entire incident is blown out of proportion”. She also denied about her believe that she is a prophet and stated that her husband is making these statements about her because he wants to get rid of her as he never loved her and he always wanted an American wife. She added that she knows the intentions of her husband because TV is telling her so. During hospitalization she was taking Risperdal but after getting discharged, she stopped taking Risperdal (about a week ago) because she thinks that through Risperdal her husband will poison her so that he can marry an American wife. The pertinent positive information that will impact the decision making when prescribing medication for this patient includes diagnosis of paranoid type Schizophrenia, scores of PANSS (40 for positive symptoms, 20 for negative symptoms and 60 for psychopathology), symptoms of Schizophrenia (persistent reflection of paranoid and delusional thought processes, presence of auditory hallucinations, slow speech, no demonstrations of tics, gestures and mannerism, judgment and insight is impaired), incompliant behavior towards medications, lab studies showing good health, BMI of patient is 23.29 (weight is 140 lbs and height is 5’5”) which indicates that patient is not underweight or overweight and patient denied homicidal or suicidal ideation. Assessing and Treating Patients with Psychosis and Schizophrenia Decision 1 The selected decision one is “start Invega Sustenna 234mg IM followed by 156mg IM on day 4 and monthly thereafter”. I selected this decision by considering the noncompliant behavior and scores of PANSS. Invega Sustenna is also known as Paliperidone which is recommended to schizophrenic patients in the form of injectable (Sustenna- injection administered after one month interval and Trinza- injection administered after three months interval). According to the study of Chang, Huang and Yang (2021) the major problem of schizophrenic patients is their non-compliant behavior towards the treatment. As the patient shows non-adherence to treatment therefore, achievement of desired outcomes becomes difficult. In such scenarios, it is recommended that long-acting injections should be prescribed as compared to oral antipsychotics. The study of Chang, Huang and Yang (2021) clearly indicated that those patient with schizophrenia who are treated by long-acting injections show reduced rates of re- hospitalization and noncompliance as compared to those patients with schizophrenia who are treated by oral antipsychotics. Considering this fact, the Invega Sustenna is selected for decision one because the background information of this patient has shown her noncompliant behavior towards treatment. Moreover, Invega is selected for decision one because it is an effective antipsychotic with increased safety profile. The studies of Chang, Huang & Yang (2021), Kverno & Rozenberg (2021) and Canady (2019) have briefly discussed that drugs like Invega possess superior efficacy in reducing both negative and positive symptoms of schizophrenia. This drug possess low risk

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Running Head: WEEK 7 ASSIGNMENT 1



(Solved) NURS 6630 Week 7 Assignment: Assessing and
Treating Patients With Psychosis and Schizophrenia; a 34-
year-old Pakistani female who moved to the United States in
her late teens/early 20s. She is currently in an “arranged”
marriage




Assessing and Treating Patients with Psychosis and Schizophrenia

Course: NURS-6630- Psychopharmalogical Approaches to Treat Psychopathology

Week 7: Assignment

Walden University

, WEEK 7 ASSIGNMENT 2


Introduction

The provided case study is of 34 years old Pakistani woman who was diagnosed as “brief

psychotic disorder” during her 21 days hospitalization. Patient is married (her husband was

selected for her when she was 9 years old). Patient has 4 children. Patient got settled in United

States after getting married in her 20’s. She was diagnosed as psychotic because the psychosis

persisted for less than one month. Her husband reported that she believed that she is Prophet

Mohammad and she gets messages from Allah through TV. He also reported that one evening she

got out of control due to which he called police and as a result she got admitted as an inpatient in

psych unit. She was asked about that incident but she denied by saying that “the entire incident is

blown out of proportion”. She also denied about her believe that she is a prophet and stated that

her husband is making these statements about her because he wants to get rid of her as he never

loved her and he always wanted an American wife. She added that she knows the intentions of

her husband because TV is telling her so. During hospitalization she was taking Risperdal but

after getting discharged, she stopped taking Risperdal (about a week ago) because she thinks that

through Risperdal her husband will poison her so that he can marry an American wife.

The pertinent positive information that will impact the decision making when prescribing

medication for this patient includes diagnosis of paranoid type Schizophrenia, scores of PANSS

(40 for positive symptoms, 20 for negative symptoms and 60 for psychopathology), symptoms of

Schizophrenia (persistent reflection of paranoid and delusional thought processes, presence of

auditory hallucinations, slow speech, no demonstrations of tics, gestures and mannerism,

judgment and insight is impaired), incompliant behavior towards medications, lab studies

showing good health, BMI of patient is 23.29 (weight is 140 lbs and height is 5’5”) which

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