NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint

NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint 1) Help with creation of a power point. 2) Integrate case study provided and annotated biography to create power points 3)please use the final version of our the annotated biography. 4) https://images.app.goo.gl/ wZo6rZXL5WuMFFpg6 integrated the principal slides tittle of this PPT with those of the ppt attached to create a complete and comprehensive ppt on the study case only. ( USED TITLES OF THE SLIDES OF THIS POWER POINTS ASSOCIATED WITH THAT PF THE ATTACHE POWER POINT)THE TITLES OF THIS POWER FIRST THEN THE TITLES OF THE ATTACHED PPT) ALL RELATED TO THE ATTACHED CASE STUDY ONLY ( THE TITLE ARE USES TO KNOW WHAT SHOULD BE INCLUDED IN THE SLIDES OF THIS PPT). TOPIC: SEE CASE STUDY ONLY. NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint annotated_biography_2__a.docx empty_power_point.pptx case_study_mio.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Running head: ANNOTATED BIBLIOGRAPHY Annotated Bibliography Student’s Name Institutional Affiliation Date 1 ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 2 Annotated Bibliography Khalid M.M. & Wassem, M. (2020). Tricyclic Antidepressant Toxicity. In StatPearls. StartPearls Publishing. Tricyclic antidepressants (TCAs) were a common form of medication prescribed to patients suffering from depression. However, with the affluence of time, more potent medicines replaced TCAs. One of the reasons behind the limited use of the medication stems from the toxicity of the drug and the heightened chances for patient overdose. TCAs are attributed to increased seizures amongst patients who use them because they negatively affect the central nervous system. The primary reason people easily overdose due to the drug stems from the fact that it is absorbed into the body at an elevated speed and lasts for quite sometime before elimination from the body. Such quick absorption and long half-life increase the drug’s toxicity. Wesley Brown’s digestive system does not operate at optimal levels, which means that the absorption rate of the TCAs and Benzodiazepine he consumed is slower. The consumption of these drugs caused Brown to experience delusions and seizures stemming from the TCAs’ toxicity. Clark, S., Catt, J.W., & Caffery, T. (2015). Rapid Diagnosis and Treatment of Severe Tricyclic and Antidepressant Toxicity. BMJ Case Reports, 2015. doi: 10.1136/bcr101511428. Over the years, the use of TCAs has significantly decreased primarily due to the toxicity of the drug and the invention of the selective serotonin reuptake inhibitors (SSRIs). Despite the adverse effects of drugs, some health care professionals still use them to treat chronic pain. The researchers investigated a case study involving a fifty-six-year-old woman who attempted to end her life by consuming chronic pain medication. Physicians need to understand the levels of cardiotoxicity within a patient’s body after they overdose by ingesting TCAs. Their investigation ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 3 into the woman’s case indicated that her cardiotoxicity level stood at one hundred and eight-four ms, which got measured forty-five minutes after she had ingested the antidepressant medication. The researchers recommend that healthcare professionals dealing with patients who overdose from the ingestion of TCAs follow the standard ABC resuscitation procedure when treating such patients. When Wesley Brown came into the emergency room, the doctors attending to him conducted various tests to determine the level of toxicity of the drugs he had consumed before beginning any treatment regimen. Von During, S., Challet, C., & Christin L. (2019). Endoscopic Removal of a Gastric Pharmacobezoar induced by clomipramine, lorazepam, and domperidone Overdose: A Case Report. Journal of Medical Case Reports, 13(1), 45. Gastric bezoar comes from the combination and settling of foreign entities within a person’s body. On the other hand, pharmacobezoar stems from the consumption of multiple different medication pills at a go. In most cases, regular consumption of numerous drugs will heighten toxicity levels with an individual’s body. The risk of consuming multiple drugs simultaneously prompted the researchers to look into the issue. Their study incorporated a case study of a woman with personality disorder and combating suicidal tendencies, who consumed clomipramine, lorazepam, and domperidone. Certain drugs contain cellulose derivatives that might bond with other medications. Such adhesion results in the emergence of a pharmacobezoar. Sometimes patients will immediately exhibit symptoms while in others they may come after effluxion of time. Therefore, health care professionals should note such a fact since it might help avoid further complications. NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint Mr. Brown consumed two drugs at a go, benzodiazepine, and TCA, which might have led to the development of a pharmacobezoar, which manifested in the form of psychosis. ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 4 Colijin, M.A., Nitta, B.H., & Grossberg, G.T. (2015). Psychosis in Later Life: A Review and Update. Harv Rev Psychiatry, 23(5), 354-367. Psychosis is a phenomenon that mostly affects the older adult age demographic. They are at the most risk of acquiring this ailment because of a couple of factors such as the underlying ailments plaguing them, the drugs they are ingesting, and their general environment. It presents itself in various ways, such as delusional disorders, dementia, and mood disorders. In some cases, patients exhibiting symptoms of psychosis usually acquire it due to the consumption of certain drugs. Correctly pointing out the reason behind the acquisition of psychosis is not as straight forward as it appears. Despite such a challenge, healthcare professionals should always strive to diagnose geriatric patients who have psychosis accurately. The use of antipsychotic medication when treating psychosis amongst older adult patients has come under intense scrutiny. However, some drugs seem to be quite useful and safe when used to manage the ailment. Irrespective of their efficacy and safety, health care professionals should regularly monitor patients consuming these drugs. In Mr. Brown’s case, his psychosis stems from the use of multiple medications at the same time. Subramaniam, M., Abdin, E., Vaingankar, J., et al. (2016). Prevalence of Psychotic Symptoms among older adults in an Asian Population. International Psychogeriatrics, 28(7), 1211-1220. The researchers settled on Asian participants in their study because most of the research on psychosis among older adults has focused on Western populations over the years. Despite the elderly being a population demographic on their own, such research overlooked the diversity within the older adult age demographic. They believe their study will add valuable discourse to psychosis, especially among the Asian population. Their study revolved around understanding the ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 5 correlation between symptoms of psychosis and paranoid ideation. They selected over two thousand Singapore elderly persons as participants on in their research. Only five percent of the participants indicated they had psychotic symptoms. People exhibiting these symptoms will, on many occasions, experience reduced levels of cognitive performances, issues with their sight and hearing, and in some instances, they might get depressed. The study results validated the researchers’ concerns that treatment classification of all elderly persons irrespective of their differences might yield compromised results. Elderly persons within the Asian community had a higher chance of suffering from psychosis than older adults from Western populations. Mr. Brown exhibited a couple of these symptoms when brought to the emergency room. He was delusional and showed psychotic symptoms, which was why the psychiatry department was called in to assist. Romanov, D.V., Lepping, P., Bewley, A., et al., (2018). Longer Duration of Untreated Psychosis is associated with delusional Infestation. Acta dermatovenereologica, 98(9), 848-854. The researchers sought to understand how the duration it takes to make a diagnosis and treat a patient suffering from psychosis affects the development of delusional Infestation (DI). NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint Their study involved two hundred and eleven participants. Delusion infestation is a psychological ailment where a person operates under the illusion that parasites have invaded their body and are harming them. However, when examined, such parasites do not appear. Their research is one of its kind, considering no other researcher has so far looked at the link between the duration of untreated psychosis and the manifestation of delusional Infestation. The condition affects close to eight three people from a sample size of one million people. Failure to make a prognosis and begin treatment for psychosis will, in most cases, result in the emergence of DI. The longer health care professionals fail to treat the ailment, the severe it gets. Physicians should ensure they diagnose ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 6 patients early enough and treat their psychosis before it delusional Infestation settles in. In the case of Mr. Brown, this did not happen, which allowed him to develop a delusional infestation. An example of Wesley’s delusion is the belief that his wife was having an affair. Use of bbbbbbbbbbbb (Diagnosis). Dr. aaaaaaaaaaaaa School of Nursing at . PMHMP-NURS-6261 Dr. bbbbbbbbbbb. 06/30/2020 Topic Overview Topic: Should ketamine be approved officially as effective and durable treatment for suicide and suicidal ideation? Rationale: Existing treatments take a long time before alleviating the symptoms of depression and suicidal ideation. Problem Description • Suicide and suicide ideation are emergencies that need urgent interventions. • Depression is an emergency with social, cultural, and economic impacts on society. • There is no effective treatment approach to manage suicide and suicide ideation. Proposed Practice Change • Due to the urgency presented by suicide/suicide ideation, the healthcare department needs to approve the use of ketamine immediately to lighten the condition’s burden on the economy and society. • Practitioners can use ketamine to treat depression and its complications, including suicide and suicidal ideation. • Ketamine is an ideal treatment approach because it works immediately and has minimal side effects. Presentation of Evidence • Andrade (2017) claims that ketamine and derivatives are effective for treating MD, which can trigger suicidal behavior. • Zanos and Gould (2018) assert that ketamine inhibits NMDA and activates an acid receptor, which help in managing depression/suicide. • Duman (2018) affirms that ketamine is effective in treating depression/suicide ideation resistant to other medical approaches. • Grunebaum et al. (2018) posits that treatment of MD/suicide using ketamine has positive outcomes within 24 hours. Recommendations • The health care department should approve ketamine as a treatment approach for preventing suicide and managing suicide ideation because of its proven benefits and due to the ineffectiveness of existing approaches. • Ketamine can reduce the rate of suicide completed if practitioners conduct efficient patient screening, public education, and cultural support when implementing the approach. Implications for Practice Approving the use of ketamine for treating suicide and suicidal ideation will have numerous benefits including: • Decreased burden on health care. • Reduced health care costs. • Improved economic development. • Improved health care quality. References Andrade C. (2017). Ketamine for Depression, 2: Diagnostic and Contextual Indications. The Journal of Clinical Psychiatry, 78(5), Duman R. S. (2018). Ketamine and rapid-acting antidepressants: A new era in the battle against depression and suicide. F1000Research, 7 Grunebaum, M. F et al. NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint (2018). Ketamine for Rapid Reduction of Suicidal Thoughts in Major Depression: A Midazolam-Controlled Randomized Clinical Trial. The American Journal of Psychiatry, 175(4), 327-335 References Meisner, R. C. (2019). Ketamine for major depression: New tool, new questions. Harvard Health Publishing. Retrieved from https://www.health.harvard.edu/blog/ketamine-formajor- depression-new-tool-new-questions-2019052216673 Menard, C., Hodes, G. E., & Russo, S. J. (2016). Pathogenesis of depression: Insights from human and rodent studies. Neuroscience, 321, 138–162. https://doi.org/10.1016/j.neuroscience.2015.05.053 Zanos, P., & Gould, T. D. (2018). Mechanisms of ketamine action as an antidepressant. Molecular Psychiatry, 23(4), 801– 811. Wesley Brown, a 63-year-old businessman, was “found down” in the road by police and brought to the emergency room (ER) of a large university-affiliated hospital. The psychiatry service was consulted for management of “psychotic behavior” in the ER. The patient’s family reported that the patient had exhibited an approximately 2-week history of “strange behavior.” According to his sister, Mr. Brown had been running around the kitchen with knives, sending paranoid e-mails about the justice system to his friends, showing his guns to the neighbors, seeing people in the walls, having paranoid thoughts that his wife was having an affair, and not sleeping. The patient’s wife had reported him missing 3 days prior to admission. Notably, his car was found a few blocks away with a large box in its trunk containing numerous medications and the patient’s extensive gun collection. Mr. Brown’s vital signs were within normal limits. His medical records revealed a history of coronary artery disease and a coronary artery bypass graft 5 years prior to admission, as well as chronic back pain and several spinal surgeries, with an associated history of daily opiate use. He had no prior psychiatric history, including any history of depression or antidepressant medications. His outpatient medications included metoprolol, cyclobenzaprine, and morphine (in the form of MS-Contin). His physical examination was notable for heavy sedation, mydriasis, hypoactive bowel sounds, urinary retention, epistaxis, and depressed reflexes. A computed tomography (CT) scan of the head was negative, and CT of the cervical spine showed degeneration. His blood alcohol screen was negative, and complete blood count and comprehensive metabolic panel results were within normal limits, as were an electrocardiogram and cerebrospinal fluid from a lumbar puncture. His urine toxicology screen was positive for “benzodiazepines and tricyclics.” Mr. Brown’s mental status examination revealed waxing and waning alertness, an unkempt appearance, lack of cooperation with nursing and medical personnel, somewhat slurred speech, and signs of psychomotor retardation. His affect alternated between subdued/somnolent and restless/agitated. He denied suicidal or homicidal ideation but reported significant paranoid ideation that focused on his wife’s suspected affair. His thought process was notably tangential. He denied both auditory and visual hallucinations. His judgment and insight were impaired. During his initial evaluation, the patient was noted to have a Mini-Mental State Examination score of 16 of 30 possible points. He lost 7 of 10 points for orientation, 3 for attention and calculation, 2 for recall, and 1 each for sentence writing and copying design. … Purchase answer to see full attachmentNURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint

NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint 1) Help with creation of a power point. 2) Integrate case study provided and annotated biography to create power points 3)please use the final version of our the annotated biography. 4) https://images.app.goo.gl/ wZo6rZXL5WuMFFpg6 integrated the principal slides tittle of this PPT with those of the ppt attached to create a complete and comprehensive ppt on the study case only. ( USED TITLES OF THE SLIDES OF THIS POWER POINTS ASSOCIATED WITH THAT PF THE ATTACHE POWER POINT)THE TITLES OF THIS POWER FIRST THEN THE TITLES OF THE ATTACHED PPT) ALL RELATED TO THE ATTACHED CASE STUDY ONLY ( THE TITLE ARE USES TO KNOW WHAT SHOULD BE INCLUDED IN THE SLIDES OF THIS PPT). TOPIC: SEE CASE STUDY ONLY. NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint annotated_biography_2__a.docx empty_power_point.pptx case_study_mio.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Running head: ANNOTATED BIBLIOGRAPHY Annotated Bibliography Student’s Name Institutional Affiliation Date 1 ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 2 Annotated Bibliography Khalid M.M. & Wassem, M. (2020). Tricyclic Antidepressant Toxicity. In StatPearls. StartPearls Publishing. Tricyclic antidepressants (TCAs) were a common form of medication prescribed to patients suffering from depression. However, with the affluence of time, more potent medicines replaced TCAs. One of the reasons behind the limited use of the medication stems from the toxicity of the drug and the heightened chances for patient overdose. TCAs are attributed to increased seizures amongst patients who use them because they negatively affect the central nervous system. The primary reason people easily overdose due to the drug stems from the fact that it is absorbed into the body at an elevated speed and lasts for quite sometime before elimination from the body. Such quick absorption and long half-life increase the drug’s toxicity. Wesley Brown’s digestive system does not operate at optimal levels, which means that the absorption rate of the TCAs and Benzodiazepine he consumed is slower. The consumption of these drugs caused Brown to experience delusions and seizures stemming from the TCAs’ toxicity. Clark, S., Catt, J.W., & Caffery, T. (2015). Rapid Diagnosis and Treatment of Severe Tricyclic and Antidepressant Toxicity. BMJ Case Reports, 2015. doi: 10.1136/bcr101511428. Over the years, the use of TCAs has significantly decreased primarily due to the toxicity of the drug and the invention of the selective serotonin reuptake inhibitors (SSRIs). Despite the adverse effects of drugs, some health care professionals still use them to treat chronic pain. The researchers investigated a case study involving a fifty-six-year-old woman who attempted to end her life by consuming chronic pain medication. Physicians need to understand the levels of cardiotoxicity within a patient’s body after they overdose by ingesting TCAs. Their investigation ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 3 into the woman’s case indicated that her cardiotoxicity level stood at one hundred and eight-four ms, which got measured forty-five minutes after she had ingested the antidepressant medication. The researchers recommend that healthcare professionals dealing with patients who overdose from the ingestion of TCAs follow the standard ABC resuscitation procedure when treating such patients. When Wesley Brown came into the emergency room, the doctors attending to him conducted various tests to determine the level of toxicity of the drugs he had consumed before beginning any treatment regimen. Von During, S., Challet, C., & Christin L. (2019). Endoscopic Removal of a Gastric Pharmacobezoar induced by clomipramine, lorazepam, and domperidone Overdose: A Case Report. Journal of Medical Case Reports, 13(1), 45. Gastric bezoar comes from the combination and settling of foreign entities within a person’s body. On the other hand, pharmacobezoar stems from the consumption of multiple different medication pills at a go. In most cases, regular consumption of numerous drugs will heighten toxicity levels with an individual’s body. The risk of consuming multiple drugs simultaneously prompted the researchers to look into the issue. Their study incorporated a case study of a woman with personality disorder and combating suicidal tendencies, who consumed clomipramine, lorazepam, and domperidone. Certain drugs contain cellulose derivatives that might bond with other medications. Such adhesion results in the emergence of a pharmacobezoar. Sometimes patients will immediately exhibit symptoms while in others they may come after effluxion of time. Therefore, health care professionals should note such a fact since it might help avoid further complications. NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint Mr. Brown consumed two drugs at a go, benzodiazepine, and TCA, which might have led to the development of a pharmacobezoar, which manifested in the form of psychosis. ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 4 Colijin, M.A., Nitta, B.H., & Grossberg, G.T. (2015). Psychosis in Later Life: A Review and Update. Harv Rev Psychiatry, 23(5), 354-367. Psychosis is a phenomenon that mostly affects the older adult age demographic. They are at the most risk of acquiring this ailment because of a couple of factors such as the underlying ailments plaguing them, the drugs they are ingesting, and their general environment. It presents itself in various ways, such as delusional disorders, dementia, and mood disorders. In some cases, patients exhibiting symptoms of psychosis usually acquire it due to the consumption of certain drugs. Correctly pointing out the reason behind the acquisition of psychosis is not as straight forward as it appears. Despite such a challenge, healthcare professionals should always strive to diagnose geriatric patients who have psychosis accurately. The use of antipsychotic medication when treating psychosis amongst older adult patients has come under intense scrutiny. However, some drugs seem to be quite useful and safe when used to manage the ailment. Irrespective of their efficacy and safety, health care professionals should regularly monitor patients consuming these drugs. In Mr. Brown’s case, his psychosis stems from the use of multiple medications at the same time. Subramaniam, M., Abdin, E., Vaingankar, J., et al. (2016). Prevalence of Psychotic Symptoms among older adults in an Asian Population. International Psychogeriatrics, 28(7), 1211-1220. The researchers settled on Asian participants in their study because most of the research on psychosis among older adults has focused on Western populations over the years. Despite the elderly being a population demographic on their own, such research overlooked the diversity within the older adult age demographic. They believe their study will add valuable discourse to psychosis, especially among the Asian population. Their study revolved around understanding the ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 5 correlation between symptoms of psychosis and paranoid ideation. They selected over two thousand Singapore elderly persons as participants on in their research. Only five percent of the participants indicated they had psychotic symptoms. People exhibiting these symptoms will, on many occasions, experience reduced levels of cognitive performances, issues with their sight and hearing, and in some instances, they might get depressed. The study results validated the researchers’ concerns that treatment classification of all elderly persons irrespective of their differences might yield compromised results. Elderly persons within the Asian community had a higher chance of suffering from psychosis than older adults from Western populations. Mr. Brown exhibited a couple of these symptoms when brought to the emergency room. He was delusional and showed psychotic symptoms, which was why the psychiatry department was called in to assist. Romanov, D.V., Lepping, P., Bewley, A., et al., (2018). Longer Duration of Untreated Psychosis is associated with delusional Infestation. Acta dermatovenereologica, 98(9), 848-854. The researchers sought to understand how the duration it takes to make a diagnosis and treat a patient suffering from psychosis affects the development of delusional Infestation (DI). NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint Their study involved two hundred and eleven participants. Delusion infestation is a psychological ailment where a person operates under the illusion that parasites have invaded their body and are harming them. However, when examined, such parasites do not appear. Their research is one of its kind, considering no other researcher has so far looked at the link between the duration of untreated psychosis and the manifestation of delusional Infestation. The condition affects close to eight three people from a sample size of one million people. Failure to make a prognosis and begin treatment for psychosis will, in most cases, result in the emergence of DI. The longer health care professionals fail to treat the ailment, the severe it gets. Physicians should ensure they diagnose ANNOTATED BIBLIOGRAPHY PSYCHOSIS IN 6 patients early enough and treat their psychosis before it delusional Infestation settles in. In the case of Mr. Brown, this did not happen, which allowed him to develop a delusional infestation. An example of Wesley’s delusion is the belief that his wife was having an affair. Use of bbbbbbbbbbbb (Diagnosis). Dr. aaaaaaaaaaaaa School of Nursing at . PMHMP-NURS-6261 Dr. bbbbbbbbbbb. 06/30/2020 Topic Overview Topic: Should ketamine be approved officially as effective and durable treatment for suicide and suicidal ideation? Rationale: Existing treatments take a long time before alleviating the symptoms of depression and suicidal ideation. Problem Description • Suicide and suicide ideation are emergencies that need urgent interventions. • Depression is an emergency with social, cultural, and economic impacts on society. • There is no effective treatment approach to manage suicide and suicide ideation. Proposed Practice Change • Due to the urgency presented by suicide/suicide ideation, the healthcare department needs to approve the use of ketamine immediately to lighten the condition’s burden on the economy and society. • Practitioners can use ketamine to treat depression and its complications, including suicide and suicidal ideation. • Ketamine is an ideal treatment approach because it works immediately and has minimal side effects. Presentation of Evidence • Andrade (2017) claims that ketamine and derivatives are effective for treating MD, which can trigger suicidal behavior. • Zanos and Gould (2018) assert that ketamine inhibits NMDA and activates an acid receptor, which help in managing depression/suicide. • Duman (2018) affirms that ketamine is effective in treating depression/suicide ideation resistant to other medical approaches. • Grunebaum et al. (2018) posits that treatment of MD/suicide using ketamine has positive outcomes within 24 hours. Recommendations • The health care department should approve ketamine as a treatment approach for preventing suicide and managing suicide ideation because of its proven benefits and due to the ineffectiveness of existing approaches. • Ketamine can reduce the rate of suicide completed if practitioners conduct efficient patient screening, public education, and cultural support when implementing the approach. Implications for Practice Approving the use of ketamine for treating suicide and suicidal ideation will have numerous benefits including: • Decreased burden on health care. • Reduced health care costs. • Improved economic development. • Improved health care quality. References Andrade C. (2017). Ketamine for Depression, 2: Diagnostic and Contextual Indications. The Journal of Clinical Psychiatry, 78(5), Duman R. S. (2018). Ketamine and rapid-acting antidepressants: A new era in the battle against depression and suicide. F1000Research, 7 Grunebaum, M. F et al. NURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint (2018). Ketamine for Rapid Reduction of Suicidal Thoughts in Major Depression: A Midazolam-Controlled Randomized Clinical Trial. The American Journal of Psychiatry, 175(4), 327-335 References Meisner, R. C. (2019). Ketamine for major depression: New tool, new questions. Harvard Health Publishing. Retrieved from https://www.health.harvard.edu/blog/ketamine-formajor- depression-new-tool-new-questions-2019052216673 Menard, C., Hodes, G. E., & Russo, S. J. (2016). Pathogenesis of depression: Insights from human and rodent studies. Neuroscience, 321, 138–162. https://doi.org/10.1016/j.neuroscience.2015.05.053 Zanos, P., & Gould, T. D. (2018). Mechanisms of ketamine action as an antidepressant. Molecular Psychiatry, 23(4), 801– 811. Wesley Brown, a 63-year-old businessman, was “found down” in the road by police and brought to the emergency room (ER) of a large university-affiliated hospital. The psychiatry service was consulted for management of “psychotic behavior” in the ER. The patient’s family reported that the patient had exhibited an approximately 2-week history of “strange behavior.” According to his sister, Mr. Brown had been running around the kitchen with knives, sending paranoid e-mails about the justice system to his friends, showing his guns to the neighbors, seeing people in the walls, having paranoid thoughts that his wife was having an affair, and not sleeping. The patient’s wife had reported him missing 3 days prior to admission. Notably, his car was found a few blocks away with a large box in its trunk containing numerous medications and the patient’s extensive gun collection. Mr. Brown’s vital signs were within normal limits. His medical records revealed a history of coronary artery disease and a coronary artery bypass graft 5 years prior to admission, as well as chronic back pain and several spinal surgeries, with an associated history of daily opiate use. He had no prior psychiatric history, including any history of depression or antidepressant medications. His outpatient medications included metoprolol, cyclobenzaprine, and morphine (in the form of MS-Contin). His physical examination was notable for heavy sedation, mydriasis, hypoactive bowel sounds, urinary retention, epistaxis, and depressed reflexes. A computed tomography (CT) scan of the head was negative, and CT of the cervical spine showed degeneration. His blood alcohol screen was negative, and complete blood count and comprehensive metabolic panel results were within normal limits, as were an electrocardiogram and cerebrospinal fluid from a lumbar puncture. His urine toxicology screen was positive for “benzodiazepines and tricyclics.” Mr. Brown’s mental status examination revealed waxing and waning alertness, an unkempt appearance, lack of cooperation with nursing and medical personnel, somewhat slurred speech, and signs of psychomotor retardation. His affect alternated between subdued/somnolent and restless/agitated. He denied suicidal or homicidal ideation but reported significant paranoid ideation that focused on his wife’s suspected affair. His thought process was notably tangential. He denied both auditory and visual hallucinations. His judgment and insight were impaired. During his initial evaluation, the patient was noted to have a Mini-Mental State Examination score of 16 of 30 possible points. He lost 7 of 10 points for orientation, 3 for attention and calculation, 2 for recall, and 1 each for sentence writing and copying design. … Purchase answer to see full attachmentNURS 6261 UT RGV Comprehensive Psychosis in Geriatric Patient Powerpoint Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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