Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example

Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example

The prevalence of mood disorders is nondiscriminatory and affects individuals of all age groups ranging from children, adolescents and adults. Therefore, in the assigned case study, the patient known as Rebecca Cole happens to be a 39year old unmarried African American woman with no children and has been admitted to a mental health hospital for over seven years of care of unspecified schizophrenia. She also has uncontrolled diabetes and hypertension, necessitating her transfer to an acute care facility, but she has refused to have her blood sugar checked for the last two days, and neither does she take her antipsychotic medication or antihypertensive drugs. (Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example)

According to Neilson & Chaimowitz (2015), RC Rebecca may not be allowed to make her own healthcare decisions. One might argue that the consent does not bind the client to accept treatment and neither does it envisage a scenario where the patient’s right to withdraw consent at any time is withdrawn. Be that as it may, the provider must appreciate that RC is in the care setting involuntarily. Subsequently, the physician must not halt the treatment because existing medical evidence indicates that terminating the therapy has the potential of causing severe and immediate health problems to the patient that could even be life-threatening in the case of antihypertensive drugs. (Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example)

The PMHNP attending to RC faces the legal risk of being accused of unwarranted infringement s on the patient’s autonomy leading to multifaceted liability. Failing to secure appropriate consent before treatment might see RC sue for negligence where consent is an inadequate or criminal liability because consent was not given (Neilson & Chaimowitz, 2015). (Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example)

Integrative care associates conventional treatment like cognitive medication and behavioral therapy with alternative modalities (Ee et al., 2020). Since RC has both psychological and medical comorbidities, utilizing the integrated care model in her case would make her enjoy seamless, effective, and efficient care that addresses the whole of an individual’s health needs. A diagnosis of schizophrenia implies the functional doctor has to seek to understand the underlying causes triggering the schizophrenic episodes. Like other mood disorders, lifestyle, diet, environmental, and emotional reasons significantly contribute to the individual’s well bell. (Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example)

Other specialties that can be used to care for RC are complementary intervention and diet. Ganguly et al. (2018) also list yoga therapy and cognitive behavioral therapy as effective strategies to manage schizophrenia successfully. (Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example)

Ethics requires that honesty in the nursing profession is a top priority, just like in other fields. The first ethical issue involved is informed consent (Moeini et al. 2020).  This occurs when the patient and the family do not know about the treatments applied to a sick person. If RC feels supported and believes in her nurse and doctor, she is more likely to adhere to a treatment plan and get good health results. The second ethical issue involved is shared patient decision-making. If the nurse facilitates shared decision-making, it will improve trust between them, which will help improve open conversations. In conclusion, it is essential to acknowledge that a physician seeking to administer involuntary medication to a client may be required to seek a judicial determination of the patient’s incompetency in most jurisdictions. (Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example)

Reference

Ee, C., Lake, J., Firth, J., Hargraves, F., de Manincor, M., Meade, T., … & Sarris, J. (2020). An integrative, collaborative care model for people with mental illness and physical comorbidities. International journal of mental health systems, 14(1), 1-16. (Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example)

Ganguly, P., Soliman, A., & Moustafa, A. A. (2018). Holistic management of schizophrenia symptoms using pharmacological and non-pharmacological treatment. Frontiers in public health, 6, 166.Moeini, S., Shahriari, M., & Shamali, M. (2020). Ethical challenges of obtaining informed consent from surgical patients. Nursing Ethics, 27(2), 527-536. (Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example)

Neilson, G., & Chaimowitz, G. (2015). Informed consent to treatment in psychiatry. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 60(4), 1. (Managing Mood Disorders and Adjunctive Treatment Options Comprehensive Nursing Paper Example)

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