Table of Contents
[SOLUTION] NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia – Homework Solution
Assignment 1: Early Onset Schizophrenia
NURS 6660 Week 9 Assignment 1
Children and adolescents with schizophrenia have more difficulty functioning in academic or work settings, and significant impairment usually persists into adulthood. They may have speech or language disorders and in some cases borderline intellectual functioning. These individuals are more likely to complete suicide attempts or die from other accidental causes. Schizophrenia is characterized by positive and negative symptoms. Positive symptoms include hallucinations, delusions, and behavior disturbance. Negative symptoms include blunted affect and attention, apathy, and lack of motivation and social interest. NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia. In this Assignment, you compare treatment plans for adults diagnosed with schizophrenia with treatment plans for children and adolescents diagnosed with schizophrenia. You also consider the legal and ethical issues involved in medicating children diagnosed with schizophrenia. NURS 6660 Week 9 Assignment 1, Early Onset SchizophreniaLearning Objectives
Students will:- Compare evidence-based treatment plans for adults versus children and adolescents diagnosed with schizophrenia. NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia
- Analyze legal and ethical issues surrounding the forceful administration of medication to children diagnosed with schizophrenia
- Analyze the role of the PMHNP in addressing issues related to the forceful administration of medication to children diagnosed with schizophrenia
- Review the Learning Resources concerning early-onset schizophrenia.
- Compare at least two evidence-based treatment plans for adults diagnosed with schizophrenia with evidence-based treatment plans for children and adolescents diagnosed with schizophrenia. NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia
- Explain the legal and ethical issues involved with forcing children diagnosed with schizophrenia to take medication for the disorder and how a PMHNP may address those issues.
Early-Onset Schizophrenia
“I can’t believe he is speaking to me! I have always liked his music, but now here he is on TV speaking directly to me! When I started following him on social media, he must have seen my profile. I know he loves me. He cannot love that model I saw with him in the picture. She must be the person following me to school. I have not seen her, but I know she is there. She does not want me being with him, but I will be with him. He loves me as much as I love him.” Kaitlyn, age 17Early-onset schizophrenia is a rare and severe mental illness in which children interpret reality abnormally. There are a range of problems with cognitive functioning, behavior, and emotions. Perceptions may be distorted and children or their parents may report that they have difficulty distinguishing reality. This is a diagnosis that is difficult to confirm in the early stages. NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia This week, you compare evidence-based treatment plans for adults versus children diagnosed with schizophrenia. You analyze the legal and ethical issues involved with forcing patients with early-onset schizophrenia to take medications for the disorder. You also complete a Decision Tree concerning children with psychotic disorders. NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
REQUIRED READINGS
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author. NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia
- Standard 10 “Quality of Practice” (pages 73-74) NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia
- Chapter 31, “Child Psychiatry” (pp. 1268–1283)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
- “Schizophrenia Spectrum and Other Psychotic Disorders” NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia
McClellan, J., & Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with schizophrenia. Journal of the American Academy of Child & Adolescent Psychiatry, 52(9), 976–990. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00112-…
Giles, L. L., & Martini, D. R. (2016). Challenges and promises of pediatric psychopharmacology. Academic Pediatrics, 16(6), 508-518. doi:10.1016/j.acap.2016.03.011
Hargrave, T. M., & Arthur, M. E. (2015). Teaching child psychiatric assessment skills: Using pediatric mental health screening tools. International Journal of Psychiatry in Medicine, 50(1), 60-72.
Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press. Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.Review the following medications:
Schizoaffective disorder | Schizophrenia |
---|---|
amisulpride aripiprazole asenapine carbamazepine (adjunct) chlorpromazine clozapine cyamemazine flupenthixol haloperidol iloperidone lamotrigine (adjunct) l-methylfolate (adjunct) loxapine lurasidone mesoridazine molindone olanzapine paliperidone perospirone perphenazine pipothiazine quetiapine risperidone sertindole sulpiride thioridazine thiothixene trifluoperazineNURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia valproate (divalproex) (adjunct) ziprasidone zotepine zuclopenthixol | amisulpride aripiprazole asenapine carbamazepine (adjunct) chlorpromazine clozapine cyamemazine flupenthixol haloperidol iloperidone lamotrigine (adjunct) l-methylfolate (adjunct) loxapine lurasidone mesoridazine molindone olanzapine paliperidone perospirone perphenazine pipothiazine quetiapine risperidone sertindole sulpiride thioridazine thiothixene trifluoperazine valproate (divalproex) (adjunct) ziprasidone zotepine zuclopenthixolNURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia |
Note: Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.”
REQUIRED MEDIA
Laureate Education (Producer). (2017b). A young girl with strange behaviors [Multimedia file]. Baltimore, MD: Author. NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia
OPTIONAL RESOURCES
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell.
- Chapter 57, “Schizophrenia and Psychosis” (pp. 774–794) NURS 6660 Week 9 Assignment 1, Early Onset Schizophrenia