r******t
发帖数: 673 | 1 要开始写这篇文章不知如何下手，觉得自己好像有点弱智，
Mental Health Co-morbidity Paper
66 year old male who has early-onset schizophrenia, for which he has been
medicated with various antipsychotics for the course of his illness, most
recently with Zyprexa for the last 15 years. At his last visit you detected
changes in his cognitive status consistent with Alzheimer’s Dementia. You
note that he has a family history of dementia.
Purpose: 7-10 page referenced paper To explore the assessment and treatment
issues where mental illness complicates treatment for an existing chronic
illness in an older adult.
Questions to consider while writing your paper:
1. What is the major area of concern for treatment of these co-morbid
conditions? HINT the issue could relate to use of pharmaceuticals in
treating both diseases; ie one may be contraindicated OR could relate to the
seriousness of the combined disease states OR could relate to safety issues
for the older patient.
2. What would be your plan of care—include all treatments both
pharmacological and non-pharmacological with rationale.
3. What is the state of the evidence in treatments of these co-morbid
conditions?
4. Are there ethical issues you must consider? What are they? | c*********n
发帖数: 343 | 2 这个要谈的其实还是挺多的 就不按点给你往里套了 有问题站内我
mental health issues in dementia is very common, given both physiological
and psychological reasons. It is important to assess if the patient's
current mood and behaviors are consistent with his dementia, or it is
different, such as delirium. Zyprexia is an atypical psychotropic medication
, usually if the patient is in a nursing home, or even in community setting,
I would prefer to have a mental health evaluation on the need of zyprexa,
or maybe switching to another medication. In many states, it requires that
at least 2 gradual dose reduction in 1 year to determine the lowest
effective dosage on this medication. Ethical issues are definitely involved. | r******t
发帖数: 673 | 3 谢谢指导！
medication
setting,
involved.
【在 c*********n 的大作中提到】
: 这个要谈的其实还是挺多的 就不按点给你往里套了 有问题站内我
: mental health issues in dementia is very common, given both physiological
: and psychological reasons. It is important to assess if the patient's
: current mood and behaviors are consistent with his dementia, or it is
: different, such as delirium. Zyprexia is an atypical psychotropic medication
: , usually if the patient is in a nursing home, or even in community setting,
: I would prefer to have a mental health evaluation on the need of zyprexa,
: or maybe switching to another medication. In many states, it requires that
: at least 2 gradual dose reduction in 1 year to determine the lowest
: effective dosage on this medication. Ethical issues are definitely involved.
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