In addition the depression rating scale showed an increase of her PANSS from

In addition the depression rating scale showed an

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other available decisions, the client showed deteriorations in her psychosis. In addition, the depression rating scale showed an increase of her PANSS from the previous 75 percent to 85 – a 10 percent increase. As a result, the client became unmanageable despite the stabilization of her weight and her husband started feeling uncomfortable around her ( Opler, Yavorsky, & Daniel, 2017). Even though the reduced dosage was meant to result in better outcomes for the patient, it was incapable of treating her delusions and underlying symptoms. The outcome could have been due to the low dosage and possible body tolerance to the drug given that she had been using this medication for the past two months. Without full treatment, it is inevitable that a newer option be considered. Decision 3 The final decision shifted to the use of Zyprexa 15 mg orally before bed, which was augmented with Qsymia (topiramate and phentermine) for her weight loss. Although there were alternative options (continue with Zyprexa 15 mg, Geodon 40 mg, or Risperdal 1 mg), it was perceived that a higher dosage offered the best possible outcome. An augmenting agent was viewed as suitable given that the current drug’s maximum dosage was reached and the patient complained of Zyprexa’s adverse effects. With the high dosage, it was expected that the patient would recover fully and show signs of normal functioning, which was ultimately achieved. During the entire medication process, the patient’s right to privacy and autonomy was respected and the decisions were only effected based on the principle of non-maleficence (avoiding or minimizing harm). In light of this, only interventions that have been verified to be safe were considered for the patient.
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DELUSIONAL THOUGHT 4 References Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry , 134, 382-389. Opler, M. G., Yavorsky, C., & Daniel, D. G. (2017). Positive and Negative Syndrome Scale (PANSS) training: Challenges, solutions, and future directions. Innovations in clinical neuroscience , 14 (11-12),–81 .
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  • Fall '15
  • Mr. Njoroge
  • Schizophrenia, Daniel, Atypical antipsychotic

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