Chat with us, powered by LiveChat Anne Arundel Community College Management of Insomnia Psychotherapy Discussion | Gen Paper
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Insomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being.

Reference: Abbott, J. (2016).

What’s the link between insomnia and mental illness?

Health.

https://www.sciencealert.com/what-exactly-is-the-l…

For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.


Case: An elderly widow who just lost her spouse.


Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications:


  • Metformin 500mg BID

  • Januvia 100mg daily

  • Losartan 100mg daily

  • HCTZ 25mg daily

  • Sertraline 100mg daily


Current weight: 88 kg


Current height: 64 inches


Temp: 98.6 degrees F


BP: 132/86

By Day 3 of Week 7


Post

a response to each of the following:

  • List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.
  • Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
  • Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.
  • List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.
  • List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
  • For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?
  • Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.

4/13/22, 12:02 AM
Rubric Detail – Blackboard Learn
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Name: NURS_6630_Week7_Discussion_Rubric
Grid View
Main Posting:
Response to
the Discussion
question is
reflective with
critical
analysis and
synthesis
representative
of knowledge
gained from
the course
readings for
the module
and current
credible
sources.
EXIT
List View
Excellent
Good
Fair
Poor
Point range:
90–100
Point range:
80–89
Point range:
70–79
Point range: 0–
69
40 (40%) – 44
35 (35%) – 39
31 (31%) – 34
0 (0%) – 30 (30%)
(44%)
(39%)
(34%)
Thoroughly
responds to the
Discussion
question(s).
Responds to
most of the
Discussion
question(s).
Responds to
some of the
Discussion
question(s).
Is reflective
with critical
analysis and
synthesis
representative
of knowledge
gained from
the course
readings for the
module and
current credible
sources.
Is somewhat
reflective with
critical analysis
and synthesis
representative
of knowledge
gained from
the course
readings for the
module.
One to two
criteria are not
addressed or
are superficially
addressed.
No less than
75% of post has
exceptional
depth and
breadth.
Supported by
at least three
current credible
sources.
50% of the post
has exceptional
depth and
breadth.
Supported by
at least three
credible
references.
Is somewhat
lacking
reflection and
critical analysis
and synthesis.
Somewhat
represents
knowledge
gained from the
course readings
for the module.
Post is cited
with fewer than
two credible
references.
https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16939985_1&rubric_id=_2962811_1
Does not
respond to the
Discussion
question(s).
Lacks depth or
superficially
addresses
criteria.
Lacks reflection
and critical
analysis and
synthesis.
Does not
represent
knowledge
gained from the
course readings
for the module.
Contains only
one or no
credible
references.
1/7
4/13/22, 12:02 AM
Rubric Detail – Blackboard Learn
Excellent
Good
Fair
Poor
Point range:
90–100
Point range:
80–89
Point range:
70–79
Point range: 0–
69
Main Posting:
6 (6%) – 6 (6%)
5 (5%) – 5 (5%)
4 (4%) – 4 (4%)
0 (0%) – 3 (3%)
Writing
Written clearly
and concisely.
Written
concisely.
Contains no
grammatical or
spelling errors.
May contain
one to two
grammatical or
spelling errors.
Written
somewhat
concisely.
Not written
clearly or
concisely.
May contain
more than two
spelling or
grammatical
errors.
Contains more
than two
spelling or
grammatical
errors.
Contains some
APA formatting
errors.
Does not
adhere to
current APA
manual writing
rules and style.
Adheres to
current APA
manual writing
rules and style.
Adheres to
current APA
manual writing
rules and style.
Main Posting:
9 (9%) – 10 (10%)
8 (8%) – 8 (8%)
7 (7%) – 7 (7%)
0 (0%) – 6 (6%)
Timely and
full
participation
Meets
requirements
for timely, full,
and active
participation.
Posts main
Discussion by
due date.
Posts main
Discussion by
due date.
Does not meet
requirements
for full
participation.
Posts main
Discussion by
due date.
Meets
requirements
for full
participation.
https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16939985_1&rubric_id=_2962811_1
Does not post
main
Discussion by
due date.
2/7
4/13/22, 12:02 AM
First
Response:
Post to
colleague’s
main post
that is
reflective and
justified with
credible
sources.
Rubric Detail – Blackboard Learn
Excellent
Good
Fair
Poor
Point range:
90–100
Point range:
80–89
Point range:
70–79
Point range: 0–
69
9 (9%) – 9 (9%)
8 (8%) – 8 (8%)
7 (7%) – 7 (7%)
0 (0%) – 6 (6%)
Response
exhibits critical
thinking and
application to
practice
settings.
Response has
some depth
and may
exhibit critical
thinking or
application to
practice setting.
Response is on
topic, may have
some depth.
Response may
not be on topic,
lacks depth.
Responds to
questions
posed by
faculty.
The use of
scholarly
sources to
support ideas
demonstrates
synthesis and
understanding
of learning
objectives.
https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16939985_1&rubric_id=_2962811_1
3/7
4/13/22, 12:02 AM
First
Response:
Writing
Rubric Detail – Blackboard Learn
Excellent
Good
Fair
Poor
Point range:
90–100
Point range:
80–89
Point range:
70–79
Point range: 0–
69
6 (6%) – 6 (6%)
5 (5%) – 5 (5%)
4 (4%) – 4 (4%)
0 (0%) – 3 (3%)
Communication
is professional
and respectful
to colleagues.
Communication
is mostly
professional
and respectful
to colleagues.
Response
posed in the
Discussion may
lack effective
professional
communication.
Responses
posted in the
Discussion lack
effective
communication.
Response to
faculty
questions are
fully answered,
if posed.
Provides clear,
concise
opinions and
ideas that are
supported by
two or more
credible
sources.
First
Response:
Timely and
full
participation
Response to
faculty
questions are
mostly
answered, if
posed.
Provides
opinions and
ideas that are
supported by
few credible
sources.
Response to
faculty
questions are
somewhat
answered, if
posed.
Few or no
credible
sources are
cited.
Response to
faculty
questions are
missing.
No credible
sources are
cited.
Response is
effectively
written in
Standard,
Edited English.
Response is
written in
Standard,
Edited English.
5 (5%) – 5 (5%)
4 (4%) – 4 (4%)
3 (3%) – 3 (3%)
0 (0%) – 2 (2%)
Meets
requirements
for timely, full,
and active
participation.
Meets
requirements
for full
participation.
Posts by due
date.
Does not meet
requirements
for full
participation.
Posts by due
date.
Posts by due
date.
https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16939985_1&rubric_id=_2962811_1
Does not post
by due date.
4/7
4/13/22, 12:02 AM
Second
Response:
Post to
colleague’s
main post
that is
reflective and
justified with
credible
sources.
Rubric Detail – Blackboard Learn
Excellent
Good
Fair
Poor
Point range:
90–100
Point range:
80–89
Point range:
70–79
Point range: 0–
69
9 (9%) – 9 (9%)
8 (8%) – 8 (8%)
7 (7%) – 7 (7%)
0 (0%) – 6 (6%)
Response
exhibits critical
thinking and
application to
practice
settings.
Response has
some depth
and may
exhibit critical
thinking or
application to
practice setting.
Response is on
topic, may have
some depth.
Response may
not be on topic,
lacks depth.
Responds to
questions
posed by
faculty.
The use of
scholarly
sources to
support ideas
demonstrates
synthesis and
understanding
of learning
objectives.
https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16939985_1&rubric_id=_2962811_1
5/7
4/13/22, 12:02 AM
Second
Response:
Writing
Rubric Detail – Blackboard Learn
Excellent
Good
Fair
Poor
Point range:
90–100
Point range:
80–89
Point range:
70–79
Point range: 0–
69
6 (6%) – 6 (6%)
5 (5%) – 5 (5%)
4 (4%) – 4 (4%)
0 (0%) – 3 (3%)
Communication
is professional
and respectful
to colleagues.
Communication
is mostly
professional
and respectful
to colleagues.
Response
posed in the
Discussion may
lack effective
professional
communication.
Responses
posted in the
Discussion lack
effective
communication.
Response to
faculty
questions are
fully answered,
if posed.
Provides clear,
concise
opinions and
ideas that are
supported by
two or more
credible
sources.
Second
Response:
Timely and
full
participation
Response to
faculty
questions are
mostly
answered, if
posed.
Provides
opinions and
ideas that are
supported by
few credible
sources.
Response to
faculty
questions are
somewhat
answered, if
posed.
Few or no
credible
sources are
cited.
Response to
faculty
questions are
missing.
No credible
sources are
cited.
Response is
effectively
written in
Standard,
Edited English.
Response is
written in
Standard,
Edited English.
5 (5%) – 5 (5%)
4 (4%) – 4 (4%)
3 (3%) – 3 (3%)
0 (0%) – 2 (2%)
Meets
requirements
for timely, full,
and active
participation.
Meets
requirements
for full
participation.
Posts by due
date.
Does not meet
requirements
for full
participation.
Posts by due
date.
Posts by due
date.
Does not post
by due date.
Total Points: 100
Name: NURS_6630_Week7_Discussion_Rubric
EXIT
https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16939985_1&rubric_id=_2962811_1
6/7
4/13/22, 12:02 AM
Rubric Detail – Blackboard Learn
https://class.waldenu.edu/webapps/bbgs-deep-links-BBLEARN/app/course/rubric?course_id=_16939985_1&rubric_id=_2962811_1
7/7

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