After assessing and diagnosing a patient, PMHNPs must take into consideration special characteristics of the patient before determining an appropriate course of treatment. For pharmacological treatments that are not FDA-approved for a particular use or population, off-label use may be considered when the potential benefits could outweigh the risks.

In this Discussion, you will investigate a specific disorder and determine potential appropriate treatments for when it occurs in an older adult or pregnant woman. 

Discussion: Prescribing for Older Adults and Pregnant Women

After assessing and diagnosing a patient, PMHNPs must take into consideration special characteristics of the patient before determining an appropriate course of treatment. For pharmacological treatments that are not FDA-approved for a particular use or population, off-label use may be considered when the potential benefits could outweigh the risks.

In this Discussion, you will investigate a specific disorder and determine potential appropriate treatments for when it occurs in an older adult or pregnant woman. 

To Prepare:

· Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the DSM-5-TR to use.

· Use the Walden Library to research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population.

By Day 3 of Week 9

· Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.

· Explain the risk assessment you would use to inform your treatment decision making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?

· Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.

· Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder.

Rubric Detail

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Content

Name: NRNP_6675_Week9_Discussion_Rubric

  Excellent

90%–100%

Good

80%–89%

Fair

70%–79%

Poor

0%–69%

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.

Points:

Points Range:
40 (40%) – 44 (44%)

Thoroughly responds to 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

No less than 75% of post has exceptional depth and breadth

Supported by at least three current credible sources

Feedback:

Points:

Points Range:
35 (35%) – 39 (39%)

Responds to most of the Discussion question(s)

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module

50% of the post has exceptional depth and breadth

Supported by at least three credible references

Feedback:

Points:

Points Range:
31 (31%) – 34 (34%)

Responds to some of the Discussion question(s)

One to two criteria are not addressed or are superficially addressed

Is somewhat lacking reflection and critical analysis and synthesis

Somewhat represents knowledge gained from the course readings for the module

Post is supported by fewer than two credible references

Feedback:

Points:

Points Range:
0 (0%) – 30 (30%)

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

Feedback:

Main Posting:

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