course material

1. Healthcare: Therapy for Clients With Pain & Sleep Disorder Case
Discussion
Healthcare: Therapy for Clients With Pain & Sleep Disorder Case Discussion ON
Healthcare: Therapy for Clients With Pain & Sleep Disorder Case DiscussionPost a response
to the following:Provide the case number in the subject line of the Discussion.List three
questions you might ask the patient if he or 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 physical exams and diagnostic
tests would be appropriate for the patient and how the results would be used.List three
differential diagnoses 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 sleep/wake 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.If your assigned case includes “check points” (i.e., follow-up data at week 4, 8,
12, etc.), indicate any therapeutic changes that you might make based on the data
provided.Explain “lessons learned” from this case study, including how you might apply this
case to your own practice when providing care to patients with similar clinical
presentations.Read a selection of your colleagues’ responses.Week 7: Therapy for Clients
With Pain and Sleep/Wake DisordersFrom negative changes in mood to problems
concentrating, pain and sleep/wake disorders can have a tremendous impact on clients’
lives. When clients suffer from these disorders, they often seek medical care with the intent
of receiving medications to manage symptoms. However, many of the medications used to
treat pain and sleep/wake disorders may be addictive, making thorough client assessments
and close follow-up care essential. To prescribe appropriate therapies with client safety in
mind, you must understand not only the pathophysiology of these disorders, but also the
pharmacologic agents used to treat them. Healthcare: Therapy for Clients With Pain & Sleep
Disorder Case DiscussionThis week, as you study therapies for individuals with pain and
sleep/wake disorders, you examine the assessment and treatment of clients with these
disorders. You also explore ethical and legal implications of these therapies.Photo Credit:
[riskms]/[iStock / Getty Images Plus]/Getty ImagesDiscussion: Sleep/Wake DisordersIt is
not uncommon to experience a night or two of disrupted sleep when there is something
major going on in your life. However, sleep/wake disorders are much more than an

2. occasional night of disrupted sleep. A recent report from the Centers for Disease Control
and Prevention estimated that between 50 and 70 million American have problems with
sleep/wake disorders (CDC, 2015). Although the vast majority of Americans will visit their
primary care provider for treatment of these disorders, many providers will refer patients
for further evaluation. For this Discussion, you consider how you might assess and treat the
individuals based on the provided client factors.Learning ObjectivesStudents will:Assess
client factors and history to develop personalized therapy plans for clients with sleep/wake
disordersAnalyze factors that influence pharmacokinetic and pharmacodynamic processes
in clients requiring therapy for sleep/wake disordersEvaluate efficacy of treatment plans
for clients presenting for sleep/wake therapyApply knowledge of providing care to adult
and geriatric clients presenting for sleep/wake disordersLearning ResourcesNote: 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
READINGSNote: All Stahl resources can be accessed through the Walden Library using this
link. This link will take you to a log-in page for the Walden Library. Once you log into the
library, the Stahl website will appear.Stahl, S. M. (2013). Stahl’s essential
psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York,
NY: Cambridge University Press.To access the following chapters, click on the Essential
Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate
chapter. Be sure to read all sections on the left navigation bar for each chapter.Chapter 11,
“Disorders of Sleep and Wakefulness and Their Treatment”Stahl, S. M. (2014b). The
prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.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:For
insomniaalprazolamamitriptylineamoxapineclomipramineclonazepamdesipraminediazepa
mdoxepinflunitrazepamflurazepamhydroxyzineimipraminelorazepamnortriptylineramelte
ontemazepamtrazodonetriazolamtrimipraminezaleplonzolpidemAmerican Psychiatric
Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Washington, DC: Author.Note: Retrieved from Walden Library databases.Davidson, J.
(2016). Pharmacotherapy of post-traumatic stress disorder: Going beyond the
guidelines. British Journal of Psychiatry, 2(6), e16-e18. doi:10.1192/bjpo.bp.116.003707.
Retrieved from http://bjpo.rcpsych.org/content/2/6/e16To prepare for this
Discussion:Note: By Day 1 of this week, your Instructor will have assigned you to one of the
following case studies to review for this Discussion. To access the following case studies,
click on the Case Studies tab on the Stahl Online website and select the appropriate volume
and case number.Case 1: Volume 2, Case #16: The woman who liked late-night TVReview
this week’s Learning Resources and reflect on the insights they provide.Go to the Stahl
Online website and examine the case study you were assigned.Take the pretest for the case
study.Review the patient intake documentation, psychiatric history, patient file, medication
history, etc. As you progress through each section, formulate a list of questions that you
might ask the patient if he or she were in your office.Based on the patient’s case history,
consider other people in his or her life that you would need to speak to or get feedback from

3. (i.e., family members, teachers, nursing home aides, etc.).Consider whether any additional
physical exams or diagnostic testing may be necessary for the patient.Develop a differential
diagnoses for the patient. Refer to the DSM-5 in this week’s Learning Resources for
guidance.Review the patient’s past and current medications. Refer to Stahl’s Prescriber’s
Guide and consider medications you might select for this patient.Review the posttest for the
case study.Note: For this Discussion, you are required to complete your initial post before
you will be able to view and respond to your colleagues’ postings. Begin by clicking on the
“Post to Discussion Question” link and then select “Create Thread” to complete your initial
post. Remember, once you click on Submit, you cannot delete or edit your own posts, and
you cannot post anonymously. Please check your post carefully before clicking
on Submit!Healthcare: Therapy for Clients With Pain & Sleep Disorder Case Discussion