An Elderly Hispanic Man With Major Depressive Disorder.

The Assignment

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:
Decision #1
Which decision did you select? Venlafaxine( Effector XL)
Why did you select this decision? Increase energy, less side effect example: sexual dysfunction since he is young. Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? 100% remission Some type of response Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Why I didn’t pick Zoloft 25mg and Phenelzine 15mg TID?

Decision #2
Why did you select this decision? Increase Venlafaxine (Effector XL) dose to 75mg Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? 100% remission Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? I was hoping to at least get 50% remission
Why I didn’t pick up Cymbalta 30mg and Augment with an atypical antipsychotic?

Decision #3
Why did you select this decision? Increase Venlafaxine (Effector XL) dose to 112.5mg Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? 100% remission Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

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