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DNRS-6630-13/NURS-6630C-13/NURS-6630N-13/DNRS-6630C-13-Approaches to Treatment-2021-Summer-QTR-Term-wks-1-thru-11-(05/31/2021-08/15/2021)-PT27•SafeAssign DraftsView Originality Report - Old Design

Monica CastelaoTotal Score:

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• Institutional database (8) 48%
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    My paper4386826266

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    Student paper

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    Student paper

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    Student paper

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    Student paper

• Internet (2) 6%
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    essaycops

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• Top sources (3)
  • 2

    My paper4386826266

  • 6

    essaycops

  • 1

    Student paper

• Excluded sources (0)

  1

  1

  Gambling Disorder and Alcohol Use Disorder Treatment Plan

  Student's Name

  Name of the Institution

  Course Number and Name

  Professor

  Date

  1

  Gambling Disorder and Alcohol Use Disorder Treatment Plan

  2

  The Treatments report is of Mrs Maria Perez, a 53-year-old Puerto Rican female who sought treatment for her gambling and alcohol addiction disorder. Mrs Perez acknowledges that she has a problem with alcohol addiction and started drinking in her 20s. She admits to having attended an anonymous alcohol program severally, but she has never gone through it (Laureate Education, 2016c). She admits that she has had a problem remaining sober after opening a casino near her home two years ago. Mrs Perez says that she became hooked to the casino when they went to the casino during the grand opening with a friend and that she gets high when she is involved in gambling. She consumes one or two drinks during high-stakes games to calm her nerves during gambling, prompting her to take more and gamble recklessly. She says that she smokes less when she drinks alcohol, has added weight from too much drinking, and has increased her weight by 7 lb from her previous 115 lb.

  weight.

  2

  She also admitted that she smokes more cigarettes today than she used to two years ago. Interestingly, she understands that cigarette smoking has many adverse effects on her health, but she cannot quit it. Based on her admission, it is right to say that it is because of gambling that she drinks alcohol, and her efforts to abstain from alcohol have been fruitless (Laureate Education, 2016c). Her decision to seek treatment prompted her concern that she has already borrowed approximately something the husband does not know yet. Her mental examination results show that she is oriented to person, place, time, and event, and she is also dressed to the occasion. She exercises clear, coherent, and goal-directed speech, but she has avoidant eye contact as she looks down or aside when one makes direct eye contact. Her mannerisms, gestures, or tics are not noteworthy. She reported being sad, which is reflected in her conversation during the interview (Laureate Education, 2016c). Mrs Perez says no visual or auditory hallucinations and delusional or paranoid thought processes are readily appreciated, but her insight and judgment are complete. However, she seems to have impaired impulse control, and she denies experiencing suicidal or homicidal ideation. She is diagnosed with gambling disorder and alcohol use disorder.

  Decision #1:

  3

  Vivitrol (Naltrexone) Injection, 380 Mg Intramuscularly In the Gluteal Region Every 4 Weeks

  Considering the patient treatment requirements and health dynamics, I decided to start the patient on Vivitrol (Naltrexone) injection with a dose of 380 mg, which was injected through the patient's muscles once in four weeks.

  My decision was informed by many factors which many past physicians have considered when treating patients with alcohol dependency.

  Studies have indicated that Vivitrol has better results with desires for alcohol of drugs than other drugs such as Antabuse proposed in this case (Stahl, 2013).

  The medication (Naltrexone) has been proven to be highly effective in controlling the gratifying feelings and the desire to consume alcohol.

  Similarly, many of the clients with additional problems have a problem with adhering to the medical prescriptions.

  In this way, having a medication that will not require the patient to frequently or observe a specific medication plan is essential to enhance treatment compliance (Grant et al., 2014).

  Therefore, Vivitrol injected through the muscles once in four weeks, is effective because it will enhance patient medication compliance.

  This is also important because people with alcohol dependence with both physical and mental symptoms are highly likely to forget some routines, mainly when the craving for alcohol arises.

  1

  The goal of the decision is to reduce alcohol consumption urge in the patient.

  Studies have indicated that Vivitrol functions by inhibiting the enzyme aldehyde dehydrogenase, a large volume among alcoholics.

  The presence of acetaldehyde results in an unpleasant reaction called disulfiram-ethanol reaction (DER) that stimulates vomiting, nausea, tachycardia, and flushing in patients when they consume alcohol (Stahl, 2014b).

  Again, it is essential to note that while Campral is an effective drug for treating alcoholism, it is effective among people working with or in groups.

  Therefore, Campral was not suitable for the current patient situation.

  The ethical considerations that the physician has to understand in this situation are that working with addiction patients presents multifaceted and multidimensional ethical concerns (Grant et al., 2014).

  Therefore, the physician must ensure that he is not judgmental and should not relate their values and beliefs to the treatment plan as it will compromise the treatment relationship hence poor outcomes.

  Decision #2:

  2

  Add On Valium (Diazepam) 5 mg Orally

  After the first four weeks, the patient returned to the clinic and reported positive treatment outcomes.

  The client said that she was feeling wonderful and has not taken alcohol in the last four weeks.

  Her trips to the casino have also reduced drastically as compared to the past.

  4

  However, she spends a lot of money when she happens to go to the casino, and she is still smoking, and she also reported exhibiting anxiety symptoms.

  Considering the patient's observations, I decided to continue with Vivitrol 380 mg intramuscular injection once every four weeks and introduced valium (diazepam) 5 mg orally (Stahl, 2013).

  The decision to introduce valium 5 mg orally was informed that valium had been proven an effective treatment for alcohol withdrawal because it has a prolonged half-life, which can stay in the patient's bloodstream for a very long time.

  The aims of introducing valium 5 mg to the patient and continuing with Vivitrol 380 mg were informed by several factors.

  It is evident that Vivitrol was working well for the patient and has helped the patient avoid alcohol at all (Stahl, 2014b).

  Therefore, there is no reason to change the medication, and the dosage is that the only side effect experienced is anxiety.

  Secondly, valium 5 mg orally was introduced to the client to control or treat anxiety symptoms resulting from the Vivitrol side effects.

  The lower valium dosage was preferred to avoid other side effects from the second medication.

  Considering the observations made by the patient, her gambling habit may have increased because she spends a lot of money when she goes to the casino.

  However, the patient is still smoking, and the gambling addiction has not stopped.

  Smoking was likely instigated by anxiety, and therefore treating anxiety will help her reduce smoking (Stahl, 2013).

  The physician should be aware of the ethical concerns in this scenario because physicians view people with addiction in different ways and are filled with prejudices, misconceptions, and emotions.

  The physician must work hard to eliminate these distractors to enhance treatment effectiveness and enhance treatment outcomes.

  2

  Continue Current Dose Of Vivitrol And Maintain Current Dose Of Valium. Refer To Counseling for Her Ongoing Gambling Issue

  After the treatment outcomes in the second decision, it was apparent that the patient was experiencing positive treatment outcomes since the trend of not drink continued through the next four weeks and anxiety was no longer a concern for the patient (Stahl, 2014b).

  She is also still gambling and smoking though the frequency of her smoking has reduced.

  Considering the treatment outcomes from the first and second decisions, I have decided to continue the client on Vivitrol and valium to discontinue them in the next two weeks based on the presenting symptoms the patient will present in the next two weeks estimated period (Stahl, 2013).

  Since the client is still addicted to gambling and still smoking, I will refer the patient to counseling therapy in the future.

  The decision was adopted because the client is showing no alcoholism symptoms.

  The anxiety is no longer a patient's concern.

  She is very happy with the treatment outcomes so far (Grant et al., 2014).

  Therefore, there is no need to change the pharmacological treatment since the patient responds positively to the medication plan.

  Cognitive-behavioral therapy is the most preferred counseling treatment for the current patient to end gambling addiction.

  With the proposed treatment plan in decision #3, it is hoped that the therapy will help eliminate her gambling addiction and eliminate cigarette smoking, which is a natural behavioral mental problem.

  5

  There is no prescribed medication for gambling by the FDA.

  Therefore, the physician hopes to help the patient abstain from gambling through cognitive behavioral therapy since this is a behavioral addiction (Stahl, 2014b).

  Cognitive-behavioral therapy is an effective treatment for behavioral, psychosocial behaviors, and it is important for reducing chances of relapse.

  The CBT will help the client avoid gambling and help her to completely avoid using alcohol since it is effective in preventing relapse.

  In many instances, cognitive behavioral therapy is infused with some practical programs which are important in helping the patients avoid any form of degeneration that is synonymous with behavioral mental problems.

  Conclusion

  2

  The Treatments report is of Mrs Maria Perez, a 53-year-old Puerto Rican female who sought treatment for her gambling and alcohol addiction disorder. Mrs Perez acknowledges that she has a problem with alcohol addiction and started drinking in her 20s. She admits to having attended an anonymous alcohol program severally, but she has never gone through it.

  The treatment plan adopted in the current situation involved using Vivitrol and valium medications (Grant et al., 2014).

  Similarly, since the patient had gambling addiction problems, the client needed to be referred to psychotherapy to help manage her gambling and smoking behaviors.

  There is no treatment for gambling that has been authorized or approved by Food and Drugs Authority in America.

  Studies have indicated that Vivitrol has better results with desires for alcohol of drugs than other drugs such as Antabuse proposed in this case.

  The medication (Naltrexone) has been highly effective in controlling the gratifying feelings and the desire to consume alcohol (Stahl, 2014b).

  Similarly, many of the clients with additional problems have a problem with adhering to the medical prescriptions.

  In the second decision, valium 5 mg was introduced, and the patient continued on Vivitrol 380 mg.

  The aims of presenting valium 5 mg to the patient and continuing with Vivitrol 380 mg were informed by several factors.

  It is evident that Vivitrol was working well for the patient and has helped the patient avoid alcohol.

  Therefore, there is no reason to change the medication, and the dosage is given that the only side effect experienced is anxiety.

  Secondly, valium 5 mg orally was introduced to the client to control or treat anxiety symptoms resulting from the Vivitrol side effects (Stahl, 2013).

  Therapy was necessary for the third decision because all indications showed that valium 5 mg and Vivitrol 380 mg worked for the patient.

  However, valium and Vivitrol cannot treat gambling addiction hence the need for therapy.

  References

  Grant, J.

  6

  E., Odlaug, B. L., & Schreiber, L.

  N.

  (2014).

  6

  Pharmacological treatments in pathological gambling. British Journal of Clinical Pharmacology, 77(2), 375–381.

  7

  doi:10.1111/j.1365-2125.2012.04457.x

  8

  Laureate Education (2016c).

  Case study:

  6

  A Puerto Rican woman with comorbid addiction [Interactive media file].

  Baltimore, MD:

  Author

  Stahl, S.

  M.

  (2013).

  6

  Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th Ed.). New York, NY:

  9

  Cambridge University Press.

  Stahl, S.

  M.

  (2014b).

  6

  The prescriber's guide (5th Ed.). New York, NY:

  10

  Cambridge University Press.NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

  Source Matches (23)
  • 1Student paper81%

    Student paper

    Gambling Disorder and Alcohol Use Disorder Treatment Plan

    Original source

    Gambling disorder, alcohol use disorder

  • 1Student paper81%

    Student paper

    Gambling Disorder and Alcohol Use Disorder Treatment Plan

    Original source

    Gambling disorder, alcohol use disorder

  • 2My paper91%

    Student paper

    The Treatments report is of Mrs Maria Perez, a 53-year-old Puerto Rican female who sought treatment for her gambling and alcohol addiction disorder. Mrs Perez acknowledges that she has a problem with alcohol addiction and started drinking in her 20s. She admits to having attended an anonymous alcohol program severally, but she has never gone through it (Laureate Education, 2016c). She admits that she has had a problem remaining sober after opening a casino near her home two years ago.

    Original source

    This psychopharmacologic treatment report is of Mrs Maria Perez, a 53-year-old Puerto Rican female who sought treatment for her gambling and alcohol addiction disorder Mrs Perez acknowledges that she is having a problem with alcohol addiction, and she started drinking in her 20s She admits to having attended an anonymous alcohol program severally, but she has never gone through it She admits that she has had a problem remaining sober after a casino was opened near her home two years ago

  • 2My paper97%

    Student paper

    Mrs Perez says that she became hooked to the casino when they went to the casino during the grand opening with a friend and that she gets high when she is involved in gambling. She consumes one or two drinks during high-stakes games to calm her nerves during gambling, prompting her to take more and gamble recklessly. She says that she smokes less when she drinks alcohol, has added weight from too much drinking, and has increased her weight by 7 lb from her previous 115 lb.

    Original source

    Mrs Perez says that she became hooked to the casino when they went to the casino during the grand opening with a friend and that she gets high when she is involved in gambling She consumes one or two drinks during high-stakes games to calm her nerves during gambling, which prompts her to take more and gamble recklessly She says that she smokes less when she drinks alcohol, and she has added weight from too much drinking, and she has increased her weight by 7 lb from her previous 115 lb

  • 2My paper98%

    Student paper

    She also admitted that she smokes more cigarettes today than she used to two years ago. Interestingly, she understands that cigarette smoking has many adverse effects on her health, but she cannot quit it. Based on her admission, it is right to say that it is because of gambling that she drinks alcohol, and her efforts to abstain from alcohol have been fruitless (Laureate Education, 2016c). Her decision to seek treatment prompted her concern that she has already borrowed approximately something the husband does not know yet.

    Original source

    She also admitted that she smokes more cigarettes today than she used to two years ago Interestingly, she understands that cigarette smoking has many adverse effects on her health, but she cannot quit it Based on her admission, it is right to say that it is because of gambling that she drinks alcohol, and her efforts to abstain from alcohol have been fruitless Her decision to seek treatment prompted her concern that she has already borrowed approximately something that the husband does not know yet

  • 2My paper94%

    Student paper

    Her mental examination results show that she is oriented to person, place, time, and event, and she is also dressed to the occasion. She exercises clear, coherent, and goal-directed speech, but she has avoidant eye contact as she looks down or aside when one makes direct eye contact. Her mannerisms, gestures, or tics are not noteworthy. She reported being sad, which is reflected in her conversation during the interview (Laureate Education, 2016c).

    Original source

    Her mental examination results show that she is oriented to person, place, time, and event, and she is also dressed to the occasion She exercises clear, coherent, and goal-directed speech, but she has avoidant eye contact as she looks down or aside when one makes direct eye contact Her mannerisms, gestures, or tics are not noteworthy She reported being sad, something that is reflected in her conversation during the interview

  • 2My paper98%

    Student paper

    Mrs Perez says no visual or auditory hallucinations and delusional or paranoid thought processes are readily appreciated, but her insight and judgment are complete. However, she seems to have impaired impulse control, and she denies experiencing suicidal or homicidal ideation. She is diagnosed with gambling disorder and alcohol use disorder.

    Original source

    Mrs Perez reports no visual or auditory hallucinations, and no delusional or paranoid thought processes are readily appreciated, but her insight and judgment are complete However, she seems to have impaired impulse control, and she denies experiencing suicidal or homicidal ideation She is diagnosed with gambling disorder and alcohol use disorder

  • 3Student paper100%

    Student paper

    Vivitrol (Naltrexone) Injection, 380 Mg Intramuscularly In the Gluteal Region Every 4 Weeks

    Original source

    Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks

  • 1Student paper66%

    Student paper

    The goal of the decision is to reduce alcohol consumption urge in the patient.

    Original source

    That result is great, as the goal is to reduce patient alcohol consumption

  • 2My paper100%

    Student paper

    Add On Valium (Diazepam) 5 mg Orally

    Original source

    Add On Valium (Diazepam) 5 mg Orally

  • 4Student paper68%

    Student paper

    However, she spends a lot of money when she happens to go to the casino, and she is still smoking, and she also reported exhibiting anxiety symptoms.

    Original source

    However, she is still smoking, she reports a problem with anxiety, and she occasionally goes to the casino and spends a lot of money

  • 2My paper100%

    Student paper

    Continue Current Dose Of Vivitrol And Maintain Current Dose Of Valium. Refer To Counseling for Her Ongoing Gambling Issue

    Original source

    Continue Current Dose Of Vivitrol And Maintain Current Dose Of Valium Refer To Counseling for Her Ongoing Gambling Issue

  • 5Student paper64%

    Student paper

    There is no prescribed medication for gambling by the FDA.

    Original source

    As stated earlier, there is no medication approved by the FDA for treating gambling addiction

  • 2My paper94%

    Student paper

    The Treatments report is of Mrs Maria Perez, a 53-year-old Puerto Rican female who sought treatment for her gambling and alcohol addiction disorder. Mrs Perez acknowledges that she has a problem with alcohol addiction and started drinking in her 20s. She admits to having attended an anonymous alcohol program severally, but she has never gone through it.

    Original source

    This psychopharmacologic treatment report is of Mrs Maria Perez, a 53-year-old Puerto Rican female who sought treatment for her gambling and alcohol addiction disorder Mrs Perez acknowledges that she is having a problem with alcohol addiction, and she started drinking in her 20s She admits to having attended an anonymous alcohol program severally, but she has never gone through it

  • 6essaycops100%

    Student paper

    E., Odlaug, B. L., & Schreiber, L.

    Original source

    E., Odlaug, B L., & Schreiber, L

  • 6essaycops100%

    Student paper

    Pharmacological treatments in pathological gambling. British Journal of Clinical Pharmacology, 77(2), 375–381.

    Original source

    Pharmacological treatments in pathological gambling British Journal of Clinical Pharmacology, 77(2), 375–381

  • 7Student paper100%

    Student paper

    doi:10.1111/j.1365-2125.2012.04457.x

    Original source

    doi:10.1111/j.1365-2125.2012.04457.x

  • 8Student paper100%

    Student paper

    Laureate Education (2016c).

    Original source

    Laureate Education (2016c)

  • 6essaycops100%

    Student paper

    A Puerto Rican woman with comorbid addiction [Interactive media file].

    Original source

    A Puerto Rican woman with comorbid addiction [Interactive media file]

  • 6essaycops100%

    Student paper

    Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th Ed.). New York, NY:

    Original source

    Stahl’s essential psychopharmacology Neuroscientific basis and practical applications (4th ed.) New York, NY

  • 9essaycops100%

    Student paper

    Cambridge University Press.

    Original source

    Cambridge University Press

  • 6essaycops100%

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    The prescriber's guide (5th Ed.). New York, NY:

    Original source

    The prescriber’s guide (5th ed.) New York, NY

  • 10Student paper62%

    Student paper

    Cambridge University Press.NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

    Original source

    NURS - 6630N, Psychopharmacologic Approaches to Treatment of Psychopathology