2173 Salk Avenue, Suite 250 Carlsbad, CA

support@assignmentprep.info

Kirsis Perez Jul 23 7:15pmReply from Kirsis Perez NRNP 6675 Week 9 Discussion f

July 24, 2024

Kirsis Perez

Jul 23 7:15pm

Reply from Kirsis Perez

NRNP 6675 Week 9 Discussion for July 24

Prescription for Older Adults

Generalized anxiety disorder (GAD) is a mental health disorder that is associated with uncontrollable and excessive worry over various aspects of daily life. Individuals with chronic anxiety tend to have physical stress, especially in their cardiovascular, nervous, and respiratory systems. Therefore, without proper management, GAD can affect the quality of a patient’s life (Sapra et al., 2019). The prevalence of the condition among older adults is about 11.2%. When prescribing for older adults, practitioners need to consider different age-related characteristics of the patients. For instance, they need to consider the patients have altered drug metabolism and a relatively higher sensitivity to the drugs (Showraki, Showraki, & Brown, 2020). The paper discusses the treatment of GAD, the risks associated with the treatment decision-making, and the existing clinical guidelines and recommendations for older patients.

FDA-Approved Drug, Off-Label Drug, and Non-Pharmacological Intervention for GAD

Escitalopram is an FDA-approved medication for the management of GAD. It belongs to a group of drugs known as selective serotonin reuptake inhibitors (SSRIs). It functions by enhancing the balance of serotonin in the brain (Afridi et al., 2020). An example of a suitable off-label drug for the management of GAD is quetiapine. It belongs to a class of drugs known as atypical antipsychotics. Like escitalopram, quetiapine functions by restoring the balance of neurotransmitters in the brain. As a result, it improves the level of concentration in a patient and decreases their anxiety symptoms (Shelton et al., 2024). On the other hand, cognitive behavioral therapy (CBT) is an effective non-pharmacological treatment for GAD. It works by enabling patients to identify and challenge negative thoughts that lead to the development of anxiety. By identifying the thought patterns, individuals are able to change their thinking to be realistic (Newman, Zainal, & Hoyer, 2020).

The Risk Assessment for the Treatment Decision-Making

The use of the FDA-approved drug is beneficial to a patient with GAD as it is an SSRI; hence it has relatively fewer side effects to an older patient. It is also effective in managing anxiety symptoms, thus reducing the need for the patient to use another drug for managing the condition. It can also be combined with CBT to improve the management of GAD. On the other hand, the drug can lead to side effects such as insomnia, fatigue, and sexual dysfunction. Older patients may also be susceptible to weight gain and serotonin syndrome (Afridi et al., 2020). Quetiapine is useful as it improves anxiety symptoms. It also helps in managing a patient’s mood and their sleep. It is likely that a patient using the drug will experience a relatively quicker control of anxiety. However, older patients may also experience side effects such as increased appetite, weight gain, and dizziness (Shelton et al., 2024).

Existing Clinical Guidelines and Recommendations for GAD

Gray et al. (2024) provide a clinical guideline for the management of GAD in general care settings. The guideline recommends the use of CBT in managing GAD. It reveals that patients should engage in guided self-help and also focus on interventions that are delivered by a specialist. Moreover, the guideline recommends the use of SSRIs in the management of GAD. On the other hand, atypical antipsychotics are recommended if the patient’s symptoms are persistent. Stress management techniques are also recommended for older adults with GAD. Practitioners are also discouraged from prescribing benzodiazepines in managing GAD in older patients (Gray et al., 2024).

References

Afridi, M. I., Dogar, I. A., Nizami, A. T., Aslam, R., Mustafa, A. B., Muhammad, S. S., & Maheshwary, N. (2020). Efficacy and safety of escitalopram oral drops to treat major depressive disorder and generalized anxiety disorder in adolescent, adult and geriatric patients: A prospective multicenter observational study in Pakistan. Cureus, 12(1). e6792. https://doi.org/10.7759/cureus.6792

Gray, B., Asrat, B., Brohan, E., Chowdhury, N., Dua, T., & van Ommeren, M. (2024). Management of generalized anxiety disorder and panic disorder in general health care settings: new WHO recommendations. World Psychiatry, 23(1), 160. https://doi.org/ 10.1002/wps.21172

Newman, M. G., Zainal, N. H., & Hoyer, J. (2020). Cognitive‐behavioral therapy (CBT) for generalized anxiety disorder (GAD). Generalized Anxiety Disorder and Worrying: A Comprehensive Handbook For Clinicians And Researchers, 203-230. https://doi.org/10.1002/9781119189909.ch10

Sapra, A., Bhandari, P., Sharma, S., Chanpura, T., & Lopp, L. (2020). Using generalized anxiety disorder-2 (GAD-2) and GAD-7 in a primary care setting. Cureus, 12(5). https://doi.org/10.7759/cureus.8224

Shelton, S., Chang, R., Elgharbawy, S., Hunter-Reach, P., & Richard, M. (2024). Is quetiapine an effective treatment for generalized anxiety disorder? Evidence-Based Practice, 27(5), 35-36. https://doi.org/10.1097/EBP.0000000000002091

Showraki, M., Showraki, T., & Brown, K. (2020). Generalized anxiety disorder: Revisited. Psychiatric Quarterly, 91, 905-914. https://doi.org/10.1007/s11126-020-09747-0

Struggling With a Similar Paper? Get Reliable Help Now.

Delivered on time. Plagiarism-free. Good Grades.

What is this?

It’s a homework service designed by a team of 23 writers based in Carlsbad, CA with one specific goal – to help students just like you complete their assignments on time and get good grades!

Why do you do it?

Because getting a degree is hard these days! With many students being forced to juggle between demanding careers, family life and a rigorous academic schedule. Having a helping hand from time to time goes a long way in making sure you get to the finish line with your sanity intact!

How does it work?

You have an assignment you need help with. Instead of struggling on this alone, you give us your assignment instructions, we select a team of 2 writers to work on your paper, after it’s done we send it to you via email.

What kind of writer will work on my paper?

Our support team will assign your paper to a team of 2 writers with a background in your degree – For example, if you have a nursing paper we will select a team with a nursing background. The main writer will handle the research and writing part while the second writer will proof the paper for grammar, formatting & referencing mistakes if any.

Our team is comprised of native English speakers working exclusively from the United States. 

Will the paper be original?

Yes! It will be just as if you wrote the paper yourself! Completely original, written from your scratch following your specific instructions.

Is it free?

No, it’s a paid service. You pay for someone to work on your assignment for you.

Is it legit? Can I trust you?

Completely legit, backed by an iron-clad money back guarantee. We’ve been doing this since 2007 – helping students like you get through college.

Will you deliver it on time?

Absolutely! We understand you have a really tight deadline and you need this delivered a few hours before your deadline so you can look at it before turning it in.

Can you get me a good grade? It’s my final project and I need a good grade.

Yes! We only pick projects where we are sure we’ll deliver good grades.

What do you need to get started on my paper?

* The full assignment instructions as they appear on your school account.

* If a Grading Rubric is present, make sure to attach it.

* Include any special announcements or emails you might have gotten from your Professor pertaining to this assignment.

* Any templates or additional files required to complete the assignment.

How do I place an order?

You can do so through our custom order page here or you can talk to our live chat team and they’ll guide you on how to do this.

How will I receive my paper?

We will send it to your email. Please make sure to provide us with your best email – we’ll be using this to communicate to you throughout the whole process.

Getting Your Paper Today is as Simple as ABC

No more missed deadlines! No more late points deductions!

}

You give us your assignments instructions via email or through our order page.

Our support team selects a qualified writing team of 2 writers for you.

l

In under 5 minutes after you place your order, research & writing begins.

Complete paper is delivered to your email before your deadline is up.

Want A Good Grade?

Get a professional writer who has worked on a similar assignment to do this paper for you