Management of Psychiatric Conditions in Primary Care

Create a patient scenario for the behavioral health issue that corresponds with the first initial of your last name in the table below. 

  1. Bipolar Disorder
  2. Include the following sections:
  3. Patient chief complaint

History of present illness 

  1. Social history 

Family medical history 

Past medical history 

Medications currently taken 

Include specific drug names (not drug class), dose, frequency

Medications you will prescribe to address current situation. 

If you are unable to prescribe anything for the current situation, explain why and what the plan will be to address the issue/symptoms.  

MARYLAND/ State and Federal Regulations

Identify the state where you live.

Identify what your state laws say about prescribing behavioral health drugs without being certified and/or credentialed as a psych-mental health NP.

How does the Affordable Care Act affect behavioral health care?

How do these factors impact the patient in the scenario you provided?

Community Resources

Provide information on how you would know if the patient you create needs support beyond what you can provide as a primary care NP.

Identify community resources available in your area to refer patients in need of assistance before they can establish care with a primary mental health provider.

Identify the facilities in your area where you would send a patient in need of urgent assessment and intervention.

Identify resources in your area that are available to patients who may not be able to afford behavioral health care.

  1. Legal & Ethical Considerations

Identify potential legal issues that could arise from how you do or do not choose to treat this patient.

  1. Identify potential ethical issues that could arise from how you do or do not choose to treat this patient.
  2. What follow-up is needed for your patient?
  3. What do you need to do as a primary care provider to mitigate potential risks in providing care for behavioral health concerns?
  4. Hi state is Maryland

Expert Solution Preview

Introduction: In this assignment, I have created a patient scenario for the behavioral health issue of Bipolar Disorder. The patient presented with specific symptoms and medical history. I will also discuss the medications prescribed and the implications of state and federal regulations, including the Affordable Care Act, on behavioral health care. Additionally, I will address community resources available for patients in need and highlight legal and ethical considerations that may arise in treating this patient. Finally, I will mention the necessary follow-up for the patient and steps to mitigate risks in providing care for behavioral health concerns.

Patient Scenario:
Behavioral Health Issue: Bipolar Disorder

Patient:

– Chief Complaint: The patient complains of fluctuating moods, ranging from periods of extreme elation and high energy to periods of deep depression and low energy. They also experience difficulty concentrating and making decisions.

– History of Present Illness: The patient has a history of Bipolar Disorder with recurrent manic and depressive episodes lasting several weeks or months. This has significantly impacted their daily functioning and interpersonal relationships. The patient has a previous diagnosis of Bipolar Disorder and has sought treatment before.

– Social History: The patient is currently employed but has had difficulty maintaining consistent employment due to the symptoms of Bipolar Disorder. They have a supportive family, including a partner who is willing to participate in the treatment process.

– Family Medical History: The patient’s mother has a history of Bipolar Disorder, which suggests a genetic predisposition to the condition.

– Past Medical History: The patient has a history of anxiety disorder and substance abuse, both of which have been implicated in worsening the symptoms of Bipolar Disorder.

– Medications Currently Taken:
– Lithium 900mg/day, taken in divided doses (maintenance therapy for stabilizing mood)
– Quetiapine 200mg/day, taken at bedtime (antipsychotic medication for managing manic symptoms)
– Fluoxetine 20mg/day, taken in the morning (antidepressant medication for managing depressive symptoms)

– Medications to Address Current Situation: As the patient is already on a combination of mood stabilizers and antidepressants, no immediate changes to the medication regimen are necessary. However, regular monitoring and medication adjustments may be required to optimize symptom management.

MARYLAND/ State and Federal Regulations:

– Maryland laws state that prescribing behavioral health drugs without being certified and/or credentialed as a psych-mental health NP is not allowed. Only qualified professionals with appropriate certifications in behavioral health can prescribe such medications.

– The Affordable Care Act has greatly expanded access to behavioral health care services by mandating insurance coverage for mental health and substance use disorder treatment. This ensures that individuals with Bipolar Disorder can receive the necessary care and medications without significant financial burden.

– These factors impact the patient in our scenario by ensuring that they have access to behavioral health care services and medications through their insurance coverage. However, the patient would need to see a certified psych-mental health NP or a psychiatrist for any adjustments to their medication regimen.

Community Resources:

– To determine if the patient needs support beyond primary care, regular follow-up appointments and open communication with the patient are crucial. Monitoring the patient’s response to treatment and the severity of symptoms can help identify the need for additional support.

– In Maryland, community resources available to refer patients in need of assistance before they can establish care with a primary mental health provider include nonprofit organizations such as the Mental Health Association of Maryland, local counseling centers, and support groups facilitated by mental health professionals.

– Facilities in the area where a patient in need of urgent assessment and intervention can be sent include psychiatric emergency departments, crisis stabilization units, or local hospitals with dedicated psychiatric units.

– Resources available to patients who may not be able to afford behavioral health care in Maryland include Medicaid, the Maryland Behavioral Health Administration’s programs, and community health clinics that offer sliding fee scales based on income.

Legal & Ethical Considerations:

– Potential legal issues that could arise in treating this patient include prescribing medications without appropriate certifications or credentials as per Maryland state laws. This can result in professional misconduct and legal penalties.

– Potential ethical issues that could arise include avoiding biases and stigmatization towards mental health conditions, ensuring patient autonomy in decision-making regarding their treatment, and maintaining confidentiality while coordinating care with other healthcare providers involved in the patient’s treatment.

Follow-up and Risk Mitigation:

– Follow-up for this patient would involve regular appointments to assess symptom management, medication adherence, and potential side effects. Adequate communication with the patient and their support system is essential to ensure ongoing care.

– To mitigate potential risks in providing care for behavioral health concerns, as a primary care provider, one should maintain good communication and coordination with mental health specialists, stay up-to-date with evidence-based practices, participate in professional development activities, and adhere to legal and ethical guidelines set forth by regulatory bodies.

In conclusion, this patient scenario of Bipolar Disorder highlights the importance of an integrated approach involving medical and behavioral health professionals. Within the framework of state and federal regulations, community resources play a crucial role in supporting patients in need. As a primary care provider, addressing legal and ethical considerations, ensuring appropriate follow-up, and taking steps to mitigate risks are essential for providing comprehensive care for behavioral health issues.

#Management #Psychiatric #Conditions #Primary #Care

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

This assignment will build off your SWOT analysis. As the

This assignment will build off your SWOT analysis. As the Organizational Development Manager (ODM) for the organization that you completed your SWOT Analysis for, you act as a liaison and advisor to the organization’s leadership, and begin initiatives within the organization. You have been given the responsibility to create a

This assignment requires you to conduct the Strengths (S),

This assignment requires you to conduct the Strengths (S), Weaknesses (W), Opportunities (O), and Threats (T) SWOT Analysis.  As the planner for your health organization (selected by you), you will need to prepare a 3-page document addressing your organization’s internal and external environment to include, but not limited to, forces/trends,

WU Employee Motivation and Engagement Presentation

OUR ROLE AS A MANAGER IN CREATING A POSITIVE, INCLUSIVE WORKPLACE CULTURE: EMPLOYEE MOTIVATION AND ENGAGEMENT Prepare your second presentation to the managers of the organization you described in the Week 1 Assignment. Your topic this week is employee engagement and motivation. Using the slide template, course resources, and this

Case 1 Review the pharyngitis scenarios and determine the

Case 1  Review the pharyngitis scenarios and determine the most likely cause, including pathogen and mode of transmission. Discuss data that support your decision and treatment strategies.  Scenario 1:  Susan is a 16-year-old with sudden onset of severe sore throat for the past day. She feels like she had a

NKU Differential Diagnoses & Medication Recommendations

History of Present Illness: A 33 year old male is brought to the psychiatric department by police after he attacked another man in a bar and threatened to “rip (your) throat out with (my) bare hands”. The pt. apparently returned from the restroom in the bar to find the man

Week 4 – Discussion ForumNo unread replies.No replies. Your

Week 4 – Discussion ForumNo unread replies.No replies. Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the

MIT Health & Medical Strategies for Healthy Optimization

I’m working on a health & medical discussion question and need the explanation and answer to help me learn. What are the most effective and scientifically proven strategies, including lifestyle changes, dietary choices, and exercise routines, to achieve and maintain a healthy weight, improve cardiovascular health, lower the risk of

Describe and critique a current article that relates to

Describe and critique a current article that relates to economic growth (as it relates to health) or the advancement of medical technology in healthcare. (Article should be from a scholarly, peer-reviewed journal published within the last 3-5 years). Submit 1,000-1,500-word paper with a KU title page and reference page in scholarly

CU Health & Medical Physical Changes and The Aging Process

I’m working on a health & medical case study and need the explanation and answer to help me learn. Visit the following website and read the article. (1) Cardiovascular, (2) Bones, (3) Joints and Muscles, (4) Digestive Tract, (5) Bladder and Urinary Tract, (6) Memory and Thinking, (7) Eyes and

This Research Paper is to examine the micro and

This Research Paper is to examine the micro and macroeconomics of medical care in the U.S. and healthcare outcomes and expenditures compared with international healthcare market.     Submit a 10-15-page (3,000-4,500 word)  of this Research Paper  You are a medical professor in charge of creating college assignments and answers

VC Fulton Countys Rate of Poor Access to Health Services

In many communities, people do not have access to health services. These reasons include a lack of available care, insurance, and transportation. Research Fulton County’s (GA) rate of poor access to health services and write a paper reporting your findings. Acceptable sources of data are the State Health Department, CDC.gov,

Capstone Project & Capstone Defense Overview The

Capstone Project & Capstone Defense  Overview The capstone project represents students’ synthesis of and reflection on knowledge acquired in coursework, the practicum, and other learning experiences and the application of theory, principles, and methods to a situation that approximates some aspect of professional practice. Options and format for Capstone Projects

HSC1531 FSCJ Health & Medical Red Faced Runner Case Study

Case Study Scenario The internist recommends a dermatology workup for a suspected SLE (Systemic Lupus Erythematosus) in her 40-year-old female patient. The patient presents symptoms, including erythema rash across her cheeks and nose, photosensitivity resulting in a raised rash in sun-exposed areas, patches of alopecia, and pain and stiffness in

Topic : Systematic review for neck pain 4000 words min NO

Topic : Systematic review for neck pain 4000 words min NO PLAGIARISM PLEASE : INSTRUCTIONS:   Capstone Project & Capstone Defense  Overview The capstone project represents students’ synthesis of and reflection on knowledge acquired in coursework, the practicum, and other learning experiences and the application of theory, principles, and methods to

HCI 314 Health Information Evaluation of Information

Expalin how does how does the evaluation of information systems effect E health?please no You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately.

Intro to Co-Design What we want you to do For your

Intro to Co-Design What we want you to do  For your individual project, assemble a co-design team, using selected principles of design justice. In your response, answer the following questions: 1) If the design process is intended to prioritize design’s impact on the community over the intentions of the designer, what

DVC Health & Medical Improve Patient Quality of Life Script

I’m working on a health & medical question and need guidance to help me learn. The slide has already been done and please make the script clear ,short and easy to say, just don’t make it complicated.  You are a medical professor in charge of creating college assignments and answers

AMU Park Health System Integration Project Proposal

For this assignment, you will complete your project risks and activities to monitor the ongoing success of the project. Complete the following project proposal sections: Project risks (Paragraph 9) Communication plan (Paragraph 10) Vendor Selection and Recommendation (Paragraph 11) Training Plan (Paragraph 12) You are a medical professor in charge