How you engage and educate john on managing his side effects

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Reference no: EM133193644

Problem: Psychopharmacology Antipsychotic Medications Paper

Read: I & R Antipsychotic Medications. Chapter 7 & Mood Stabilizers. Chapter 8

Your client is John, a 36 year-old car mechanic. John was diagnosed four months ago with a "Mood Disorder-Mania with Psychotic Features." His delusions are the grandiose type and John believes he has discovered a cure for cancer. John's current presentation is consistent with mania. The psychiatrist prescribed Prozac (Fluoxetine), 40 mg per day and Seroquel XR, 100 mg qhs. After 2 months, John was experiencing moderate relief from his symptoms, but is becoming bothered by racing thoughts and an inner restlessness/to be in constant motion (r/o Extrapyramidal Symptoms (EPS), Akathisia). John wonders if he should consult again with his psychiatrist and if there is anything that can be done. He hesitates to go back to the doctor because he is not sure if his problems can be resolved.

Clinical Social Workers posses a range of roles such as consultant, counselor, monitor, advocate educator, and researcher with clients who take psychotropic medication. As a means of preparing for such interventions, the social worker should reflect on and be able to articulate responses to the following questions:

I. How would you engage John and discuss his current symptoms? Educate and explain EPS and common side-effects and interactions of SSRIs and Antipsychotics. Be specific.

II. Why is this particular medication(s) being prescribed for John? Describe at least two medication strategies his prescriber may try to correct the problem. Discuss the risks and benefits of the medication, as well as those of alternate interventions.

III. How would you engage and educate John on managing his side effects? How will the effects of the medication be monitored? How frequently? By whom?

IV. Articulate and explain your role as John's social worker.

V. Clearly communicate with John the desired outcomes of the medication.

Reference no: EM133193644

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