Students,

Here is some essential information about the patient case assignments. For the patient case assignments, please read these very important key points before submitting your assignment. I hope this will help guide you with the cases. Some weeks you will be doing an analysis of a provided case and some weeks you will be doing a critique of a provided case, so please read the assignment instructions carefully.

Please review the provided patient case examples posted for analysis and critique, the separate grading rubrics for each, and the provided case studies. Use these examples as a guide for your assignments. However, note the examples do not use the current APA format, so please use the 7th ed Professional (not student) formatting for yours. You must use the case information provided and do not add to the case information or change the provided case information in any way. The case information you are provided is the information you will use to do your analysis or critique depending on the week’s assignment.

For your analysis on weeks where you will be completing an analysis of the provided case:

Your analysis needs to be exactly the same case template as the provided depression case in week 2 and the example analysis with all sections on the example completed in that order (presenting the problem, risk factors, assessment, appropriateness of all medications, additional information needed, desired therapeutic outcomes, non-pharmacologic therapy recommendations, pharmacologic therapy recommendations, and monitoring). Please do not vary from this example in terms of how you write your AP note and do not add any additional information to the case itself.  In other words, do not write this case with different sections, different categories, different headings, etc. Include the provided case information in your analysis exactly as provided without changing any case information. Rubric grading is based on including the content required (shown on the grading rubric) for each section of this assignment, so if required sections are not included, credit cannot be given for these sections. Please heed my directions because not follow these instructions will result in grade point deductions.

For example, if the monitoring grid charts in the Plan section’s Pharmacologic Therapy are omitted or incomplete, then up to 15 points will be deducted per grading rubric. Why? Any medication that is given, must be monitored for efficacy (E=Efficacy on the chart) and adverse effects (AE=Adverse Effects on the chart). This is essential in clinical practice because all medications have side effects and “come at a cost”. It’s crucial to assess risk versus benefit before using a medication and to monitor medications (so we need to know what we are looking for with these medications). Every medication on your treatment plan for this patient must have a monitoring grid. If the current medication is not working (not efficacious/effective), then we need to appropriately modify or discontinue this medication.

For the Determine Appropriateness of Current Medications section, please address every current medication, for all PMH conditions, with all the categories listed in the example case, for each medication patient is currently taking. Each medication needs to include: indication, interactions (drug-drug interactions; drug-disease interactions-renal, hepatic, etc.; drug-food interactions; contraindications; warnings, etc.), dosing, compliance, and outcome (are changes necessary, is it appropriate to continue patient on this medication, should this medication be discontinued?- give the reasons for your outcome) just as done on the example. Is this medication causing adverse effects or exacerbating/causing another medical condition? Is this medication appropriate for this patient for this condition based on the categories mentioned above and on the example? Is the dosing appropriate for this patient and indication?

The Plan will include 2 separate sections: a Non-pharmacologic Recommendations section and a Pharmacologic Therapy Recommendations section of the Plan.  This is your treatment plan for the patient starting now and going forward. Here, please address treatment and monitoring for all the medications patient will be taking based on your recommendation. Note whether it is a new medication or a continuing medication in the Pharmacologic Therapy section. This is the treatment for your patient and this is the section where you will implement your plan based on your determination of the  appropriateness of patient’s medications and your assessment. You will not refer patient to another health care professional for treatment. You are the PMHNP who is treating this patient!

For the Pharmacologic Therapy Recommendation section,  in the introductory paragraph, state your plan for all medications-what you will discontinue, what you will continue, what you will add, what you will change in terms of medications-this paragraph is required. Please see the provided depression case for week 2. Then, proceed to address every medication that patient will be taking now based on your treatment plan for all patient’s PMH conditions, and be very specific, including indications and dosing. This is not just the depression medication for the depression case but all medications the patient needs to take for all their medical conditions.  We treat the whole patient! Then under each medication, there needs to be a monitoring grid for E (efficacy) and AE (adverse effects) for every medication patient will be taking on your treatment plan. Do not include grids for medications you have discontinued. It is not necessary to list every side effect of each medication.  Address the most significant and most common side effects.  Review the example analysis/depression case and follow the formatting and information included in this section on the example.

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

Step-by-Step Student Writing Guide (Tutor’s Tone)

Step 1: Identify the Assignment Type
Confirm whether the week requires a case analysis or a case critique. This determines which rubric and template you must follow.

Step 2: Review the Required Template
Open the Week 2 depression case example and use it as your structural blueprint. Do not alter headings, order, or section titles.

Step 3: Insert Case Information Exactly as Provided
Copy the patient case details verbatim into the appropriate sections. Do not add assumptions or new data.

Step 4: Analyze Each Section Systematically
Address each required section thoroughly, ensuring your responses align with rubric expectations.

Step 5: Evaluate All Current Medications Carefully
For each medication, work through indication, interactions, dosing, compliance, and outcomes. Ask yourself: Is this medication safe, effective, and appropriate for this patient?

Step 6: Develop a Clear, Logical Treatment Plan
Separate non-pharmacologic and pharmacologic recommendations. Clearly state what you are continuing, stopping, or starting.

Step 7: Build Complete Monitoring Grids
Every medication in your plan must include monitoring for efficacy and adverse effects. This step is critical and commonly missed.

Step 8: Use APA 7th Professional Formatting
Apply professional-level APA formatting throughout, including headings, citations, and references.

Step 9: Proofread Against the Rubric
Before submitting, compare your paper line-by-line with the grading rubric to ensure all required components are present.


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