Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670

Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670
Week 8: Neurocognitive Disorders
My mother used to be a teacher—an elementary school teacher. We were all so proud of her when she completed her PhD when she was 50. Now she is 75 and has begun to have times when she does not know what day it is. We found her wandering around the neighborhood because she could not find her way home. Once, she forgot where she parked her car at the grocery store. She thought someone had stolen it. The manager was so kind to drive her around the parking lot until she recognized her car. We are afraid she might get hurt or lost. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
Gary, age 50, son of Dorothy, age 75

The neurocognitive disorders are unique among the other psychiatric disorders you have studied in that the diseases that are to blame for the neurocognitive manifestations that have been extensively studied. Additionally, these conditions are also acquired and represent a decline from a previous level of functioning. The neurocognitive disorders present a diagnostic challenge to the PMHNP in that many of the signs and symptoms overlap.
This week, you will explore evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You will complete your final Decision Tree as you rationalize and justify your diagnosis and treatment of a patient with a mental health disorder.

ORDER A CUSTOM-WRITTEN PAPER NOW

Learning Resources
Required Readings
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 21, “Neurocognitive Disorders” (pp. 694–741)

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 63, “Delirium”
Chapter 64, “Neurocognitive Disorder Due to Alzheimer’s Disease”
Chapter 65, “Frontotemporal Neurocognitive Disorder”
Chapter 66, “Vascular Neurocognitive Disorder”
Chapter 67, “Neurocognitive Disorder Due to Parkinson’s Disease”

Note: You will access this textbook from the Walden Library databases.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

“Neurocognitive Disorders”

Note: You will access this book from the Walden Library databases.
Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.
 
Note: All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/
 
To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
 

Alzheimer disease
Delirium
Dementia
Parkinson’s disease dementia

caprylidene
donepezil
galantamine
memantine
rivastigmine
haloperidol (adjunct)
lorazepam (adjunct)
donepezil
galantamine
memantine
rivastigmine
rivastigmine
pimavanserin

Note: For more information on Pimavanserin, see:
Acadia Pharmaceuticals. (2017). Transform the treatment of Parkinson’s disease psychosis with NUPLAZID. Retrieved from https://www.nuplazidhcp.com/?gclid=CIHS5auvwtMCFQkaaQodrU0FGQ
U.S. Food and Drug Administration. (n. d.). Highlights of prescribing information: Nuplazid. Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/207318lbl.pdf
Hopkins, S. A., & Chan, D. (2016). Key emerging issues in frontotemporal dementia. Journal of Neurology, 263(2), 407–413. doi:10.1007/s00415-015-7880-7. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670
 
Note: You will access this article from the Walden Library databases.
Walker, Z., Possin, K. L., Boeve, B. F., & Aarsland, D. (2015). Lewy body dementias. The Lancet, 386(10004), 1683-1697.
 
Note: You will access this article from the Walden Library databases.
Required Media
Laureate Education (Producer). (2017a). A gentleman with a neurocognitive disorder [Multimedia file]. Baltimore, MD: Author. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
 
Bolin, P. (2015, December 31). Neurocognitive disorders – CRASH! Medical review series [Video file]. Retrieved from https://www.youtube.com/watch?v=bQXOPITY9XM
 
Note: The approximate length of this media piece is 57 minutes.
Optional Resources
Kota, L. N., Bharath, S., Purushottam, M., Moily, N. S., Sivakumar, P. T., Varghese, M., . . . Jain, S. (2015). Reduced telomere length in neurodegenerative disorders may suggest shared biology. The Journal of Neuropsychiatry and Clinical Neurosciences, 27(2), e92–e96. doi:10.1176/appi.neuropsych.13100240
Lepkowsky, C. M. (2016). Neurocognitive disorder with Lewy bodies: Evidence-based diagnosis and treatment. Practice Innovations, 1(4), 234–242. doi:10.1037/pri0000031
Oltra-Cucarella, J., Pérez-Elvira, R., Espert, R., & Sohn McCormick, A. (2016). Are cognitive interventions effective in Alzheimer’s disease? A controlled meta-analysis of the effects of bias. Neuropsychology, 30(5), 631–652. doi:10.1037/neu0000283. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

Discussion: Treatment of Neurocognitive Disorders
Neurocognitive disorders (NCD) such as delirium, dementia, and amnestic disorders are more prevalent in older adults. As the population ages and as life expectancy in the United States continues to increase, the incidence of these disorders will continue to increase. Cognitive functioning such as memory, language, orientation, judgment, and problem solving are affected in clients with NCDs. Caring for someone with a neurocognitive disorder is not only challenging for the clinician, but also stressful for the family. The PMHNP needs to consider not only the client but also the “family as client.” Collaboration with primary care providers and specialty providers is essential. Anticipatory guidance also becomes extremely important.
In this Discussion, you will integrate several sources of knowledge specific to NCDs as you discuss evidenced-based therapies used to treat these disorders. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
Learning Objectives
Students will:

Analyze diagnostic criteria for neurocognitive disorders
Analyze evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders
Evaluate benefits and risks of neurocognitive therapies
Compare differential diagnostic features of neurocognitive disorders

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!
To prepare for this Discussion:

By Day 5 of Week 7, your Instructor will have assigned you a neurocognitive disorder, which will be the focus for your initial post for this Discussion. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670
Review the Learning Resources.

By Day 3
Post:

Explain the diagnostic criteria for your assigned neurocognitive disorder.
Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned neurocognitive disorder.
Identify the risks of different types of therapy and explain how the benefits of the therapy that might be achieved might outweigh the risks.
Support your rationale with references to the Learning Resources or other academic resource.

By Day 6
Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 8 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 8 Discussion

Assignment 1:
Practicum: Decision Tree
For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.
The Assignment:
Learning Objectives
Students will:

Evaluate clients for treatment of mental health disorders
Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

Examine Case 3: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point, stop to complete the following:

Decision #1: Differential Diagnosis

Which Decision did you select?
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different? Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

Decision #3: Treatment Plan for Psychopharmacology

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients and their family. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
By Day 7 of Week 10
Submit your Assignment.

Assignment 2: Board Vitals
This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
You can access Board Vitals through the link sent to you in email or by following the link below:
https://www.boardvitals.com/
By Day 7
Complete the Board Vitals questions.

Making Connections
This week, you explored evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You completed your final Decision Tree as you rationalized and justified your diagnosis and treatment of a patient with a mental health disorder.
Next week, you will explore a wide variety of disorders along the schizophrenia spectrum as you become “captain of the ship” once again. You also will analyze issues involved with state practice agreements. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

NURS_6670_Week8_Discussion_Rubric

Grid View
List View

Outstanding Performance
Excellent Performance
Competent Performance
Proficient Performance
Room for Improvement

Main Posting: Response to the discusion question is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module and current credible sources.

Points Range: 44 (44%) – 44 (44%)

* Thoroughly responds to the discusion question(s) *is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module and current credible sources. * supported by at least 3 current, credible sources

Points Range: 40 (40%) – 43 (43%)

* Responds to the discusion question(s) *is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module. * 75% of post has exceptional depth and breadth * supported by at least 3 credible references

Points Range: 35 (35%) – 39 (39%)

* Responds to most of the discusion question(s) *is somewhat reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module. * 50% of post has exceptional depth and breadth * supported by at least 3 credible references

Points Range: 31 (31%) – 34 (34%)

* Responds to some of the discusion question(s) * one to two criteria are not addressed or are superficially addresed *is somewhat lacking reflection and critical analysis and synthesis *somewhat represents knowledge gained from the course readings for the module. * post is cited with fewer than 2 credible references

Points Range: 0 (0%) – 30 (30%)

* Does not respond to the discusion question(s) * lacks depth or superficially addresses criteria *lacks reflection and critical analysis and synthesis *does not represent knowledge gained from the course readings for the module. * contains only 1 or no credible references. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670

Main Posting: Writing

Points Range: 6 (6%) – 6 (6%)

* Written clearly and concisely * Contains no grammatical or spelling errors * Fully adheres to current APA manual writing rules and style

Points Range: 5.5 (5.5%) – 5.5 (5.5%)

* Written clearly and concisely * May contain one or no grammatical or spelling error * Adheres to current APA manual writing rules and style

Points Range: 5 (5%) – 5 (5%)

* Written concisely * May contain one to two grammatical or spelling error * Adheres to current APA manual writing rules and style

Points Range: 4 (4%) – 5 (5%)

*Writtten somewhat concisely * May contain more than two2 spelling or grammatical errors * Contains some APA formatting erros

Points Range: 0 (0%) – 4 (4%)

* Not written clearly or concisely * Contains more than two spelling or grammatical errors * Does not adhere to current APA manual writing rules and style

Main Posting: Timely and full participation

Points Range: 10 (10%) – 10 (10%)

* meets requirements for timely and full participation * posts main discussion by due date

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 6 (6%)

* does not meet requirement for full participation

First Reponse
Post to colleague’s main post that is reflective and justified with credible sources.

Points Range: 9 (9%) – 9 (9%)

* response exhibits critical thinking and application to practice settings * responds to questions posed by faculty * the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Points Range: 8.5 (8.5%) – 8.5 (8.5%)

* response exhibits critical thinking and application to practice settings

Points Range: 7.5 (7.5%) – 8 (8%)

* response has some depth and may exhibit critical thinking or application to practice setting

Points Range: 6.5 (6.5%) – 7 (7%)

* response is on topic, may have some depth

Points Range: 0 (0%) – 6 (6%)

* reponse may not be on topic, lacks depth

First Reponse: Writing

Points Range: 6 (6%) – 6 (6%)

* Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English

Points Range: 5.5 (5.5%) – 5.5 (5.5%)

* Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English

Points Range: 5 (5%) – 5 (5%)

* Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in Standard Edited English

Points Range: 4.5 (4.5%) – 4.5 (4.5%)

* Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited

Points Range: 0 (0%) – 4 (4%)

* Responses posted in the discussion lack effective * Response to faculty questions are missing * No credible sources are cited. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

First Reponse: Timely and full participation

Points Range: 5 (5%) – 5 (5%)

* meets requirements for timely and full participation * posts by due date

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

* does not meet requirement for full participation

Second Reponse: Post to colleague’s main post that is reflective and justified with credible sources.

Points Range: 9 (9%) – 9 (9%)

* response exhibits critical thinking and application to practice settings * responds to questions posed by faculty * the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Points Range: 8.5 (8.5%) – 8.5 (8.5%)

* response exhibits critical thinking and application to practice settings

Points Range: 7.5 (7.5%) – 8 (8%)

* response has some depth and may exhibit critical thinking or application to practice setting

Points Range: 6.5 (6.5%) – 7 (7%)

* response is on topic, may have some depth

Points Range: 0 (0%) – 6 (6%)

* reponse may not be on topic, lacks depth

Second Reponse: Writing

Points Range: 6 (6%) – 6 (6%)

* Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English

Points Range: 5.5 (5.5%) – 5.5 (5.5%)

* Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English

Points Range: 5 (5%) – 5 (5%)

* Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in Standard Edited English

Points Range: 4.5 (4.5%) – 4.5 (4.5%)

* Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited

Points Range: 0 (0%) – 4 (4%)

* Responses posted in the discussion lack effective * Response to faculty questions are missing * No credible sources are cited. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670

Second Reponse: Timely and full participation

Points Range: 5 (5%) – 5 (5%)

* meets requirements for timely and full participation * posts by due date

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

* does not meet requirement for full participation. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670

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Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670

Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670
Week 8: Neurocognitive Disorders
My mother used to be a teacher—an elementary school teacher. We were all so proud of her when she completed her PhD when she was 50. Now she is 75 and has begun to have times when she does not know what day it is. We found her wandering around the neighborhood because she could not find her way home. Once, she forgot where she parked her car at the grocery store. She thought someone had stolen it. The manager was so kind to drive her around the parking lot until she recognized her car. We are afraid she might get hurt or lost. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
Gary, age 50, son of Dorothy, age 75

The neurocognitive disorders are unique among the other psychiatric disorders you have studied in that the diseases that are to blame for the neurocognitive manifestations that have been extensively studied. Additionally, these conditions are also acquired and represent a decline from a previous level of functioning. The neurocognitive disorders present a diagnostic challenge to the PMHNP in that many of the signs and symptoms overlap.
This week, you will explore evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You will complete your final Decision Tree as you rationalize and justify your diagnosis and treatment of a patient with a mental health disorder.

ORDER A CUSTOM-WRITTEN PAPER NOW

Learning Resources
Required Readings
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 21, “Neurocognitive Disorders” (pp. 694–741)

Gabbard, G. O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.). Washington, DC: American Psychiatric Publications.

Chapter 63, “Delirium”
Chapter 64, “Neurocognitive Disorder Due to Alzheimer’s Disease”
Chapter 65, “Frontotemporal Neurocognitive Disorder”
Chapter 66, “Vascular Neurocognitive Disorder”
Chapter 67, “Neurocognitive Disorder Due to Parkinson’s Disease”

Note: You will access this textbook from the Walden Library databases.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

“Neurocognitive Disorders”

Note: You will access this book from the Walden Library databases.
Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.
 
Note: All Stahl resources can be accessed through the Walden Library using the link below. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear. http://ezp.waldenulibrary.org/login?url=http://stahlonline.cambridge.org/
 
To access information on specific medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
 

Alzheimer disease
Delirium
Dementia
Parkinson’s disease dementia

caprylidene
donepezil
galantamine
memantine
rivastigmine
haloperidol (adjunct)
lorazepam (adjunct)
donepezil
galantamine
memantine
rivastigmine
rivastigmine
pimavanserin

Note: For more information on Pimavanserin, see:
Acadia Pharmaceuticals. (2017). Transform the treatment of Parkinson’s disease psychosis with NUPLAZID. Retrieved from https://www.nuplazidhcp.com/?gclid=CIHS5auvwtMCFQkaaQodrU0FGQ
U.S. Food and Drug Administration. (n. d.). Highlights of prescribing information: Nuplazid. Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2016/207318lbl.pdf
Hopkins, S. A., & Chan, D. (2016). Key emerging issues in frontotemporal dementia. Journal of Neurology, 263(2), 407–413. doi:10.1007/s00415-015-7880-7. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670
 
Note: You will access this article from the Walden Library databases.
Walker, Z., Possin, K. L., Boeve, B. F., & Aarsland, D. (2015). Lewy body dementias. The Lancet, 386(10004), 1683-1697.
 
Note: You will access this article from the Walden Library databases.
Required Media
Laureate Education (Producer). (2017a). A gentleman with a neurocognitive disorder [Multimedia file]. Baltimore, MD: Author. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
 
Bolin, P. (2015, December 31). Neurocognitive disorders – CRASH! Medical review series [Video file]. Retrieved from https://www.youtube.com/watch?v=bQXOPITY9XM
 
Note: The approximate length of this media piece is 57 minutes.
Optional Resources
Kota, L. N., Bharath, S., Purushottam, M., Moily, N. S., Sivakumar, P. T., Varghese, M., . . . Jain, S. (2015). Reduced telomere length in neurodegenerative disorders may suggest shared biology. The Journal of Neuropsychiatry and Clinical Neurosciences, 27(2), e92–e96. doi:10.1176/appi.neuropsych.13100240
Lepkowsky, C. M. (2016). Neurocognitive disorder with Lewy bodies: Evidence-based diagnosis and treatment. Practice Innovations, 1(4), 234–242. doi:10.1037/pri0000031
Oltra-Cucarella, J., Pérez-Elvira, R., Espert, R., & Sohn McCormick, A. (2016). Are cognitive interventions effective in Alzheimer’s disease? A controlled meta-analysis of the effects of bias. Neuropsychology, 30(5), 631–652. doi:10.1037/neu0000283. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

Discussion: Treatment of Neurocognitive Disorders
Neurocognitive disorders (NCD) such as delirium, dementia, and amnestic disorders are more prevalent in older adults. As the population ages and as life expectancy in the United States continues to increase, the incidence of these disorders will continue to increase. Cognitive functioning such as memory, language, orientation, judgment, and problem solving are affected in clients with NCDs. Caring for someone with a neurocognitive disorder is not only challenging for the clinician, but also stressful for the family. The PMHNP needs to consider not only the client but also the “family as client.” Collaboration with primary care providers and specialty providers is essential. Anticipatory guidance also becomes extremely important.
In this Discussion, you will integrate several sources of knowledge specific to NCDs as you discuss evidenced-based therapies used to treat these disorders. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
Learning Objectives
Students will:

Analyze diagnostic criteria for neurocognitive disorders
Analyze evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders
Evaluate benefits and risks of neurocognitive therapies
Compare differential diagnostic features of neurocognitive disorders

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!
To prepare for this Discussion:

By Day 5 of Week 7, your Instructor will have assigned you a neurocognitive disorder, which will be the focus for your initial post for this Discussion. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670
Review the Learning Resources.

By Day 3
Post:

Explain the diagnostic criteria for your assigned neurocognitive disorder.
Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned neurocognitive disorder.
Identify the risks of different types of therapy and explain how the benefits of the therapy that might be achieved might outweigh the risks.
Support your rationale with references to the Learning Resources or other academic resource.

By Day 6
Respond to at least two of your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 8 Discussion Rubric
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week 8 Discussion

Assignment 1:
Practicum: Decision Tree
For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.
The Assignment:
Learning Objectives
Students will:

Evaluate clients for treatment of mental health disorders
Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

Examine Case 3: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point, stop to complete the following:

Decision #1: Differential Diagnosis

Which Decision did you select?
Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

Decision #2: Treatment Plan for Psychotherapy

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different? Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

Decision #3: Treatment Plan for Psychopharmacology

Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients and their family. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
By Day 7 of Week 10
Submit your Assignment.

Assignment 2: Board Vitals
This week you will be responding to twenty Board Vitals questions that cover a broad review of your Nurse Practitioner program courses up to this point. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
These review questions will provide practice that is critical in your preparation for the national certification exam that’s required to certify you to practice as a nurse practitioner. These customized test questions are designed to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.
You can access Board Vitals through the link sent to you in email or by following the link below:
https://www.boardvitals.com/
By Day 7
Complete the Board Vitals questions.

Making Connections
This week, you explored evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders. You completed your final Decision Tree as you rationalized and justified your diagnosis and treatment of a patient with a mental health disorder.
Next week, you will explore a wide variety of disorders along the schizophrenia spectrum as you become “captain of the ship” once again. You also will analyze issues involved with state practice agreements. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

NURS_6670_Week8_Discussion_Rubric

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Outstanding Performance
Excellent Performance
Competent Performance
Proficient Performance
Room for Improvement

Main Posting: Response to the discusion question is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module and current credible sources.

Points Range: 44 (44%) – 44 (44%)

* Thoroughly responds to the discusion question(s) *is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module and current credible sources. * supported by at least 3 current, credible sources

Points Range: 40 (40%) – 43 (43%)

* Responds to the discusion question(s) *is reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module. * 75% of post has exceptional depth and breadth * supported by at least 3 credible references

Points Range: 35 (35%) – 39 (39%)

* Responds to most of the discusion question(s) *is somewhat reflecive with critical analysis and synthesis representive of knowledg gained from the course readings for the module. * 50% of post has exceptional depth and breadth * supported by at least 3 credible references

Points Range: 31 (31%) – 34 (34%)

* Responds to some of the discusion question(s) * one to two criteria are not addressed or are superficially addresed *is somewhat lacking reflection and critical analysis and synthesis *somewhat represents knowledge gained from the course readings for the module. * post is cited with fewer than 2 credible references

Points Range: 0 (0%) – 30 (30%)

* Does not respond to the discusion question(s) * lacks depth or superficially addresses criteria *lacks reflection and critical analysis and synthesis *does not represent knowledge gained from the course readings for the module. * contains only 1 or no credible references. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670

Main Posting: Writing

Points Range: 6 (6%) – 6 (6%)

* Written clearly and concisely * Contains no grammatical or spelling errors * Fully adheres to current APA manual writing rules and style

Points Range: 5.5 (5.5%) – 5.5 (5.5%)

* Written clearly and concisely * May contain one or no grammatical or spelling error * Adheres to current APA manual writing rules and style

Points Range: 5 (5%) – 5 (5%)

* Written concisely * May contain one to two grammatical or spelling error * Adheres to current APA manual writing rules and style

Points Range: 4 (4%) – 5 (5%)

*Writtten somewhat concisely * May contain more than two2 spelling or grammatical errors * Contains some APA formatting erros

Points Range: 0 (0%) – 4 (4%)

* Not written clearly or concisely * Contains more than two spelling or grammatical errors * Does not adhere to current APA manual writing rules and style

Main Posting: Timely and full participation

Points Range: 10 (10%) – 10 (10%)

* meets requirements for timely and full participation * posts main discussion by due date

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 6 (6%)

* does not meet requirement for full participation

First Reponse
Post to colleague’s main post that is reflective and justified with credible sources.

Points Range: 9 (9%) – 9 (9%)

* response exhibits critical thinking and application to practice settings * responds to questions posed by faculty * the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Points Range: 8.5 (8.5%) – 8.5 (8.5%)

* response exhibits critical thinking and application to practice settings

Points Range: 7.5 (7.5%) – 8 (8%)

* response has some depth and may exhibit critical thinking or application to practice setting

Points Range: 6.5 (6.5%) – 7 (7%)

* response is on topic, may have some depth

Points Range: 0 (0%) – 6 (6%)

* reponse may not be on topic, lacks depth

First Reponse: Writing

Points Range: 6 (6%) – 6 (6%)

* Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English

Points Range: 5.5 (5.5%) – 5.5 (5.5%)

* Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English

Points Range: 5 (5%) – 5 (5%)

* Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in Standard Edited English

Points Range: 4.5 (4.5%) – 4.5 (4.5%)

* Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited

Points Range: 0 (0%) – 4 (4%)

* Responses posted in the discussion lack effective * Response to faculty questions are missing * No credible sources are cited. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670.

First Reponse: Timely and full participation

Points Range: 5 (5%) – 5 (5%)

* meets requirements for timely and full participation * posts by due date

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

* does not meet requirement for full participation

Second Reponse: Post to colleague’s main post that is reflective and justified with credible sources.

Points Range: 9 (9%) – 9 (9%)

* response exhibits critical thinking and application to practice settings * responds to questions posed by faculty * the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Points Range: 8.5 (8.5%) – 8.5 (8.5%)

* response exhibits critical thinking and application to practice settings

Points Range: 7.5 (7.5%) – 8 (8%)

* response has some depth and may exhibit critical thinking or application to practice setting

Points Range: 6.5 (6.5%) – 7 (7%)

* response is on topic, may have some depth

Points Range: 0 (0%) – 6 (6%)

* reponse may not be on topic, lacks depth

Second Reponse: Writing

Points Range: 6 (6%) – 6 (6%)

* Communication is professional and respectful to colleagues * Response to faculty questions are fully answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English

Points Range: 5.5 (5.5%) – 5.5 (5.5%)

* Communication is professional and respectful to colleagues * Response to faculty questions are answered if posed * Provides clear, concise opinions and ideas that are supported by two or more credible sources * Response is effectively written in Standard Edited English

Points Range: 5 (5%) – 5 (5%)

* Communication is mostly professional and respectful to colleagues * Response to faculty questions are mostly answered if posed * Provides opinions and ideas that are supported by few credible sources * Response is written in Standard Edited English

Points Range: 4.5 (4.5%) – 4.5 (4.5%)

* Responses posted in the discussion may lack effective professional communication * Response to faculty questions are somewhat answered if posed * Few or no credible sources are cited

Points Range: 0 (0%) – 4 (4%)

* Responses posted in the discussion lack effective * Response to faculty questions are missing * No credible sources are cited. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670

Second Reponse: Timely and full participation

Points Range: 5 (5%) – 5 (5%)

* meets requirements for timely and full participation * posts by due date

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

Points Range: 0 (0%) – 0 (0%)

* does not meet requirement for full participation. Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670Treatment of Neurocognitive Disorders Discussion and Decision Tree – NURS 6670

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