MN 664 UNIT 10 Discussion upload

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Feb 20, 2024

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MN 664 Unit 10 Discussion MN664-1: Construct a consistent approach to the evaluation and management of mental health disorders and conditions for adult/geriatric clients and clients across the lifespan presenting in the acute and/or primary care setting. Creating a consistent approach to the evaluation and management of mental health disorders and conditions requires a comprehensive approach for adult and geriatric clients for both an acute care setting and in the primary care setting. This would start with implementing routine mental health screening tools during primary care visits will help to identify mental health disorders. Designing a collaborative care approach with the clients’ other medical providers that encourages good communication and collaboration will help provide continuity of care to promote positive outcomes. It is important to provide patient-centered care to promote buy in by the patient and ensure compliance with the treatment plan. It is equally as important to offer multiple treatment options such as psychotherapy, cognitive behavioral therapy, meditation, or lifestyle modifications.  MN664-2: Design age-appropriate mental health and physical health maintenance screening plans for adult/geriatric clients and clients across the lifespan for psychiatric mental health disorders.  During a client’s early adulthood, ages 18-30 years old should be screened for mood disorders, anxiety and substance use disorders. Regular screenings for sexually transmitted infections encourage healthy lifestyle habits. For adults that are 30-50 years old mental health screenings for mood and anxiety disorders and assessing for overwhelming work stress and stressful family dynamics. Clients should be screened for cancer, hypertension, and diabetes. Clients that are 50-65 years old should be screened for cognitive decline and depression. Clients should also be screened for cardiovascular health including cholesterol and hypertensions. Geriatric clients should be screened for cognitive disorders, depression, mobility issues, fall risks and polypharmacy. Reference Poghosyan L, Norful AA, Ghaffari A, George M, Chhabra S, Olfson M. Mental health delivery in primary care: The perspectives of primary care providers. Arch Psychiatr Nurs. 2019 Oct;33(5):63-67. doi: 10.1016/j.apnu.2019.08.001. Epub 2019 Aug 19. PMID: 31711596; PMCID: PMC7077950. Johnson, S., Dalton-Locke, C., Baker, J., Hanlon, C., Salisbury, T. T., Fossey, M., Newbigging, K., Carr, S. E., Hensel, J., Carrà, G., Hepp, U., Caneo, C., Needle, J. J., & Lloyd-Evans, B. (2022). Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care.   World psychiatry : official journal of the World Psychiatric Association (WPA) , 21 (2), 220– 236. https://doi.org/10.1002/wps.20962
Mulvaney-Day, N., Marshall, T., Downey Piscopo, K., Korsen, N., Lynch, S., Karnell, L. H., Moran, G. E., Daniels, A. S., & Ghose, S. S. (2018). Screening for Behavioral Health Conditions in Primary Care Settings: A Systematic Review of the Literature.   Journal of general internal medicine , 33 (3), 335–346. https://doi.org/10.1007/s11606- 017-4181-0 Abrams, R. C., Boné, B., Reid, M. C., Adelman, R. D., Breckman, R., Goralewicz, R., Palombo, M., Stern, A., Shengelia, R., & Teresi, J. (2015). Psychiatric assessment and screening for the elderly in primary care: design, implementation, and preliminary results.   Journal of geriatrics , 2015 , 792043. https://doi.org/10.1155/2015/792043
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