Discussion: Therapy with Older Adults NRNP 6640-14

Discussion: Therapy with Older Adults
Clients who are older have often times been dealing with their mental health disorder their
entire lives, whiles other disorders may be brought on through the aging process or the
trauma of losing a lifelong partner. Treatment can be challenging for both the client and
the therapist. For this Discussion, you will focus on therapeutic approaches for an older
adult presented in a case study.
Learning Objectives
Students will:
 Assess clients presenting with depression
 Analyze therapeutic approaches for treating clients presenting with depression
 Evaluate outcomes for clients presenting with depression
To prepare:·
 Download and review the Week 10: Case Study from this week’s Learning
Resources.
 Review this week’s Learning Resources and reflect on the insights they provide.
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!
By Day 3
Post a treatment plan for the older adult client in the Week 10: Case Study found in this
week’s Learning Resources. Be sure to address the following in your post:
 Which diagnosis should be considered?
 What is the DSM-V Coding for the diagnosis you are considering?
 What is your rationale for the diagnosis? Be sure and link the client’s signs and
symptoms to the DSM-V diagnostic criteria to support your diagnosis.
 What tests or tools should be considered to help identify the correct diagnosis?

 What differential diagnosis should be considered?
 What Treatment Strategy would you recommend?
 What treatment would you prescribe and what is the rationale?
 Safety
 Psychopharmacology
 Diagnostic Tests
 Psychotherapy
 Psychoeducation
 What standard guidelines would you use to treat or assess this patient?
 Clinical Note: Is depression a normal part of aging?
Support your approach with evidence-based literature.
Read a selection of your colleagues' responses.
By Day 6
Respond to at least two of your colleagues by providing one alternative therapeutic
approach. Explain why you suggest this alternative and support your suggestion with
evidence-based literature.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 10 Discussion Rubric
Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 10 Discussion

Week in Review
Now that you have:
 Assessed clients presenting with depression

 Analyzed therapeutic approaches for treating clients presenting with depression
 Evaluated outcomes for clients presenting with depression
Next week, you will:
 Analyze therapeutic approaches to treating clients with personality disorders
 Assess knowledge of concepts, principles, and theories
Next Week

To go to the next week:
Week 11

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Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-
to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing
Company.
 Chapter 18, “Psychotherapy With Older Adults” (pp. 625–660)
 Chapter 20, “Termination and Outcome Evaluation” (pp. 693–712)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental
disorders (5th ed.). Washington, DC: Author.

McGuire, J. (2009). Ethical considerations when working with older adults in psychology.
Ethics & Behavior, 19(2), 112–128. doi:10.1080/10508420902772702

Swift, J. K., & Greenberg, R. P. (2015). What is premature termination, and why does it
occur? In Premature termination in psychotherapy: Strategies for engaging clients and
improving outcomes (pp. 11–31). Washington, DC: American Psychological Association.
doi:10.1037/14469-002

Document: Week 10 Case Study (PDF)

Discussion: Therapy with Older Adults NRNP 6640-14