Week 10 Discussion – Sleep/Wake Disorders
NURS 6670 6670 Week 10 Schizophrenia Case

CASE

Charlie A 49 years-old male AA, is a homeless man had never been in a relationship, works at a local grocery store as a stocker, has been diagnosed with schizophrenia, complains of hearing voices even while at work which distracts her from what she needs to do, she also states that she feels hopeless in some situations which cause her to be anti-social.

Medication:
Olanzapine-15mg PO Daily
Seroquel-200mg at night

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?

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.

Week 10 Discussion – Sleep/Wake Disorders
topic :Insomnia

• Explain the diagnostic criteria for your assigned sleep/wake disorder.
• Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned sleep/wake disorder.
• Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why.
• Support your rationale with references to the Learning Resources or other academic resources.
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Sleep/wake disorders are a group of mental health disorders that are characterized by disturbances in sleep patterns and quality. Sleep/wake disorders can take many different forms, including insomnia, sleep apnea, and narcolepsy.

Insomnia is a common sleep/wake disorder that is characterized by difficulty falling or staying asleep. People with insomnia may have trouble falling asleep, staying asleep, or both, and they may feel tired or unrefreshed despite spending a sufficient amount of time in bed.

Sleep apnea is a sleep/wake disorder that is characterized by repeated pauses in breathing during sleep. These pauses can disrupt the normal sleep pattern and can cause a person to wake up frequently throughout the night. Sleep apnea can lead to daytime sleepiness and other problems.

Narcolepsy is a sleep/wake disorder that is characterized by excessive daytime sleepiness and sudden, irresistible sleep attacks. People with narcolepsy may fall asleep unexpectedly during
Narcolepsy is a sleep/wake disorder that is characterized by excessive daytime sleepiness and sudden, irresistible sleep attacks. People with narcolepsy may fall asleep unexpectedly during the day, even during activities that require attention, such as driving or talking.

Treatment for sleep/wake disorders can involve medication and therapy, such as cognitive-behavioral therapy for insomnia (CBT-I). It is important for people with sleep/wake disorders to seek help from a mental health professional if they are experiencing symptoms that are causing distress or impairment in their daily life. With appropriate treatment, many people with sleep/wake disorders can learn to manage their symptoms and improve their quality of life.