The FNP is conducting a routine follow-up on a patient with depression. The patient reports she is feeling like she can’t go on anymore. The FNP learns that this patient discontinued her medication 3 weeks ago because she couldn’t afford it. What should the FNP do in this situation? Support your response. Initial Post: Purchase the answer to view it

In this scenario, the FNP is faced with a patient who is experiencing worsening symptoms of depression after discontinuing her medication due to financial constraints. The FNP’s response should be both compassionate and strategic in order to address the patient’s current situation and provide appropriate care. This post will outline the recommended actions that the FNP should take in this situation, including assessing the patient’s immediate safety, exploring alternative medication options, and addressing the underlying issue of affordability.

First and foremost, the FNP should prioritize the patient’s safety and assess for any immediate risk of self-harm or suicide. Given the patient’s statement about feeling like she can’t go on anymore, it is crucial to conduct a thorough suicide risk assessment using validated tools. This will help the FNP determine the level of risk and the appropriate level of intervention needed.

Once the patient’s safety has been established, the FNP should address the issue of medication discontinuation. The FNP should inquire about the specific reasons why the patient could not afford her medication. This will provide insight into the patient’s financial situation and help identify potential resources or alternative medication options.

One possible course of action is to explore generic or less expensive alternatives to the discontinued medication. The FNP should consult the patient’s medication history and consider alternative options that have the same therapeutic effects but are more affordable. In some cases, a switch to a different medication within the same class or a lower-cost formulary alternative may be appropriate. However, it is important to consider any potential differences in efficacy, side effects, and the patient’s response to previous medications.

Additionally, the FNP should collaborate with the patient to explore available resources that can help with medication costs. This may include assistance programs offered by pharmaceutical companies, patient assistance programs, or local resources such as community clinics or nonprofit organizations. The FNP should provide the patient with information on these resources and assist in the application process if necessary. This proactive approach can help alleviate the financial burden and ensure that the patient has access to the necessary medications.

In parallel with addressing the medication issue, the FNP should also evaluate the patient’s overall treatment plan for depression. This may involve adjusting non-pharmacological interventions such as therapy or counseling, and considering the need for additional support or referral to a mental health specialist. The FNP should engage in a collaborative discussion with the patient to identify the most appropriate and accessible resources that can assist in managing her depression.

Furthermore, the FNP should also consider addressing the broader issue of affordability of medications and healthcare. This may involve advocating for systemic changes, such as policy reform or increased access to healthcare services. The FNP can use this case as an opportunity to bring attention to the challenges faced by individuals who cannot afford necessary medications, highlighting the need for affordable and accessible healthcare options.

In conclusion, when faced with a patient who discontinued medication due to financial constraints, the FNP should prioritize the patient’s safety, explore alternative medication options, and address the underlying issue of affordability. By taking a compassionate and strategic approach, the FNP can provide the necessary support and care to the patient, ensuring the best possible outcome for her mental health.