NURS 6630 Week 6 Discussion: Patient Case Scenario Debate
NURS 6630 Week 6 Discussion: Patient Case Scenario Debate – Step-by-Step Guide
The first step before starting to write the NURS 6630 Week 6 Discussion: Patient Case Scenario Debate, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment.
It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.
How to Research and Prepare for NURS 6630 Week 6 Discussion: Patient Case Scenario Debate
The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list.
You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.
How to Write the Introduction for NURS 6630 Week 6 Discussion: Patient Case Scenario Debate
The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.
How to Write the Body for NURS 6630 Week 6 Discussion: Patient Case Scenario Debate
The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.
How to Write the In-text Citations for NURS 6630 Week 6 Discussion: Patient Case Scenario Debate
In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:
The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.
How to Write the Conclusion for NURS 6630 Week 6 Discussion: Patient Case Scenario Debate
When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.
How to Format the Reference List for NURS 6630 Week 6 Discussion: Patient Case Scenario Debate
The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication.
Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:
References
Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456
Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.
NURS 6630 Week 6 Discussion: Patient Case Scenario Debate Instructions
In Week 5, you were assigned by Faculty to argue either the pro (for) or con (against) for a particular medication. You were also provided information for a patient case study scenario. Week 5 was your opportunity to conduct research for this debate.
This week, you will present and defend your assigned stance (pro or con) and specific medication for your patient case study scenario with your peers. Within the debate, you will also share your perspective on why the alternative medication class would not be appropriate for the patient case scenario. Have a look at NURS 6630 Week 7 Discussion/Assignment: Patient Medication Guide.
Support your answers with evidence-based, peer-reviewed scholarly literature.
Note: APA style format with citations and references will apply.
As a reminder, these were the assigned medications:
| Pro | Con |
|---|---|
| Amphetamine | Amphetamine |
| Methylphenidate | Methylphenidate |
| Alpha Adrenergic Agonist | Alpha Adrenergic Agonist |
| Non-Stimulant | Non-Stimulant |
To prepare:
- Review the Required Learning Resources.
- Review your research regarding your position and medication.
- Consider how you will apply your specific position and medication to the presented patient case.
By Day 3 of Week 6
Post your response detailing your argument for the following:
- What is the proposed mechanism of action of the medication(s)? Why might this be appropriate for the patients?
- What are the advantages or disadvantages to your class of medication (options for different administration, length of duration, etc.)?
- What are the advantages or disadvantages to the other medication options?
- What possible side effects or considerations need to be evaluated?
- Provide one example for each consideration—legal, ethical, and social implications—for prescribing the medication category.
Note: Your response needs to be supported by three 3 scholarly peer-reviewed resources located outside of your course learning resources.
By Day 6 of Week 6
Read a selection of your colleagues’ posts. Focus specifically on those colleagues who were assigned your same medication but opposite stance.
Respond to at least two of your colleagues on 2 different days who were assigned your same medication but an opposite stance. For example, if you were assigned the con stance for amphetamine, you should respond to two students who were assigned the pro stance for amphetamine. Support or expand on your original argument to refute their claims. Work to share additional perspectives on the issue described by your colleague.
Note: It is recommended that you read all peer postings to learn about medications other than those to which you are assigned. Additionally, your response needs to be supported by two (2) scholarly peer-reviewed resources located outside of your course Learning Resources.
NURS 6630 Week 6 Discussion: Patient Case Scenario Debate Example
Amphetamines are CNS stimulants that inhibit MAO neurotransmitters Martin & Le, 2023). This is appropriate because Malcolm has been diagnosed with ADHD and CNS stimulants help to improve alertness, attention so he can focus, along with helping him control his impulses. In school Malcolm has a problem with sitting still, staying focus, and problems with self-control. The mechanism of action of amphetamines can help manage Malcolm’s symptoms and are suitable for his age.
Amphetamines come in various administration forms such as liquid, and tablet immediate and extended-release form. These various options allow for different ways to prescribe. Since Malcolm is nine years old, he may not feel comfortable to swallow a pill so liquid form could be used. Extended release can help if Malcolm needs medication gradually over time. Amphetamines can come in different medication options. For short acting you have Adderall, Dexedrine, and Dextrostat. For long acting you have Adderall XR, Dexedrine, and Vyvanse.
Disadvantages of Malcolm taking amphetamines are that Malcolm may have to take multiple doses a day. Since majority of Malcolm’s symptoms are during school hours he may have to take medication during school time. This means that Malcolm will have to be interrupted during class time and come to the nurse’s office to take his medication. Malcolm’s parents will be responsible for having to ensure that he has medications at home and school. Amphetamines are a scheduled ll controlled substance which means he will only get enough for a month supply, so there is no room for error (Common ADHD Medications & Treatments for Children, 2025). He will be required to meet with his physician monthly to get his prescription renewed. Side effects of Amphetamines consist of loss of appetite, fatigue, insomnia, aggression, hypertension, tachycardia (Adderall XR, Mydayis Amphetamine/Dextroamphetamine) Dosing, Indications, Interactions, Adverse Effects, and More., 2025). Amphetamines are known high abuse drugs that can cause psychosis, and acute psychiatric disturbances (Martin & Le, 2023). Amphetamines can cause an increase in dopamine natural stimuli. Overstimulation can occur and sometimes dose changes are needed before you find the correct amount needed. Malcolm could become tired and need naps during the day from the effects of the medication.
Other treatments could be tried before starting Malcolm on medications. In the scenario it does not state if other nonpharmacologic strategies were tried. Malcolm could be started on an individualized education plan (IEP) that could be catered to him to accommodate his needs. Being placed in a smaller class with two teachers who are specialized in different ways of teaching and managing Malcolm’s behaviors could be helpful. Teaching his parents how to eliminate distractions and keep Malcolm on track could help with homework. Malcolm may need redirection with handling chores. Sports could help burn off some of his energy. A structured environment and regular routine could be beneficial. Behavioral therapy could help manage ADHD.
References
Adderall XR, Mydayis amphetamine/dextroamphetamine) dosing, indications, interactions, adverse effects, and more. (2025). https://reference.medscape.com/drug/adderall-mydayis-amphetamine-dextroamphetamine-342997#0.
Common ADHD Medications & Treatments for children. (2025). HealthyChildren.org. https://www.healthychildren.org/English/health-issues/conditions/adhd/Pages/Determining-ADHD-Medication-Treatments.aspx.
Martin, D., & Le, J. K. (2023, July 31). Amphetamine. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK556103/#:~:text=Go%20to%3A-,Mechanism%20of%20Action,through%20a%20variety%20of%20mechanisms.
NURS 6630 Week 6 Discussion: Patient Case Scenario Debate Example 2
Patient Case Scenario Debate
Choosing a suitable drug for a patient requires a comprehensive assessment of its effectiveness, safety, and associated hazards (Azad, 2021). This discussion focuses on two pharmacological agents, amphetamines and atomoxetine, presenting arguments both in favor of and against both in the context of treating particular patient instances. A 42-year-old woman aiming to discontinue alprazolam and a 24-year-old pregnant woman with a generalized anxiety disorder will undergo evaluation. This paper will substantiate the rationale for the selected position, evaluating the advantages and disadvantages of these treatments while considering the legal, ethical, and societal factors that influence prescription practices.
Mechanism of Action and Appropriateness
Atomoxetine is a selective norepinephrine reuptake inhibitor that elevates norepinephrine concentrations in the prefrontal cortex, enhancing attention, impulse regulation, and executive function. This is a feasible alternative for the 42-year-old woman reducing her alprazolam use since it offers cognitive advantages without the addiction risks associated with benzodiazepines. Amphetamines augment dopamine and norepinephrine release, enhancing concentration and vitality (Suarez et al., 2024). Amphetamines may effectively address attention-related disorders; nevertheless, their administration in a 24-year-old pregnant woman is concerning owing to probable teratogenic consequences and heightened risk of fetal problems, making non-stimulants a more prudent option.
Advantages/Disadvantages of Chosen Medication Classes
Atomoxetine is offered in a once-daily dosage, enhancing adherence. It does not possess the addiction risk associated with stimulants, making it a safer option for the 42-year-old female moving off benzodiazepines. Nevertheless, it takes many weeks, which may not be optimal for fast symptom alleviation. Amphetamines provide rapid effectiveness and are offered in both immediate and extended-release formulations, providing versatility (Di Giacomo et al., 2024). Nonetheless, their significant potential for abuse, cardiovascular risks, and contraindications during pregnancy render them inappropriate for the 24-year-old female, requiring alternative therapeutic choices that emphasize the safety of both mother and fetus.
Advantages/Disadvantages of Other Medication Options
Non-stimulants such as atomoxetine provide long-term safety without the danger of addiction but need patience owing to their slow start of efficacy. Conversely, stimulants like amphetamines and methylphenidate provide rapid symptom alleviation but carry hazards of addiction, cardiovascular complications, and fetal safety issues throughout gestation (Rose et al., 2020). Atomoxetine is very beneficial for persons reducing benzodiazepine use, such as the 42-year-old female, but amphetamines should be employed with caution, if at all, during pregnancy. Alternative non-stimulant treatments, such as guanfacine, may provide more choices for pregnant patients without the hazards associated with stimulants.
Side Effects and Considerations
Atomoxetine may induce xerostomia, insomnia, and tachycardia, necessitating monitoring, particularly in those with cardiovascular disorders (Azad, 2021). Amphetamines, however, may induce hypertension, tachycardia, reduced appetite, and increased anxiety, rendering them potentially detrimental for those with pre-existing anxiety disorders. The 24-year-old pregnant patient’s amphetamine usage raises concerns about fetal growth restriction, neonatal withdrawal, and long-term neurological consequences. These dangers need a thorough assessment of alternative drugs that may control symptoms effectively without jeopardizing fetal health.
Legal, Ethical, and Social Considerations
Atomoxetine prescription is not subject to the same legal limitations as amphetamines since it is classified as a non-controlled drug. It is ethically imperative to ensure that the 42-year-old female comprehends the delayed start of the condition to establish appropriate treatment expectations. Amphetamines, designated as Schedule II prohibited drugs, need rigorous oversight owing to their propensity for misuse (Rose et al., 2020). Ethical dilemmas emerge about its use during pregnancy, as the provider must evaluate the advantages against any risks to the fetus. Stimulant drugs may entail social stigma, especially among pregnant women, which may affect adherence and perceptions of therapy. These elements must be carefully evaluated while formulating a suitable treatment strategy.
Conclusion
Selecting between atomoxetine and amphetamines necessitates weighing effectiveness, safety, and individual patient factors. For the 42-year-old female reducing her alprazolam dosage, atomoxetine offers a non-addictive option that enhances cognitive function. However, the beginning of the action has been delayed. Amphetamines should be addressed with care in a 24-year-old pregnant woman owing to potential fetal dangers. Prioritizing patient safety, mitigating possible adverse effects, and complying with ethical prescription standards are crucial in identifying the most appropriate treatment strategy. Continuous observation and personalized treatment are essential for attaining the best patient outcomes.
References
Azad, D. O. A. (2021). Atomoxetine. In Springer eBooks (pp. 362–363). https://doi.org/10.1007/978-3-319-91280-6_1363
Di Giacomo, E., Confalonieri, V., Tofani, F., & Clerici, M. (2024). Methylphenidate and atomoxetine in pregnancy and possible adverse fetal outcomes. JAMA Network Open, 7(11), e2443648. https://doi.org/10.1001/jamanetworkopen.2024.43648.
Rose, S. J., Hathcock, M. A., White, W. M., Borowski, K., & Rivera-Chiauzzi, E. Y. (2020). Amphetamine–Dextroamphetamine and pregnancy: Neonatal outcomes after prenatal prescription mixed amphetamine exposure. Journal of Attention Disorders, 25(9), 1295–1301. https://doi.org/10.1177/1087054719896857.
Suarez, E. A., Bateman, B. T., Hernandez-Diaz, S., Straub, L., McDougle, C. J., Wisner, K. L., Gray, K. J., Pennell, P. B., Lester, B., Zhu, Y., Mogun, H., & Huybrechts, K. F. (2024). Prescription stimulant use during pregnancy and risk of neurodevelopmental disorders in children. JAMA Psychiatry, 81(5), 477. https://doi.org/10.1001/jamapsychiatry.2023.5073Links to an external site.
