Author: Liu
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Patient 4: A 71-year-old-male who comes to see you at the insistence of his daughter. His daughter expresses concern of memory loss and is wondering if he has the beginning stages of dementia. He is forgetful and seems to be tripping on things or walking into walls, although he has lived in the same home for the past 35 years. The patient does not agree with his daughter but does admit he has had a “few stumbles and falls” lately. Medication reconciliation shows the following medications: metoprolol ER 50mg q day, omeprazole 20mg q day, clonazepam 1mg TID, levothyroxine 75mcg q am. His daughter is wondering if he should be started on a “dementia medication
The symptoms described—memory loss, stumbling, and falls—warrant a thorough evaluation to determine if they are due to early dementia, medication effects, or other underlying causes. Here’s how to approach this patient: 1. Comprehensive Assessment History and Physical Examination Memory and Cognitive Function: Ask about specific memory issues (e.g., forgetting names, repeating questions). Assess orientation, executive…
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Patient 3: A 24-year-old female prescribed lorazepam 1mg TID for generalized anxiety disorder. She recently found out she is pregnant (9 weeks gestation). She was referred to you by her OB-GYN to discuss this medication for her current situation. The patient is wondering if she can stay on the lorazepam through her pregnancy and postpartum, as it is an effective medication for anxiety symptoms. She plans to exclusively breastfeed for the first 6 months postpartum. She has not had The management of benzodiazepines like lorazepam during pregnancy and lactation requires a careful balancing of risks and benefits for both the mother and baby. Here’s a structured approach to guide this patient:
Patient 3: A 24-year-old female prescribed lorazepam 1mg TID for generalized anxiety disorder. She recently found out she is pregnant (9 weeks gestation). She was referred to you by her OB-GYN to discuss this medication for her current situation. The patient is wondering if she can stay on the lorazepam through her pregnancy and postpartum,…
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Patient 1: A 36-year-old male presents to your office being prescribed by his primary care physician (PCP) for the past 3 years an opioid analgesic medication for a work accident. He has chronic pain and is attending a pain clinic. It is determined the best course of treatment for pain is to remain on opioid medication. The patient is also being prescribed clonazepam 1mg BID for “relaxation” and panic attacks. For this patient, the long-term use of both an opioid analgesic and clonazepam requires careful evaluation to manage risks, ensure safety, and optimize treatment for chronic pain and panic disorder. Here’s a structured approach:
1. Comprehensive Assessment Review Current Medications: Confirm the dosage, duration, and adherence to prescribed opioid and clonazepam regimens. Identify any concurrent medications or over-the-counter supplements. Evaluate Indications: Opioid Use: Confirm that the chronic pain condition is appropriately managed with opioids and that non-opioid alternatives have been considered. Clonazepam Use: Determine if panic attacks persist and…
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Patient 2: A 42-year-old female on alprazolam 1mg BID for panic attacks. Panic attacks have been in remission and the patient wants to taper off the medication. But, every time she has attempted to do so in the past, she experienced withdrawal effects. She is wondering how to safely taper off the benzodiazepine medication without having withdrawal effects.
Tapering off benzodiazepines like alprazolam requires a gradual, structured approach to minimize withdrawal symptoms and ensure safety. Here’s a step-by-step guide tailored to this patient: 1. Initial Assessment Evaluate Current Usage: Confirm the dose (1 mg BID = 2 mg/day) and ensure no additional use beyond prescribed. Assess Risks: Withdrawal symptoms such as anxiety, insomnia,…
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Patient 2: A 42-year-old female on alprazolam 1mg BID for panic attacks. Panic attacks have been in remission and the patient wants to taper off the medication. But, every time she has attempted to do so in the past, she experienced withdrawal effects. She is wondering how to safely taper off the benzodiazepine medication without having withdrawal effects.
Patient 2: A 42-year-old female on alprazolam 1mg BID for panic attacks. Panic attacks have been in remission and the patient wants to taper off the medication. But, every time she has attempted to do so in the past, she experienced withdrawal effects. She is wondering how to safely taper off the benzodiazepine medication without…
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Patient 1: A 36-year-old male presents to your office being prescribed by his primary care physician (PCP) for the past 3 years an opioid analgesic medication for a work accident. He has chronic pain and is attending a pain clinic. It is determined the best course of treatment for pain is to remain on opioid medication. The patient is also being prescribed clonazepam 1mg BID for “relaxation” and panic attacks
Patient 1: A 36-year-old male presents to your office being prescribed by his primary care physician (PCP) for the past 3 years an opioid analgesic medication for a work accident. He has chronic pain and is attending a pain clinic. It is determined the best course of treatment for pain is to remain on opioid…
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De-Prescribing What is the importance of de-prescribing? How might you assist a patient to taper from a medication safely or transition to a new medication? In this Assignment, you will use the following patient examples to write a 5- to 6-page paper on considerations you have for how you might de-prescribe. Support your answers with five (5) evidence-based, peer-reviewed scholarly literature resources outside of Required Learning Resources in this course.
De-Prescribing What is the importance of de-prescribing? How might you assist a patient to taper from a medication safely or transition to a new medication? In this Assignment, you will use the following patient examples to write a 5- to 6-page paper on considerations you have for how you might de-prescribe. Support your answers with…
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NURS 8502 Week 10 Discussion Impact of the Problem Sample Pressure Ulcers Prevention in an Assisted Living Facility workshop
NURS 8502 Week 10 Discussion Impact of the Problem Sample Pressure Ulcers Prevention in an Assisted Living Facility workshop In the first week of this course, it was identified that pressure ulcers in the assisted facility living workshop are a major issue of concern. Pressure ulcers remain a major health problem affecting approximately 3 million…
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NURS 8502 Week 9 Discussion Change Champions
In the past eight weeks, I have evaluated that the high incidence of pressure ulcers among people living in assisted facilities is a significant concern. There are various interventions to reduce pressure ulcers, but most nurses lack the knowledge and awareness to implement such interventions. Therefore, the proposed practice is to implement an educational program…
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How to Write the Conclusion for NURS 8502 Week 9 Discussion Change Champions
How to Write the Body for NURS 8502 Week 9 Discussion Change Champions After the introduction, move into the main part of the NURS 8502 Week 9 Discussion Change Champions assignment, which is the body. Given that the paper you will be writing is not experimental, the…