Special Considerations for Patient Population Cases:

To complete this Assignment, you will choose a case study for a patient population for special consideration during prescribing practices. You will consider the specific patient and determine the appropriate medication to prescribe, based on the patient specifics and medication attributes in various case studies. You will construct a 4- to 5-page paper in which you determine the medication, the dosing, necessary patient education, and potential side effects. You will also indicate why the other medications would not be appropriate, as well as any necessary labs or diagnostics that might be needed. You will develop a plan to enhance medication adherence for the nonadherent patient.

Special Considerations for Patient Population Cases:

Patient      1: 82-year-old male presenting with cognitive decline. He had      always been a very active individual. Over the past year, he has become      less active in the community. Previously, he played cribbage weekly with      friends at the local senior center but has been struggling with the math      involved with the game and no longer attends the weekly card game. He had      also volunteered as a crossing guard for the local public school. He quit      doing that after he took the wrong turn to get home and drove around the      town feeling lost. He acknowledges he is “sensitive” to this and can be      irritable towards his children when they bring up these concerns. He was      diagnosed with mild neurocognitive disorder after completing      neuropsychological testing. Of the following medications, which would be      the most appropriate to prescribe? Explain why you chose this medication.      What would be the dosing schedule for this patient? Provide education to      the patient and review risks, benefits, and potential side effects of the      medication. In addition, explain why the other medications listed are not      appropriate for this patient. Med List: lorazepam,      olanzapine, memantine

Patient      2: 76-year-old female who recently moved from her home to an      assisted living. After 1 week of moving in, she has become extremely      confused. Staff have attempted to re-orient her, and she struggles to      focus on what they are saying. She is only oriented to self. She has      become very agitated and has even thrown breakable objects in her room.      Her family is concerned stating she is “out of it.” The PCP ordered labs      and UA. Labs are unremarkable outside of mild leukocytosis and positive      dipstick analysis for nitrite and red blood cells. Med List: valproate,      alprazolam, trimethoprim

The Assignment:

Construct a paper concerning your assigned vulnerable population patient case. In your paper include the following:

Determine      which medication would be most appropriate to prescribe from the assigned      vulnerable population patient case medication choices.

Explain      your rationale for choosing this medication. Explain why the other      medications listed are not appropriate for this patient.

• Explain      the dosing schedule for the specific patient including the therapeutic      endpoint.

Provide      necessary education to the patient to review risks, benefits, and      potential side effects of the medication.

Describe      any necessary labs or additional diagnostics needed prior to prescribing      this medication.

Explain      how you might monitor efficacy or side effects of the medication.

• Include      any additional collaboration or education to others that would be      necessary for this patient. Consider family members, home health care,      primary care providers, etc.

What      would you need to include in your assessment for a patient who may become      nonadherent with your prescribing plan for your scenario? What are      alternative treatment solutions based upon how you assessed? Describe your      new treatment plan.

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