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NR592 PMHNP – Population Focus Pharmacology

Week 10 Assignment  

Final Case Study Project

Earlier in the course you chose one of the three following cases using the Week 03 Choose a patient for Final Case Study Paper:

Case Study One – 27-year-old male

Case Study Two – 26-year-old female

Case Study Three – 27-year-old female

By reading their case studies in Case Studies for Final Paper document.

Instructions:

For the patient you chose earlier, write a paper of 2-3 pages (using APA formatting and citations) discussing the following seven points based on the diagnosis given:

What medication do you choose?  Provide the name, dose, and prescription instructions.

If your patient is NOT currently taking a medication:

What class of medication are you choosing and why? 

Why you chose this med and not others. Include the pharmacodynamic action of the medication you are choosing versus the other options. 

Include either a research article or evidenced based guideline that supports your decision making and selection process.   Give rationale and reference your information. 

If your patient is already prescribed a medication:

Do you choose to continue the medication as currently prescribed?  Do you make changes to the current dose and/or instructions? Do choose to change the medication?

State your decision and answer the following questions:

(If you choose to change medications, state what medication you choose.  Provide the name, dose, and prescription instructions.)

What class of medication are you choosing (whether changing or staying with current med) and why? 

Why you chose this medication and not others. Include the pharmacodynamic action of the med you are choosing versus the other options. 

Include either a research article or evidenced based guideline that supports your decision making and selection process.   Give rationale and reference your information. 

List 3-5 instructional points you would include in educating the patient/family.

Note: There are probably many things you could include in your instruction but do not exceed 5 points. Select the most important points relative to this medication and this case.  Don’t just copy and paste into this section.  Make it meaningful to this patient.

What are the potential side effects and/or adverse drug reactions and how should they be managed?   What would you expect (common or nuisance) that your patient might experience, and what are your worst-case scenarios?  If these occur, what would you want your patient to do? Are there any monitoring considerations or tests you want to order? (Medication levels, blood tests, EKG, other screenings?)

What are potential drug interactions for THIS patient and what would your education and management be? (Note: This answer may be none.)  Don’t just copy and paste drug interactions into this area.  What is applicable for this patient? If the answer is none, can you think of potential concerns or what instructions would you provide to them?

How would you monitor the efficacy of this medication?  Specifically, when would you expect this medication to work?  When would you want to see this patient again?  How will you know it is working?  Are there lab tests or other information that you would need to gather to see if this medication is efficacious?

What are alternative treatment plans should this option fail?  Specifically address what medication, how and when you would use it.

How would this treatment change if the patient was pregnant?  Specifically, what risk category risk in pregnancy is this medication? How would you approach this medication with a pregnant patient?

Click on “Add Submission” and upload your paper below. “SAVE”, and then “Submit for grading”

Your Instructor will be using the attached grading rubric. Note the different criteria in rubric before you submit.

NOTE: You will post your paper in the last week Discussion Forum and will be expected to choose one other paper from your same case study topic area to review and comment on. This will be a great time to reach out to see what other possibilities there are for treatment and for you and others to discuss those treatments in a constructive way. Did you or others miss something, which approach might be better, etc. Is there a way you can help others in your cohort about different methods of treatment?

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