Special Considerations for Patient Population Cases:

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

·
Patient 3: A 33-year-old female that is 6 weeks postpartum. She presents with depressed mood, sadness, easily emotional, difficulties with sleep even when the infant is sleeping. She has lost weight and has a poor appetite. You note psychomotor retardation. She has limited interests in hobbies or bonding with the infant. Her partner is concerned and reports she is typically active and “bubbly” and enjoys the outdoors. She is diagnosed with major depressive disorder, with postpartum onset. She denies suicidal ideation, homicidal ideation, or infanticidal ideation. No psychotic symptoms are present. She is nursing the infant and wants to continue this hoping it will assist with bonding with the infant. 
Med List: lithium, paroxetine, sertraline

·
Patient 4: 10-year-old male who comes in with his father. He has been diagnosed with generalized anxiety disorder. He has constant worries that he cannot control. He feels nervous and tense. He is easily irritable. He struggles to settle down or relax. He is also quite fidgety and restless. He and his father are interested in medications to manage these symptoms. 
Med List: quetiapine, duloxetine, fluoxetine

·
Patient 5: 27-year-old male with a diagnosis of schizophrenia. He has been hospitalized three (3) times in the past 1 year due to symptoms. When symptomatic, he becomes disorganized and paranoid. He will respond to auditory hallucinations. He will scream out at night after seeing a shadow in his room. He has delusions that the CIA is poisoning food and will not eat for multiple days. He has unintentionally hurt his mother after “slapping” food out of her hand, as he did not want her to ingest the “poisoned food.” Symptoms are treated very well with paliperidone, but he struggles to remember to take it. 
Med List: paliperidone palmitate, clozapine, lamotrigine

To Prepare:

· Review the Learning Resources.

· Carefully review your assigned vulnerable population patient.

· Carefully review the medication list to determine the best medication to prescribe.

· Consider the implications, impact, advantages, and disadvantages of the listed medications.

The Assignment (4–5 pages)

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.

This Assignment requires a minimum of 
five (5) peer-reviewed, evidence-based scholarly references outside of course resources.

Note: You will need to include the APA style formatting.

GRADING CRITERIA

Describes the selected medication and explains the selection, dosing, and necessary patient education.

20 to >18.0 pts

Excellent

The response comprehensively and clearly describes the selected medication, dosing, and patient education information. The response includes relevant, specific, and appropriate e Describes any necessary labs or diagnostics needed prior to prescribing, as well as how side effects and efficacy will be monitored.

20 to >18.0 pts

Excellent

The response comprehensively and clearly describes needed labs and other diagnostics. The response comprehensively and clearly describes monitoring of efficacy and side effects. The response includes relevant, specific, and appropriate examples that fully support the descriptions. xamples that fully support the selection, dosing, and patient education information.

Explains why the other medications are not appropriate

20 to >18.0 pts

Excellent

The response comprehensively and fully details why other medications are not appropriate. The response includes relevant, specific, and appropriate examples that fully support the explanation.

Provides any additional collaboration or education necessary for the patient. Discussion includes: what would be needed to include in the assessment for a patient who may become nonadherent with the prescribing plan. Discussion includes what are alternative treatment solutions based upon assessment. Describes a new treatment plan based upon these factors.

20 to >18.0 pts

Excellent

The response accurately and clearly provides all additional necessary information. The response includes relevant, specific, and appropriate examples the information.

Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. Writes succinctly 4–5 page paper.

10 to >7.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided, which delineates all required criteria. Writes succinctly 4–5 page paper.

Written Expression and Formatting: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent

format with no errors. Contains a minimum of 5 peer-reviewed, evidence-based scholarly references outside of course resources.

PART 2

Create prescriptions using the patient information, medications, and indications listed below. Your goal is to demonstrate the accurate way to write a prescription that a patient would present to a pharmacy. The prescription should be written and signed. You will develop your mock prescriptions in a word document to include everything one might find on a printed prescription pad. You will write one prescription per page.

To write your prescriptions, please use the following patient information:

Patient Name: Jane Doe

DOB 1/1/2001

Duration: 3 months

Write a prescription for each of the following medications:

Sertraline, 100mg each day (depression)

Lorazepam, 1mg twice each day, if needed (panic attacks)

Aripiprazole, 2mg before bedtime (depression)

Methylphenidate ER, 54mg every morning before school (ADHD)