Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

Special Considerations for Patient Populations

See attached document

This week, you will dive more in depth into special patient populations. You will look at considerations for older adult clients, women of reproductive years, children and adolescents, and those who are most likely to struggle with medication adherence. You will also practice the act of prescribing. 

The Practicum Assignment, due this week, is a requirement in order to progress from this course; however, no point value is associated with the assignment. An incomplete will be submitted as the final grade if the practicum assignment is not completed.


Assignment 1

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.

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.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. 

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

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

SOAP Note

Demographic Data • Age, and gender (must be HIPAA compliant) Subjective • Chief Complaint (CC): A short statement about why they are there • History of Present Illness (HPI): Write your HPI in paragraph form. Start with the age, gender, and why they are there (example: 23-year-old female here for…).

Ip1

Assignment Details: Understanding economics is paramount to running a successful business. Managers must understand how to optimize production choices and forecast the following: Market trends Revenue Expenses To accomplish these goals, comprehending consumer choice and consumer demand for the good or service being produced or provided is important. This assignment

Critically Appraise the Evidence

Please see attachment Instructions Critically Appraise the Evidence  Submission Type: 6-to-8-page paper that includes three appraisal appendices at the end. Details: Last week, you identified a few quantitative research studies to help answer your PICOT question. In this two-week assignment, you will critically appraise three of the studies to evaluate

Discussion

Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals The purpose of this paper is to better understand gynecological health care for lesbian, bisexual and transgender individuals. · Define and describe for lesbian, bisexual and transgender individuals. · Gender and sexuality concepts. · Social and political context. · Social determinants

Asssigment

Medication Paper Select a medication that is either classified as an antidepressant or mood stabilizer. Based on your selection, write a paper (maximum 4 pages) and discuss the following information related to the medication you selected. · Evidence based treatment selection (FDA approved uses) · Off label uses, if any

WK 6 RESP 2 BLOG EPID

Blog: Critiquing Sources of Error in Population Research to Address Gaps in Nursing Practice   As a DNP-educated nurse, part of your role will be to identify the differences, or gaps, between current knowledge and practice and opportunities for improvement leading to an ideal state of practice. Being able to

NUR 501 ASSIGN3

Goal: Analyze and evaluate a middle range theory.  You will select a middle range theory and identify application of nursing theories into clinical practice .  Content Requirements: 1. Components of the theory · · Discuss the major concepts of the theory · Philosophical basis or worldview change, advancing health 2.

Asssigment

Learning Activity Week 5 Exercise Instructions Weekly Learning Activity Instructions: Ethics in Research Objective: Engage with this week’s learning activity to deepen your understanding of the importance of ethics in research. This activity involves reading a key article and summarizing its main concerns. Instructions: 1. Reading Assignment: · Visit the

Can you do this by tomorrow?

attached will be requirements and resources  Required Resources Read/review the following resources for this activity: · Textbook: Chapter 9 · Lesson · Link (website):  Pew Research Center census timeline. Links to an external site. Open this document with ReadSpeaker docReaderLinks to an external site. · Review the two columns comparing

N

PLEASE REVIEW THE INFO BELOW  TASK 1 Answer the following question in a one page narrative, (No more than 500 words, no less than 450 words). AI software is not allowed. Save answer as a PDF and upload to “Documents” in the application. Question: Nursing school is challenging. What qualities

NUR600

I need your expertise with a question  Drug of Choice Sertraline Draft of Project For this week, please present a draft/outline of your PowerPoint project (Due 04/05/25) Draft of Script for PowerPoint Presentation (Due 04/08/25) Next week you will be presenting your drug of choice. Draft a script of how

Neurocognitive Medications discussion

neurocognitive medications 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

Peds Clinical Experience

Describe your clinical experience for this week. Did you face any challenges, any success? If so, what were they? Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. Mention the health promotion intervention for

Approaches to Health Management: Sexuality

A father of a 17-year-old wants to know whether his child is sexually active. What will you tell him? What if the child is 14 years old? What if the child is 11 years old? What is your state law regarding parental notification?

teaching

hypertension  Anne Arundel Community College Department of Nursing Arnold Maryland NUR 230 TELEMETRY CLINICAL EDUCATION ASSIGNMENT I. Student Outcomes 1. Students will assess the educational needs and barriers to learning for the client and/or support system including learner readiness and Social Determinants of Health 2. Students will identify learning strategies

nurs 507 m3 discussion

After studying  Module 3: Lecture Materials & Resources , discuss the following: A father of a 17-year-old wants to know whether his child is sexually active. · What will you tell him? · What if the child is 14 years old? · What if the child is 11 years old?

nurs 507CL m3 discussion

Patient is a 16 year female coming in for a cold. Flu neg, covid neg. Patient had a fever 3 nights ago, it has resolved. Now she complains of nasal congestion and a dry cough that worsen at night. Patient has been taking OTC medications for these symptoms but they