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

Ozempic

Weight Loss Outcomes Associated With Ozempic Treatment for Patients With Overweight or Obesity.

Transition 2

Compare the primary care NP role with other APN roles. What are the similarities among the roles, what are the differences, and how would you communicate the role to a healthcare provider and a consumer?   Submission Instructions: · Your initial post should be at least 500 words, formatted and cited

week 3

read the outline and attached pdf’s FALL PRECAUTIONS CARE PLAN INTERVENTIONS · Post the “Fall Precautions” sign on the patient’s room door . · Place a yellow identification band on the patient’s wrist. · Instruct the patient/parent (using appropriate communication tools and/or interpreters) to call when they need assistance getting

week 4

It explores how health policy at the local level impacts clinical practice and will make connections between policy and nursing practice.

week 3

How do nursing delivery models promote efficiency, cost-effectiveness, and patient outcomes?

Comprehensive Psychiatric Evaluation 1

Psychiatric SOAP Note Template Encounter date: ________________________ Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____ Reason for Seeking Health Care: ______________________________________________ HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ SI/HI: _______________________________________________________________________________ Sleep:  _________________________________________         Appetite:  ________________________ Allergies(Drug/Food/Latex/Environmental/Herbal): ___________________________________ Current perception of Health: Excellent Good Fair Poor Psychiatric History: Inpatient hospitalizations:

NUR 514 Clinical Soap note 1

A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their

nurs 514 CL soap 1

  SOAP Note 1 Patient: Female women age 62 getting her pap smear A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to

nurs 514 CL discussion 2

Describe your clinical experience for this week. Background: a challenge was adjusting to adult women since I work in a children’s hospital. A client came in to do her annual pap smear · Did you face any challenges, any success? If so, what were they? · Describe the assessment of

nus 514 discussion 2

After studying  Module 2: Lecture Materials & Resources , discuss the following: · Focusing on women’s health: · Name and describe the components and rationale of the gynecological health history. · Define and describe each component of the GTPAL system used to document pregnancy history. · Following the guidelines of

Discussion NT W3

What are the major concepts of the self-efficacy theory and how are they defined? Describe a patient situation that highlights each of the major concepts as defined.

Discussion P W3

Compare properties of the anterior pituitary hormones with the posterior pituitary hormones. How are they similar or different relative to regulation and mechanism of secretion, vulnerability to brain trauma and inflammation, and long-term consequences of dysfunction?

WK 9 RESP BLOG

 BLOG: PEER FEEDBACK: PRACTICE QUESTIONS AND SEARCH STRATEGIES For this Blog, you will share your progress, thus far, on the Literature Review Assignment that you are currently working on. Specifically, you will share your proposed practice question, PICOT format, and proposed search strategies. This is a unique opportunity to receive

Wk9 disc ay

Select an existing healthcare program or policy evaluation or choose one of interest to you. Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described. Post an evaluation topic and a brief description of the evaluation. Discuss

Improvement Plan Presentation

For this assessment, you will develop an 8–14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the improvement plan you developed in Assessment 2. Scenario: For this assessment, build on the work that you have done in your first two assessments and create

Pharmacological case study Women’s and Men’s Health, and Ear, Eyes, and Skin

 Women’s and Men’s Health, and Ear, Eyes, and Skin  Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories. For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify

DNP FNP Heart Failure

Please get back to me for any questions Problem Statement Template The problem statement I chose was Heart failure management in outpatient settings is crucial due to the increasing prevalence of the condition, which necessitates improved care strategies to reduce hospital readmissions and enhance patient outcomes. Complete each step by

psychological mindmap

a mindmap on psychological disorder Select one of the possible topics provided and complete the MindMap. In this exercise, you will complete a Mind Map to gauge your understanding of this week’s content. Select one of the possible topics provided to complete your MindMap assignment. · Generalized anxiety disorder ·