Case Study
\nLM is an 89-year-old female resident of a long-term care facility who has been experiencing multiple falls, some resulting in injuries such as bruising and skin tears. Over the last 6 months, her ambulation status has declined from independent to wheelchair level. She complains of pain in her legs when walking more than short distances across the nursing unit.
\nPMH:
\n\u2022\tHTN
\n\u2022\tAlzheimer\u2019s disease
\n\u2022\tHypothyroidism
\n\u2022\tOsteoarthritis
\n\u2022\tDiabetes
\nMEDICATIONS:
\n\u2022\tAmlodipine 10 mg QD
\n\u2022\tDonepezil 10 mg QHS
\n\u2022\tLevothyroxine 0.88 mg QAM
\n\u2022\tCelecoxib 200 mg QD
\n\u2022\tFurosemide 40 mg QAM
\n\u2022\tMetformin 500mg, 1 BID
\n\u2022\tGlyburide 5mg, 1 BID
\nALLERGIES: NKA
\nSOCIAL HISTORY:
\nWidowed with 2 adult children living in town, retired photographer and owner of an art supply store
\nVITALS: LABS:
\nWeight: 129 lbs TSH 2.45 Free T4 0.98
\nHeight: 64 inches Na 135, K+ 3.8, Cl 99, CO2 25,
\nBP: Supine = 177\/82 Glucose 101, SCr 0.9, BUN 42
\nHR: 78 bpm WBC 7.0, RBC 4.5, Hgb 11.9, Hct 34.1
\nPlt 255
\nCr: 1.6 UA: Clear
\neGFR: 45 ml\/min
\nPE:
\n\u2022\tHEENT: Normocephalic, no evidence of trauma, PERRLA, EOMI, Dry mucous membranes
\n\u2022\tCV: RRR
\n\u2022\tRespiratory: Clear to auscultation bilaterally
\n\u2022\tAbdomen: Soft, non-tender, no masses or guarding
\n\u2022\tG\/U: Skin intact, Helped with toileting and personal hygiene by staff
\n\u2022\tExtremities: Bilateral 2+ edema to lower extremities; skin dry, dark bruising and skin tear to right elbow and forearm
\n\u2022\tNeuro: Alert and oriented to person only. MMSE 18\/30, stable over last 12 months.
\nPAIN ASSESSMENT:
\nFaces pain scale: No pain occurs at rest, upon walking, pain is moderate to severe<\/p>\n
To Prepare
\n\u2022\tReview the case study assigned by your Instructor for this Assignment.
\n\u2022\tSelect one the following factors: genetics, gender, ethnicity, age, or behavior factors.
\n\u2022\tReflect on how the factor you selected might influence the patient\u2019s pharmacokinetic and pharmacodynamic processes.
\n\u2022\tConsider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient\u2019s recommended drug therapy.
\n\u2022\tThink about how you might improve the patient\u2019s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.<\/p>\n
Assignment
\nWrite a 2- to 3-page paper that addresses the following:
\n\u2022\tExplain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned. Write a 2- to 3-page paper addressing the following topic (sample nursing essay examples by the best nursing assignment writing service)s:
\n\u2022 Explain how the factor you chose might influence the pharmacokinetic and pharmacodynamic processes in the case study patient.
\n\u2022 Explain how changes in processes may affect the patient’s recommended drug therapy. Provide specifics and examples.
\n\u2022\tDescribe how changes in the processes might impact the patient\u2019s recommended drug therapy. Be specific and provide examples.
\n\u2022\tExplain how you might improve the patient\u2019s drug therapy plan and explain why you would make these recommended improvements.<\/p>\n","protected":false},"excerpt":{"rendered":"
Case Study LM is an 89-year-old female resident of a long-term care facility who has been experiencing multiple falls, some resulting in injuries such as bruising and skin tears. Over the last 6 months, her ambulation status has declined from independent to wheelchair level. She complains of pain in her legs when walking more than […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4486,994],"tags":[9422],"class_list":["post-115393","post","type-post","status-publish","format-standard","hentry","category-case-study-homework-help","category-nursing-case-study-help","tag-lm-is-an-89-year-old-female-resident-of-a-long-term-care"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts\/115393","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/comments?post=115393"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts\/115393\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/media?parent=115393"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/categories?post=115393"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/tags?post=115393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}