Will Consider Specific Assignment Help: How to Answer This Question

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Original Question

You will consider the specific patient and determine the appropriate medication based on the patient’s 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 drugs would not be appropriate and any essential 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. Which of the following medications 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 facility. After 1 week of moving in, she has become extremely confused. Staff have attempted to reorient her, and she struggles to focus on what they are saying. She is only oriented to herself. 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 who is 6 weeks postpartum. She presents with depressed mood, sadness, being easily emotional, and 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 interest in hobbies or bonding with the infant. Her partner is concerned and reports she is typically active, “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: A 10-year-old male 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 irritated. 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

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