Pharmacology Case

Choose a person (use their initials and provide age) you know who has a chronic condition (i.e diabetes, hypertension, COPD, asthma) that was diagnosed and managed by a primary care provider. Answer the following to the best of the person’s memory. Please use APA 7 Professional Version formatting. You should have a minimum of four pages excluding title page and references. The paper should have a formal introduction and conclusion. You can use the headings that are bolded with information below. Make sure to double-space and avoid yes/no answers.

Minimum of three references published within the last five years. One reference should be a current evidence based guideline for the condition. You are able to use and reference your textbook in this paper. Asynchronous and Live session lectures should not be used as references.

When you save your assignment, the file name should be “First Name_Last Name_Assignment Name.”

Patient introduction: Age, sex, diagnosis

Past Medical History/Past Social History:
The past medical history includes serious illnesses, surgical procedures, and injuries the patient has experienced previously.

Family History:
The family history includes the age and health of parents, siblings, and children (i.e, diabetes mellitus, cardiovascular disease, malignancy, rheumatoid arthritis, obesity).

Social History:
The social history includes the social characteristics of the patient as well as environmental factors and behaviors that may contribute to development of disease. Items that may be documented are the patient’s marital status; number of children; educational background; occupation; physical activity; hobbies; dietary habits; and use of tobacco, alcohol, or other drugs.

Current Medications:
The medication history should include an accurate record of the patient’s current use of prescription medications, nonprescription products, dietary supplements, and home remedies. Because there are thousands of prescription and nonprescription products available, it is important to obtain a complete medication history that includes the names, doses, routes of administration, schedules, and duration of therapy for all medications, including dietary supplements and other alternative therapies. Include drug analysis to determine if there are any drug to drug interactions. Make sure to include risk rating and what might occur if there were to be an interaction.

Allergies:

Allergies to drugs, food, pets, and environmental factors (eg, grass, dust, pollen) are recorded. An accurate description of the reaction that occurred should also be included. Distinguish adverse drug effects (“nausea”) from true allergies (“hives”).

What is the history of diagnosis? When were they diagnosed?
If applicable, did they have risk factors for the disease? Please explain Were they warned about the impending diagnosis?
Were they surprised by the diagnosis? How did they feel?

How were they initially managed? How are they managed now? Please provide the medication name (names if multiple for present condition), dose, how they are directed to take it and how much it costs on goodrx. Provide the class, trade and generic name(s). Please describe possible interactions (if any) between the medications taken currently.

Does the person understand how the medication works? What did they tell you? Is it accurate? How would you describe how it works?

What do the guidelines say about how they should be managed? Are the guidelines being followed? If not, what are the changes you would recommend making if you were the provider?

Has the person experienced any side effects? If so, were side effects discussed with them? Do they know what side effects to monitor for?

How often are they seeing their provider for the condition? Is that appropriate based on the guidelines?

Have they been adhering to the regimen as prescribed? If so, please describe how they take it? If not, why? Are there potential barriers you foresee with adherence?

Has the person had any trouble getting the medication?

Evidence of drug effectiveness in the patient and what do the guidelines say? What labs should be monitored? How should the patient be feeling? How do we know that they are being managed well?

Do they have access to their labs and/or latest vital signs? What are they and how would you interpret them based on their diagnosis?

Do they do any self monitoring of their condition at home? If so, what do they do? Do they monitor correctly?

Are there non-pharmacologic interventions that they are or should be following? If so, what are they? Would you recommend any other interventions based on guidelines?

What are potential complications if they don’t manage their condition as directed?

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