10 Sep Unit 1 Assignment – Case Study: Polypharmacy
10557Case Study
Mrs. A is a 71 year old widow with CHF and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother’s ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs. A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behavior constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly moldy. Her prescribed medications are:
Furosemide 40 mg daily in the morning
Digoxin 250 micrograms daily
Paracetamol 500 mg, 1-2 tablets 4-hourly PRN
Piroxicam 20 mg at night
Mylanta suspension, 20 ml PRN
Coloxyl 120 mg, 1-2 tablets at night
Assignment Questions
Critically discuss this case study in terms of the problematic nature of this patient’s pharmacological management.
Outline some pharmacokinetic changes in the geriatric population that may affect drug disposition.
Outline how changes in renal and hepatic function may affect treatment strategies.
In the drug regimen presented above – discuss potential side effects and potential interactions, if any?
Your response should include a discussion of the problems of polypharmacy as it is related to this case study and the assessment/management and educational strategies which could have been implemented to improve the outcome of Mrs. A.
Instructions
Prepare and submit a 3-4 page paper [total] in length (not including APA format).
Answer all the questions above.
Support your position with examples.
Please review the rubric to ensure that your assignment meets criteria.
Submit the following documents to the Submit Assignments/Assessments area:
Case Study: Polypharmacy
Rubric
NU636 Case Study Rubric (30 pts)
NU636 Case Study Rubric (30 pts)
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAnswer the Question
15 pts
5
Provided a correct, complete, and detailed answer to the question.
12 pts
4
Provided a mostly correct, complete, and detailed answer to the question.
11 pts
3
Provided a mostly correct and complete answer to the question.
9 pts
2
Provided a limited but correct answer to the question.
7 pts
1
Provided an incorrect answer to the question.
0 pts
0
Did not answer the question
15 pts
This criterion is linked to a Learning OutcomeJustification
10 pts
5
Justified ideas and responses by using multiple appropriate examples and references from texts, web sites, and other references.
9 pts
4
Justified ideas and responses by using a few appropriate examples and references from texts, web sites, and other references.
8 pts
3
Justified ideas and responses by using at least one appropriate example and reference from texts, web sites, and other references.
7 pts
2
Justified ideas and responses by using at least one example or reference from texts, web sites, and other references.
6 pts
1
Justified ideas and responses with an inappropriate example or reference from texts, web sites, and other references.
0 pts
0
Did not answer the question
10 pts
This criterion is linked to a Learning OutcomeGrammar & Citation
5 pts
5
Consistently and accurately used APA 7th edition style guidelines, correct spelling and grammar and submitted on time.
4.5 pts
4
Somewhat used APA 7th edition style guidelines, correct spelling and grammar and submitted on time.
4 pts
3
Somewhat used APA 7th edition style guidelines, few errors in formatting, spelling or grammar but submitted on time.
3.5 pts
2
Poor use of APA 7th edition style guidelines, correct spelling and grammar and submitted on time.
3 pts
1
Extremely poor use of APA 7th edition style guidelines, correct spelling and grammar and not submitted on time.
0 pts
0
Did not submit the assignment
5 pts
Total Points: 30
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