Reference no: EM133712223

Problem

Scenario: 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

I. Determine which medication would be most appropriate to prescribe from the assigned vulnerable population patient case medication choices.

II. Explain your rationale for choosing this medication. Explain why the other medications listed are not appropriate for this patient.

III. 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.

IV. 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.

V. What would you need to include in your assessment for a patient who may become nonadherent with your prescribing plan for your scenario?

VI. What are alternative treatment solutions based upon how you assessed? Describe your new treatment plan.