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Jane Baker is a 75-year-old female who was recently widowed. She and her husband were married 40 years when he died from cancer. She has limited income because her husband's pension terminated when he died. She receives $652 a month in Social Security benefits.
Mrs. Baker does not see particularly well. She is in excellent health; the only health-related problems she is aware of are osteoporosis and glaucoma, for which she sees an ophthalmologist on a regular basis. The only prescription drugs and over-the-counter supplements she uses are Fosamax, calcium, and latanoprost ophthalmic solution (Xalatan) eyedrops to manage her glaucoma (her dose is 1 drop in each eye once a day). Her only complaint about the eyedrops is the cost. Although Mrs. Baker has a car and a driver's license, she does not drive very often due to problems with vision. She prefers that friends and family members take her places she needs to go. At her latest visit to the ophthalmologist, the doctor notes increased intraocular pressure.
What is the likely cause of her increased intraocular pressure? What options or suggestions would you provide to Mrs. Baker to help her adhere to her medication instructions?
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