Using the attached word documents from the implicated learning experiment create a report on the experiment. In your report, write a brief introduction explaining the differences between implicit and explicit….
Critical thinking assignment regarding medication reconciliation and polypharmacy
This assignment is a critical thinking assignment regarding medication reconciliation and polypharmacy. Consider the patient’s symptoms, health issue/diagnosis that is being treated and specific pharmacotherapeutics associated with the drugs that have been prescribed. Recommendations for any changes in drug therapy and rationale should be included. See attached rubric for specifics. The assignment is to be concise, 4 pages (double spaced) excluding references and prescriptions, should be adequate. Any questions on the assignment should be addressed in the discussion board. Any necessary patient information such as address, contact numbers, etc. is to be ‘made up’.
Mr. Jones is an 80 year old male who presents for follow up care. He was recently diagnosed with HTN and was sent to a cardiologist for baseline evaluation. He returns today with several new meds that were prescribed by the cardiologist. Mr. Jones lives alone and is able to maintain his own ADLs. He complains of occasional dizziness and constipation. His history includes HTN, Hyperlipidemia, and osteoarthritis. Drug allergies are ACEI (angioedema). His blood pressure today is 106/60 and HR is 60 with RRR. He does not check his BP at home.
He reports taking all medications as directed. The bag of medicine he brings to the clinic today includes:
Terazosin (Hytrin) 10mg twice daily for blood pressure
Carvedilol (Coreg) 12.5mg twice a day for blood pressure
HCTZ 12.5mg twice daily for blood pressure
Atorvastatin (lipitor) 10mg once daily for elevated cholesterol
Ibuprofen 600mg three times a day for arthritis
Aspirin 81mg daily for heart protection
1. Medication Pharmacokenetics/Pharmacotherapeutics Overview
Review the medications in the case scenario. Provide an overview of the pharmacokinetics, pharmacodynamics and appropriate use of the drugs. The outcome of this section is student’s summary of their knowledge regarding the details of the drugs in the case.
2. This criterion is linked to a Learning Outcome Drug/Drug Interactions
Explain actual or potential drug/drug interactions. Consider the drugs in relation to each other and any other major drug/drug interaction risk that would be concerning. The outcome of this section is to be student’s application of their knowledge of the drugs and how potential drug/drug interactions might apply to the patient in the case.
3. This criterion is linked to a Learning Outcome Patient Monitoring and Follow Up
Summarize appropriate and necessary monitoring for continued use of the drugs. Monitoring may be related to specific lab tests, patient outcomes or patient signs or symptoms. The outcome of this section is for the student to show their understanding of safe, appropriate and effective use of drugs.
4. This criterion is linked to a Learning Outcome Recommended Medication Changes
Explain what medication changes should be considered or should be made based on the student’s understanding of the drugs in the case. Critical thinking and clinical decision making should be clearly stated. This could include changing a drug, discontinuing a drug or changing a dose of a particular drug. Provide your rationale for any changes. Consider basic principles of pharmacology and any specific information based on the drug. The outcome for this section will be the student’s critical thinking for appropriate and safe use of drugs for the patient in the case.
5. This criterion is linked to a Learning Outcome Patient Safety/Patient Education
Describe or explain pertinent patient education and correlate this with patient safety. Patient specific, patient centered focus should be clear and broader than basic nursing teaching. The outcome for this section will be the student’s application regarding safety and patient education at a graduate nursing level.
6. This criterion is linked to a Learning Outcome APA and Use of Resources
Appropriate use of in text referencing and reference page format. Resources are up to date, evidence based, or graduate level research focused. 2 additional resources, including at least 1 practice guideline. Writing style and grammar are clearly graduate level work.