Module 7
- Due No Due Date
- Points 100
- Submitting a file upload
Case study choice #1
Read the assigned chapters in your text. Complete the case study below and submit via this assignment tool. Your final write up should be submitted as single document, submitted as a “Word” or “PDF” document. The submission is limited to 6 pages (title page, no more than 4 pages body of paper, and a reference page). Remember brevity is the key…Clear & Concise. The grading rubric for this assignment is attached to this assignment. It should be noted that use of APA style is expected. If you are not familiar with APA style, refer to a reference (APA manual or web-based source such as Purdue OWL Links to an external site.). Remember that according to APA style every source cited in text must appear on the reference list and vice versa; so, no more listing in one place but not the other. There is a specific APA title page and reference list… use them to ensure that these points are not lost.
Generally speaking use of headings is a really good idea. If I may suggest the following for a template when completing case study assignments in this course: INTRODUCTION: this section will include the analysis of the case presented to you (remember you’ve been given the diagnosis, you just have to figure out what’s likely going on at this point of contact and layout a reasonable plan—supported by evidence of course); next use the rubric for a guide to minor headings: Pharmacokinetics/Pharmacodynamics…. Dosing/Cost/Other Economic Considerations… Follow up/Evaluation Plan. This is just a suggestion based on how my brain works but hopefully you get the idea. Using a process similar to this helps ensure content coverage and aids in clear and concise presentation of thought.
Assignment Instructions
Case Study: Suzy Jones is a 21-year-old college student who presents to the Student Health Center seeking advice about contraception. She also complaints of a vaginal discharge and thinks she has a yeast infection.
Assessment Data: Physical examination Vital signs: BP 118/68, HR 74, RR 18, T 37.1 Breast, thyroid and abdominal exam within normal limits The genital exam reveals normal vulva and vagina The cervix appears inflamed, bleeds easily, with a purulent discharge coming from the cervical os. The bimanual exam is normal without cervical motion pain, uterine or adnexal tenderness. |
Laboratory & Imaging Data Chlamydia trachomatis: positive Neisseria gonorrhoeae: negative RPR: non-reactive Wet mount: pH 4.2, no clue cells or trichomonads but numerous WBCs KOH preparation: negative for "whiff test" HIV antibody test: negative Pregnancy test: negative
Diagnosis: Chlamydia and Contraceptive Care |
no pediatric option for this study
Using this information respond to the following:
What pharmacological agent(s) will you prescribe for this patient?
Be specific if outlining your prescription. Don’t select a class of medication and provide a laundry list of possible selections but rather pick a medication. Provide the rational for the chosen agents.
Discuss the pharmacokinetics & pharmacodynamics of this/these drug(s)
Discuss absorption, distribution, metabolism and excretion of the drug (Include detail regarding the half-life and binding sites)
What is the correct dosage and frequency for this patient?
Discuss dosing, cost and other economic issues
Discuss non-pharmacological therapies will you include in your plan of treatment?
Discuss how you will follow-up with this patient?
Rubric
The grading rubric for this assignment is attached.
- Content Coverage is worth 80% and includes pharmacodynamics (selected agents clearly identified, appropriate, EB rational provided) and pharmakinetics (absorption, distribution, metabolism, excretion); dosing, cost & other economic issues identified; non-pharmacological therapies discussed; follow-up/evaluation plan discussed.
- Scholarliness is worth 20% and includes APA style; spelling & grammar.
Case study choice #2
Read the assigned chapters in your text. Complete the case study below and submit via this assignment tool. Your final write up should be submitted as single document, submitted as a “Word” or “PDF” document. The submission is limited to 6 pages (title page, no more than 4 pages body of paper, and a reference page). Remember brevity is the key…Clear & Concise. The grading rubric for this assignment is attached to this assignment. It should be noted that use of APA style is expected. If you are not familiar with APA style, refer to a reference (APA manual or web-based source such as Purdue OWL Links to an external site.). Remember that according to APA style every source cited in text must appear on the reference list and vice versa; so, no more listing in one place but not the other. There is a specific APA title page and reference list… use them to ensure that these points are not lost.
Generally speaking use of headings is a really good idea. If I may suggest the following for a template when completing case study assignments in this course: INTRODUCTION: this section will include the analysis of the case presented to you (remember you’ve been given the diagnosis, you just have to figure out what’s likely going on at this point of contact and layout a reasonable plan—supported by evidence of course); next use the rubric for a guide to minor headings: Pharmacokinetics/Pharmacodynamics…. Dosing/Cost/Other Economic Considerations… Follow up/Evaluation Plan. This is just a suggestion based on how my brain works but hopefully you get the idea. Using a process similar to this helps ensure content coverage and aids in clear and concise presentation of thought.
Assignment Instructions
Case Study: A 34-year-old man visits your primary care clinic because his family says that his voice sounds hoarse, and he finds that he needs to clear his throat often. During the initial visit, he tells you that he returned from military service 1 year ago and that his routine physical exam 6 months ago was normal. He is slightly overweight and currently smokes 1 pack of cigarettes a day and has done so since age 20. He denies experiencing any heartburn or regurgitation, although he has upper abdominal discomfort off and on. He denies sore throat, sinus drainage, or allergy symptoms. He has no family history of esophageal cancer. His hoarseness has developed over the last 2 months. He denies chest pain but does have a cough, which he attributes to his smoking. He is not exercising regularly. He is not taking any medications or supplements
Assessment Data: Physical examination Vital signs: BP 120/82; HR 82; RR 16; T 98.4 Throat and mouth: gums pink, moist without lesions, teeth in good alignment and in good repair, pharynx slightly erythematous without lesions, tonsils are 1+ bilaterally; uvula midline Neck: Erect, trachea midline; thyroid non-enlarged. No JVD. Carotids 2+ bilaterally Lungs: Respirations are 16 even, regular, and nonlabored. Occasional expiratory wheezes noted. Heart: RRR. Negative for S3 or S4. No murmur or rubs. Abdomen: Smooth, flat, without pulsations. Bowel sounds present in all four quadrants. No bruits or hums noted. Bowel sounds heard in all 4 quadrants. No organomegaly. No masses. Positive tenderness in the mid-epigastric area to deep palpation. Negative Murphy's sign. Rectal: No hemorrhoids noted, sphincter tone intact, walls smooth, stool for guaiac negative |
Laboratory Data CBC within normal limits Diagnosis GERD (Gastroesophageal Reflux Disease) |
may use a pediatric patient if desired, any age
Using this information respond to the following:
What pharmacological agent(s) will you prescribe for this patient?
Be specific if outlining your prescription. Don’t select a class of medication and provide a laundry list of possible selections but rather pick a medication. Provide the rational for the chosen agents.
Discuss the pharmacokinetics & pharmacodynamics of this/these drug(s)
Discuss absorption, distribution, metabolism and excretion of the drug (Include detail regarding the half-life and binding sites)
What is the correct dosage and frequency for this patient?
Discuss dosing, cost and other economic issues
Discuss non-pharmacological therapies will you include in your plan of treatment?
Discuss how you will follow-up with this patient?
Rubric
The grading rubric for this assignment is attached.
- Content Coverage is worth 80% and includes pharmacodynamics (selected agents clearly identified, appropriate, EB rational provided) and pharmakinetics (absorption, distribution, metabolism, excretion); dosing, cost & other economic issues identified; non-pharmacological therapies discussed; follow-up/evaluation plan discussed.
- Scholarliness is worth 20% and includes APA style; spelling & grammar.
Case study choice #3
Read the assigned chapters in your text. Complete the case study below and submit via this assignment tool. Your final write up should be submitted as single document, submitted as a “Word” or “PDF” document. The submission is limited to 6 pages (title page, no more than 4 pages body of paper, and a reference page). Remember brevity is the key…Clear & Concise. The grading rubric for this assignment is attached to this assignment. It should be noted that use of APA style is expected. If you are not familiar with APA style, refer to a reference (APA manual or web-based source such as Purdue OWL (Links to an external site.)). Remember that according to APA style every source cited in text must appear on the reference list and vice versa; so, no more listing in one place but not the other. There is a specific APA title page and reference list… use them to ensure that these points are not lost.
Generally speaking use of headings is a really good idea. If I may suggest the following for a template when completing case study assignments in this course: INTRODUCTION: this section will include the analysis of the case presented to you (remember you’ve been given the diagnosis, you just have to figure out what’s likely going on at this point of contact and layout a reasonable plan—supported by evidence of course); next use the rubric for a guide to minor headings: Pharmacokinetics/Pharmacodynamics…. Dosing/Cost/Other Economic Considerations… Follow up/Evaluation Plan. This is just a suggestion based on how my brain works but hopefully you get the idea. Using a process similar to this helps ensure content coverage and aids in clear and concise presentation of thought.
Assignment Instructions
Case Study: Candace Newton, a 45-year-old attorney, is your patient. Lately, she has been tiring easily and is often short of breath. She has also had periods of light-headedness, cramping in her legs, and a sore tongue. Candace has never noticed any visible blood in her stools. She denies any stomach upset but does complain of decreased appetite. She is still menstruating and has a “normal period” every month. She is not using birth control. Her husband has had a vasectomy. She takes an occasional “Advil” for headache or “aches and pains.”
Assessment Data: Physical examination Vital signs: BP 106/64; HR 94 No JVD noted Lungs: clear Cardiac: No murmur; no S3 or rub was appreciated Abdomen: soft and non-tender with normal bowel sounds present Extremities: No edema |
Laboratory Data Hct: 29% Hgb: 10 gm/dl Fe/TIBC of 20/250 Pregnancy test negative. Hemoccult negative Diagnosis Iron Deficiency Anemia |
may use a pediatric patient of any age if desired
Using this information respond to the following:
What pharmacological agent(s) will you prescribe for this patient?
Be specific if outlining your prescription. Don’t select a class of medication and provide a laundry list of possible selections but rather pick a medication. Provide the rational for the chosen agents.
Discuss the pharmacokinetics & pharmacodynamics of this/these drug(s)
Discuss absorption, distribution, metabolism and excretion of the drug (Include detail regarding the half-life and binding sites)
What is the correct dosage and frequency for this patient?
Discuss dosing, cost and other economic issues
Discuss non-pharmacological therapies will you include in your plan of treatment?
Discuss how you will follow-up with this patient?
Rubric
The grading rubric for this assignment is attached.
- Content Coverage is worth 80% and includes pharmacodynamics (selected agents clearly identified, appropriate, EB rational provided) and pharmakinetics (absorption, distribution, metabolism, excretion); dosing, cost & other economic issues identified; non-pharmacological therapies discussed; follow-up/evaluation plan discussed.
- Scholarliness is worth 20% and includes APA style; spelling & grammar.