Florida National University Week 12 Insomnia Case Study Discussion

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Evb33137

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Florida National University

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Week 12 Case Study III

Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.

I will post your Case Study #2 Grades and email your feedback by Wednesday. Therefore, I will extend your case study due date, case study #3 is Due 11/27/2019 by 12 Midnight. If submitted after 11/27/2019, points will be deducted. If any questions, please do not hesitate to contact me.

Case Study #3: Insomnia and Sleep Disorders

S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and selftreated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensinconverting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.

Diagnosis: InsomnIa

1. List specific goals of therapy for S.H.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What OTC and/or alternative medicines might be appropriate for this patient?

8. What dietary and lifestyle changes might you recommend?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

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Explanation & Answer

Attached.

Running Head: INSOMNIA CASE STUDY

Insomnia Case Study
Student’s Name
Institutional Affiliation

1

INSOMNIA CASE STUDY

2

1. Identify Specific Therapy Goals For S.H
The primary therapy goal for S.H is to improve sleep quantity and quality. Moreover, the
treatment is aimed at enhancing daytime impairments occasioned by insomnia. Also, it is aimed
at reducing hallucination, sleep-related behaviors, suicidal thoughts and attempts, and
destructive.
2. What drug therapy would you prescribe? Why?
S.H is experiencing difficulties in staying asleep as well as falling asleep. For this condition, I
would recommend that they are put under zolpidem medication. This is because zolpidem
therapy is suitable for a person with chronic insomnia and more so who have never undergone
treatment with prescribed medication before. The extended-release Zolpidem starts working
within a period of ten to fifteen minutes. Arcangelo, Peterson, Wilbur & Reinhold (2017), state
“extended-release zolpidem has the same onset, but 60% is initially released with the remaining
over the next 6 to 8 hours” (p. 728).
3. Parameters Used To Monitor The Success Of The Therapy Of Insomnia Patient?
The therapy success can be monitored through clinical evaluations, continued sleep studies, sleep
logs, as well as questionnaires. Additi...


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