Prescribed Drugs with CAMs

User Generated

Ybyn2018

Health Medical

MN553

Description

Case Study: Prescribed Drugs with CAMs

A 35-year-old male, Mr. NX, presents to your clinic today with complaints of back pain and “just not feeling good.” Regarding his back, he states that his back pain is a chronic condition that he has suffered with for about the last 10 years. He has not suffered any specific injury to his back. He denies weakness of the lower extremities, denies bowel or bladder changes or dysfunction, and denies radiation of pain to the lower extremities and no numbness or tingling of the lower extremities. He describes the pain as a constant dull ache and tightness across the low back.

He states he started a workout program about 3 weeks ago. He states he is working out with a friend who is a body builder. He states his friend suggested taking Creatine to help build muscle and Coenzyme Q10 as an antioxidant so he started those medications at the same time he began working out. He states he also takes Kava Kava for his anxiety and garlic to help lower his blood pressure.

His historical diagnoses, currently under control, are:

Type II diabetes since age 27

High blood pressure

Recurrent DVTs

His prescribed medications include:

Glyburide 3 mg daily with breakfast

Lisinopril 20 mg daily

Coumadin 5 mg daily

Directions:

*****This Assignment may be submitted in a PowerPoint presentation with at least 10 slides or as an APA formatted paper of no more than five (5) pages excluding title page and references.

Based on the above case study, address each section of the Unit 9 Assignment template. Be sure to first view the Unit 9 Assignment Grading Rubric (found in the Grading Rubrics section under Course Resources) and use it to guide your completion.

  1. Download the Unit 9 Assignment template or make a PowerPoint presentation.
  2. Rename the downloaded template file as “FirstInitial+LastName_ MN553_Unit9.docx” (e.g., JDoe_MN553_Unit4.docx).
  3. Review the Assignment grading rubric.
  4. Complete the template, basing your responses on the case study above.
  5. Support your arguments with appropriate evidence from the literature, citing and referencing in APA 6th edition style.
  6. Upload your completed file to the unit 9 Assignment Dropbox. Please be sure to confirm that your file uploaded correctly.

Due by Day 7 at 11:59 p.m. ET

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th edition format as outlined in the APA Progression Ladder.

Unformatted Attachment Preview

Case Study: MN553 Advanced Pharmacology Unit 9 Case Study “Prescribed Drugs with CAMs” Student Name Date of Submission This paper addresses a pharmacological management plan for Mr. NX, including consideration of possible contraindications for CAMs, prescriptive, and non-prescriptive recommendations for management of acute pain and other ongoing disease processes, followed by evaluation strategies. Pharmacological Management Plan CAMs Contraindicated with Current Prescriptions CAMs Contraindicated with Diagnoses Prescription for Back Pain Changes in Prescribed Drugs Follow-Up Evaluations Time-Frame Strategies for Evaluating Side/Adverse Effects Strategies for Evaluating Effectiveness References (examples) Romm, A. (2011). Overprescribing of antibiotics for children's upper respiratory infections. Alternative options to consider. Alternative and Complementary Therapies, 17(6), 306– 309. Retrieved from http://search.ebscohost.com.lib.kaplan.edu/login.aspx?direct=true&db=rzh&AN=201141 1466&site=eds-live Singh, J. A., Furst, D. E., Bharat, A., Curtis, J. R., Kavanaugh, A. F., Kremer, J. M.,…Saag, K. G. (2012). Update of the 2008 American College of Rheumatology recommendations for the use of disease-modifying antirheumatic drugs and biologic agents in the treatment of rheumatoid arthritis. In U.S. Department of Health and Human Services, Agency for Health Research and Quality, National Guideline Clearinghouse. Retrieved from http://www.guideline.gov/content.aspx?id=36892&search=rheumatoid+arthritis Assignment/Project Rubric Unit 9 assignment grading rubric. Instructors: Enter total available points in cell H2, and values between 0 and 4 in the yellow cells in the Score column. Total available points = Content Rubric Content Quality Resources Introductory Emergent Practiced Proficient/Mastered 0 - 1.9 2 - 2.9 3 - 3.9 4 Submission does not address most of the assignment requirements and/or indicates no understanding of critical concepts. Includes some of the assignment requirements. Opinions and ideas may indicate misconceptions or little understanding of some critical concepts. Includes all assignment requirements with minor errors/omissions, supports opinions and ideas creatively, clearly, and correctly. Displays understanding of most critical concepts. Does not include any resources (0) or sources utilized are not relevant and credible sources of information(1). Not all sources utilized are relevant and/or credible and/or does not meet the required number of sources. Supports many opinions and ideas with relevant and credible sources of information; meets the required number and types of resources. Score Weight Final Score Includes all assignment requirements, supports opinions and ideas creatively, clearly, and correctly with details and examples where appropriate. Displays complete understanding of critical concepts. 90% 0.00 Supports opinions and ideas with relevant and credible sources of information; meets or exceeds the required number and types of resources. 10% 0.00 Content Score Writing Deduction Rubric Grammar & Punctuation Spelling Introductory Emergent Practiced Proficient/Mastered 0-1 2 3 4 Several confusing sentences or 1 to 2 confusing paragraphs make understanding parts of the paper difficult, but the overall paper meaning is clear. Many subject verb agreement errors, run-on sentences, etc. cause confusion. A few confusing sentences make it difficult to understand a small portion of the paper. However, the overall meaning of a paragraph and the paper are intact. There may be a few subject verb agreement errors or some missing punctuation. There are one or two confusing sentences, but the overall sentence and paragraph meanings are clear. There are a few minor punctuation errors such as comma splices or runon sentences. The overall meaning of the paper is difficult to understand. Sentence structure, subject verb agreement errors, missing prepositions, and missing punctuation make finding meaning difficult. Many typos, misspelled The many misspelled words words, or the use of and incorrect words choices incorrect words making significantly interfere with the understanding difficult in a readability. few places. Paper has some good information or research, but it does not follow assignment Order of Ideas & Length Requirement directions and is lacking in overall organization and content. APA Feedback: There is some attempt at APA formatting and citing. There are one or more missing parts such as the cover page or references list. Citation information may be missing. Citation mistakes make authorship unclear. 80 0 Score Weight Final Score 4 35% 1.40 A few misspelled words normally Some misspelled words or caught by spellcheckers are the misuse of words such as present but do not significantly confusing then/than. interfere with the overall However, intent is still clear. readability of the paper. 4 35% 1.40 The order of information is confusing in several places and this organization interferes with the meaning or intent of the paper. However, the paper has a generally discernible purpose and follows assignment directions overall. The order of information is confusing in a few places and the lack of organization interferes with the meaning or intent of the paper in a minor way. The overall order of the information is clear and contributes to the meaning of assignment. There is one paragraph or a sentence or two that are out of place or other minor organizational issues. A few sentences may be long and hard to understand. Meets length requirements. 4 20% 0.80 This is an attempt use APA formatting and citing. There are both in-text citations and reference listings. Citation information may be missing or incorrect (i.e. Websites listed as in-text or reference citations). There is an attempt to cite all outside sources in at least one place. Authorship is generally clear. There is an overall attempt at APA formatting and citation style. All sources appear to have some form of citation both in the text and on a reference list. There are some formatting and citation errors. Citations generally make authorship clear. There is a strong attempt to cite all sources using APA style. Minor paper formatting errors such as a misplaced running head or margins may occur. Minor in-text citation errors such as a missing page number or a misplaced date may occur. Quotation marks and citations make authorship clear. 4 10% 0.40 Writing Deduction 0.00 Final Score 0.00 Percentage 0.00% Assignment/Project Rubric
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Explanation & Answer

Attached.

Running Head: PRESCRIBED DRUGS WITH CAMS

Prescribed Drugs with CAMs
Student Name
Date of Submission

1

PRESCRIBED DRUGS WITH CAMS

2

Prescribed Drugs with CAMs
a) Introduction
Being at the age of 35, Mr NX could be experiencing back pains due to lack of exercise.
This is where his muscles could have become weak and unused. In addition, his anxiety problem
has increased the back pains he experiences. According to Rahimi et al. (2015), his anxiety leads
to expression of stress hormones by his body, and when this happens, the hormones cause the
muscles to contract. The tightened muscles of his back lead to his body being resilient to pain
which is prolonged, and in his case it has been ten years. His anxiety attacks could have brought
about back pain, muscle stiffness and tension thus leading to a prolonged painful back onset.
Since he is taking kava for his anxiety, it could lead to him having more anxiety issues instead of
reducing it. It also causes fatigue thus making him have a continuous onset of back strain which
results in pain. The kava could also be interacting with other drugs he is taking in heightening
the anxiety as well. Another reason for his back pain progression could have been brought about
by him taking up weightlifting. His back pains could have been brought about by improper
weightlifting (Coenen et al. (2014). He may be trying to keep up with his friend who has been
managing to lift weights better than him. Due to this he could have caused his muscles and lower
back to become strained since he is not used to the weight lifting exercises.
Weightlifting outwardly causes him to experience a painful contraction of the back
muscles which have been strained. In addition, his age could as well be another reason that he is
experiencing back pains. According to Mehrani et al. (2018) being between thirty and forty, he is
more prone to experience back pains and it could be coupled with him not doing exercises. Being
at this age, he could be using his time to relax thus remaining seated in most cases. When he
relaxes after work this could lead to him having the back pains if he sits a lot or does strenuous

PRESCRIBED DRUGS WITH CAMS

3

work that causes him to have back pains. Moreover, hi...


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