Mrs. A is a 71 year old widow with CHF and osteoarthritis who has
recently been exhibiting quite unusual behavior. Her daughter is
concerned about her mother’s ability to remain independent and wishes to
pursue nursing home admission arrangements. She fears the development
of a dementing illness. Over the last two to three months Mrs. A has
become confused, easily fatigued and very irritable. She has developed
disturbing obsessive/compulsive behavior constantly complaining that her
lace curtains were dirty and required frequent washing. Detailed
questioning revealed that she thought they were yellow-green and
possibly moldy. Her prescribed medications are:
Furosemide 40 mg daily in the morning
Digoxin 250 micrograms daily
Paracetamol 500 mg, 1-2 tablets 4-hourly PRN
Piroxicam 20 mg at night
Mylanta suspension, 20 ml PRN
Coloxyl 120 mg, 1-2 tablets at night
Assignment Questions
Critically discuss this case study in terms of the problematic nature of this patient’s pharmacological management.
Outline some pharmacokinetic changes in the geriatric population that may affect drug disposition.
Outline how changes in renal and hepatic function may affect treatment strategies.
In the drug regimen presented above – discuss potential side effects and potential interactions, if any?
Your response should include a discussion of the problems of
polypharmacy as it is related to this case study and the
assessment/management and educational strategies which could have been
implemented to improve the outcome of Mrs. A.
Prepare and submit a 3-4 page paper [total] in length (not including APA format).
Answer all the questions above.
Support your position with examples.
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