15 Nov Clinical practice through problem-solving Clinical practice through problem-solving PurposeProblem-based learning is a methodology designed to help students dev
Clinical practice through problem-solving
Clinical practice through problem-solving
PurposeProblem-based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem-solving actual patient problems in the same manner as they occur in practice. The purpose of this activity is to develop students’ clinical reasoning skills using a case-based learning exercise. Through participation in an online discussion forum, students identify learning issues in a self-directed manner which facilitates learning for the entire group. Activity Learning Outcomes Through this discussion, the student will demonstrate the ability to:
Synthesize clinical knowledge, didactic learning and research findings to provide appropriate pharmacological care to primary care patients. (CO 1, 2, 3, 4 & 5)
Case Study & Discussion QuestionsClaudia (G2P2) is a 36-year-old mother who recently delivered a child 9 months ago. She has been using condoms for birth control for the last 7 months. Today she is requesting a more convenient method of birth control. She is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization or an IUD. She has no religious contraindications for treatment.PMH: positive for mild hypertension with first pregnancy, seasonal allergies.Surgeries: Left inguinal hernia and tonsillectomy.Family history: Mother-HTN; Father-Colon CA (both deceased)Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a week.Drug allergies-Sulfa causes a rash.Current medications-MVI with Fe, Calcium chews, Allegra 10mg daily prn for allergies.Vitals: Height 67 inches, weight 157 pounds, BP 110/75, P 70, R 16. PAP collected today, breast exam WNL, urine pregnancy negative.A physical exam is normal.
What are your treatment goals for Claudia today?
What are two possible medications (in different classes) that you can recommend for Claudia? Please provide a detailed rationale and mechanism of actions for each medication. Make sure that all recommendations are cited with guidelines or scholarly, peer-reviewed articles and always include medication, strength, dosage form, route, frequency, and duration when making recommendations.
Pick one of the medications from your response above and list five (5) patient-centered teaching points to communicate to the patient.
What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per day? Explain your answer.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
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