M is an 89-year-old female resident of a long-term care faci

M is an 89-year-old female resident of a long-term care facility… M is an 89-year-old female resident of a long-term care facility who has been experiencing multiple falls, some resulting in injuries such as bruising and skin tears. Over the last 6 months, her ambulation status has declined from independent to wheelchair level. She complains of pain in her legs when walking more than short distances across the nursing unit.PMH:HTNAlzheimer’s diseaseHypothyroidismOsteoarthritisDiabetesMEDICATIONS:Amlodipine 10 mg QDDonepezil 10 mg QHSLevothyroxine 0.88 mg QAMCelecoxib 200 mg QDFurosemide 40 mg QAMMetformin 500mg, 1 BIDGlyburide 5mg, 1 BIDALLERGIES: NKASOCIAL HISTORY:Widowed with 2 adult children living in town, retired photographer and owner of an art supply storeVITALS:                                             LABS:Weight: 129 lbs                                   TSH 2.45         Free T4 0.98Height: 64 inches                                Na 135, K+ 3.8, Cl 99, CO2 25,BP: Supine = 177/82                           Glucose 101, SCr 0.9, BUN 42HR: 78 bpm                                         WBC 7.0, RBC 4.5, Hgb 11.9, Hct 34.1Plt 255Cr: 1.6 UA: CleareGFR: 45 ml/minPE:HEENT: Normocephalic, no evidence of trauma, PERRLA, EOMI, Dry mucous membranesCV: RRRRespiratory: Clear to auscultation bilaterallyAbdomen: Soft, non-tender, no masses or guardingG/U: Skin intact, assisted with toileting and personal hygiene by staffExtremities: Bilateral 2+ edema to lower extremities; skin dry, dark bruising and skin tear to right elbow and forearmNeuro: Alert and oriented to person only. MMSE 18/30, stable over last 12 months.PAIN ASSESSMENT:Faces pain scale: No pain occurs at rest, upon walking, pain is moderate to severeSelect one the following factors: genetics, gender, ethnicity, age, or behavior factors.Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements. Health Science Science Nursing NURS 6521

Let the Experts Do Your Homework Now

LET THE EXPERTS DO YOUR HOMEWORK NOW

DO MY ASSIGNMENT NOW

Do you have a similar question? Our professional writers have done a similar paper in past.
Give Us your instructions and wait for a professional assignment!

Get a plagiarism-free order today

we guarantee confidentiality and a professional paper and we will meet the deadline.

How it works

  • Paste your instructions in the instructions box. You can also attach an instructions file
  • Select the writer category, deadline, and education level and review the instructions
  • Make a payment for the order to be assigned to a writer
  • Download the paper after the writer uploads it

  • Will the writer plagiarize my essay?
    You will get a plagiarism-free paper and you can get an originality report upon request.

    Is this service safe?
    All personal information is confidential and we have 100% safe payment methods. We also guarantee good grades