Clinical practice guidelines
For each of the scenarios below, answer the questions below using your required learning resources, clinical practice guidelines, and medscape. Explain the problem and explain how you would address the problem. When recommending medications, write out a complete prescription for each medication. What order would you send to a pharmacy? Include drug, dose, route, frequency, special instructions, # dispensed (days supply), refills, etc. Also state if you would continue, discontinue or taper the patient’s current medications.?Use at least 3 sources for each scenario and cite sources using APA format.
SCENARIO 4
Xavi is a 44-year-old man with complaints of low back pain following a motor vehicle accident. The accident occurred 10 days ago. He rates his pain 8 out of 10. He was prescribed Lortab 5 / 325 in the ER. He is requesting a refill of the Lortab today and indicates it just barely makes him comfortable. What treatment plan would you implement for Xavi? What days supply would you prescribe?
Treatment Plan for Xavi
Given Xavi\’s situation, the treatment plan would involve a combination of medication, physical therapy, and patient education.
Medication
Xavi has been using Lortab 5/325, which is a combination of hydrocodone (a narcotic pain reliever) and acetaminophen (a less potent pain reliever that increases the effects of hydrocodone). Since he reports that it barely makes him comfortable, it might be necessary to adjust his medication. However, it\’s important to be cautious with opioids due to the risk of dependency.
Option 1: Increase the dosage of Lortab. This should be done cautiously and under close monitoring due to the risk of dependency and side effects.
Option 2: Switch to a different pain medication. This could be another opioid or a non-opioid analgesic, depending on Xavi\’s pain levels and overall health.
Physical Therapy
Physical therapy can be very beneficial for managing low back pain. It can help improve mobility and strength, and reduce pain.
Option 1: Refer Xavi to a physical therapist. They can provide exercises and treatments to help manage his pain.
Option 2: Provide Xavi with exercises to do at home. These should be simple and safe exercises that can help improve his back health.
Patient Education
It\’s important to educate Xavi about his treatment plan and the importance of following it.
Education 1: Explain the risks and benefits of his medication. This includes the risk of dependency with opioids and the importance of taking the medication as prescribed.
Education 2: Teach Xavi about the importance of physical therapy and exercises. Explain how they can help improve his back health and reduce his pain.
Monitoring
Xavi\’s treatment plan should be closely monitored to ensure it\’s effective and safe.
Monitoring 1: Regular follow-up appointments. These can be used to assess Xavi\’s pain levels, monitor for side effects of the medication, and adjust the treatment plan as necessary.
Monitoring 2: Regular communication. Encourage Xavi to report any changes in his pain levels or any side effects from the medication.
Remember, every patient is unique and the treatment plan should be tailored to Xavi\’s specific needs and circumstances. It\’s important to involve Xavi in the decision-making process and ensure he understands and agrees with the treatment plan.
Paper Format: APA
Number of pages: 2
Sources: 3
Answer preview to clinical practice guidelines
APA
600 WORDS
