Discuss factors that will facilitate quality use of medications and potentially enhance health and quality of life for Felicity
Research Lamotrigine. In the course descriptor, it mentiones to research the following points “As a group you will examine a case study that includes a brief clinical overview of a patient experiencing an illness event, together with his or her demographics to help inform what we may surmise about the impact of their enivornment on medication compliance, and a medication list. You are required to study the medication list in relation to this patient and produce a poster that provides key features for the QUM for this particular patient. This will also include any potential interactions, contraindications and/or precautions, the timing of the administration of the drugs, medication in conjunction with food and/or physical activity, polypharmacy, lifespan, interactions with aspects of diet, supplements, illicit drugs, issues of medication compliance, management of adverse drug reactions, and anything else For example, when i research Phenytoin, i discovered that Phenytoin side effects is gum disease, and so as health professionals, we would educate patient about oral hygiene care, Also, I discovered that the drug takes atleast 7 days for its theraputic effect , and so this means educating patient about the fact they she needs to be pre warned that she will still get seizures for up to 7 days until the drug takes full effect. Etc,
Felicity Galbraith is a 21 yo female university student, who has suffered recurrent seizures since taking recreational drugs of unknown origin at a dance party 6 months ago. She first experienced a loss of consciousness, with muscle jerking and sensory disturbances in class in her first week into the semester. Her worried classmates applied appropriate first-aid, then took her to the Emergency Department where she had another seizure. She was subsequently hospitalised, where organic grand mal epilepsy, thought to be due damage induced by the previous drug cocktail, was diagnosed. She was initially started on the drug phenytoin which took some time to reach a steady state in her plasma. Once the therapeutic dose for Felicity was understood, she was allowed to return home and to resume her studies and social life. However life for Felicity became difficult. She needed to be monitored closely and her mother insisted that she move back into the family home. This meant she had to factor travel time into getting to campus. She had missed a number of weeks of study and found it difficult to concentrate, so catching up seemed impossible. She found it difficult to keep up her old friendships as she was constantly tired. These stressors were thought to be a contributing factors to another serious seizure she subsequently suffered. Felicity was again hospitalised to control the seizures and for further investigation. Lamotrigine was added to her medication regime. This regime did appear to provide adequate control, and Felicity was expected to be discharged soon. However, life for Felicity seemed pretty grim: the drugs may control the seizures but she felt constantly listless, nauseous and occasionally dizzy, and displayed little interest in everyday living activities and her future. Using your developing patient assessment and clinical decision making skills, and drug knowledge analyse FelicityÃ¢â‚¬â„¢s current situation. Brainstorm the factors that will facilitate quality use of medications and potentially enhance health and quality of life for Felicity.
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