Case Study Pharmacology



A 66-year-old Hispanic woman with little English who has a history of lumbago, hyperlipidemia, gastric reflux disease, and type II diabetes presents to the emergency room. The patient is currently taking Zestril (lisinopril) 20 mg PO daily, Zocor (simvastatin) 10 mg PO q pm, Vicodin (hydrocodone/acetaminophen) 5/500 1 tablet every 6-8 hours as needed for lumbago, Prilosec (omeprazole) 20 mg PO daily, and Glucophage (metformin) 850 mg PO bid for lumbago. The patient notes that she has been taking her blood sugar every third day, and her fasting blood sugar has been between 180 and 210. She occasionally skips her blood sugar checks because the supplies are so pricey. values for HgA1c of 9.2.
The patient acknowledges that she is not taking metformin as directed since the medication was too expensive and she needed to buy meals. Additionally, the patient indicates that she will check her blood pressure before going shopping. The patient claims to receive readings in the 140–160/88–100 range, but she is genuinely unsure of what it implies. The patient claims that her reflux is under good control. She has an apartment to herself and a car. While she does receive social security and Medicare benefits, she frequently provides her money to her son to assist him in paying child support so he won’t have to return to jail.

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Title page, 2-3 pages of body text, and an APA reference page.

Describe what you would advise the patient to improve her outcomes by educating her about her drugs and medical issues.
Remember that she has a tight budget and will require affordable care.
Examine how patient and family involvement can increase the safety, quality, and cost-effectiveness of healthcare.
Take into account additional healthcare specialists and/or helpful resources.
Examine common obstacles (including cultural ones) to patients actively participating in their own medical care.
Describe methods for including patients or their families in every phase of the medical procedure.

Please cite at least two properly formatted references with acceptable titles.

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