Case Study For Social Determinants Of Health
In general, women live longer than men. Consider the following factors and identify the potential impact on the pharmacological regimen for an 85-year-old, widowed, Social Security-dependent female with arthritis in her hands and impaired eyesight due to cataracts. She needs to walk with cane due to chronic bursitis in her left hip. She lives in a two story home, but has moved into a first floor “den” as her sleeping room to avoid climbing the stairs. She no longer drives but is adept at catching the bus, which stops a half block from her house. She has been active in her church, but only attends about two Sundays a month, avoiding the coldest and rainiest weather because the bus schedule is not always reliable on the weekends. She takes the bus to the grocery store, buying only the essentials she absolutely needs due to the bus ride. She has no living children, but has a niece who lives in town and calls her from time to time. The niece has three active children who come with her when she visits once a month.
What social determinants of health are in play here and what can you help to plan/coordinate as her nurse practitioner (NP)?
You wish to order penicillin VK for little Jerry who weighs 35 lbs. The recommended dosage is 56 mg/kg/day divided into 4 doses for 10 days. You plan to use Pen VK 125mg/5ml. How much should he receive for each dosage? Also write a prescription for it.
Is cannabis legal in your state (Texas)? If yes, what are the prescriptive authorities for cannabis in your state? If not, what alternative options are available for treatment? How should a prescriber handle cannabis and other herbal remedies as part of treatment? Case Study For Social Determinants Of Health