Develop Appropriate Therapeutic Recommendations for Each Patient Case Study - Medical Science Assignment Help

Assignment Task:

Task:

Case studies: these case studies may appear to be challenging, but it is important to plan your work and undertake each case study in a systematic way. By adopting a systematic approach with each case, you will be able to develop appropriate therapeutic recommendations for each patient.

• I have scheduled a lecture session to go through the case studies so that you are equipped to complete the assessment.
• Note: you need to complete all three cases studies. You also have a summary question (maximum 150 words) at the end of the three case studies that you need to complete. The summary question is an opportunity for you to describe how you have completed this assignment.
• Remember that this assignment is worth 30% of your final grade. There are 15 questions. All questions are worth the same number of marks, different numbers of words may be required for different answers. You have a total of 1200 to 1500 words for this assignment.
• You should include references at the end of each case study.
• The case studies and questions and references are not included in the word count.
• Tips to tackle these case studiesCarefully read and think about the information included in the case study.
• Take notes, highlight relevant facts, underline key problems.
• Look up the meaning of words you don’t know and start a glossary for yourself.
• A glossary is a list of terms in a subject with accompanying definitions.
• If you need to look up the meaning of terms or words one of the most reliable sources of information can be found at https://medlineplus.gov/healthtopics.htmlMedlinePlus is produced by the U.S. National Library of Medicine and provides authoritative information in clear non-medical language.
• I have suggested by using italics some of the words you should be looking up. I have started a glossary for you on the next page.
• Focus your analysisThe questions that are asked are there to guide you. Answer the questions.
• Uncover possible solutionsReview course materials and outside research as suggested. Remember to reference the outside resources that you use.
• Use APA referencing. References are not included in your total word countTo reference correctly see http://rmit.libguides.com/nursing-referencingSelect the best solution(s)
• Consider strong supporting evidence, pros, and cons: is this solution realistic?
• Answer the questions in the allotted spaces – The boxes will expand as you type. The final document, (cases, questions and your answers) should be uploaded on Canvas. The document should be uploaded as YOUR ID_FAMILY NAME.
•  
• EXAMPLE GLOSSARY (You will see that I have put the words in alphabetical order.)
• Anterior: nearer the front, especially in the front of the body
• Lymph node: A small bean-shaped structure that is part of the body’s immune system. Lymph nodes filter substances that travel through the lymphatic fluid, and they contain lymphocytes (white blood cells) that help the body fight infection and disease. There are hundreds of lymph nodes found throughout the body. They are connected to one another by lymph vessels. Clusters of lymph nodes are found in the neck, underarm, chest, abdomen, and groin.
• Oedematous: An accumulation of an excessive amount of watery fluid in cells, tissues, or body cavities. 
•  
• CASE STUDY 1
• Paul, a 16-year-old high school student, attended the local GP with his mother. He presented with a swollen tongue and was unable to swallow. Paul’s mother reported that he had been complaining of a sore throat for the last three days. Two days ago, he had a tongue piercing and a stud inserted by a friend. Yesterday evening, his tongue became painful and swollen, and he had difficulty swallowing. He had a fever of 39°C and had taken over-the-counter soluble paracetamol for his sore throat and fever. His mother reported that Paul’s condition had worsened this morning.
• Paul was in acute distress. He could not speak or swallow. His tongue was grossly oedematous, completely filling the oral cavity. A tongue depressor was used to visualize a silver ball of the stud on the anterior mid-portion of his tongue. His throat could not be assessed because of the oedematous tongue. His lymph nodes were swollenPaul was suspected of having group A streptococcal pharyngitis. It was further suspected that the same organism had infected the inner tissues of his tongue through the tongue piercing. A positive rapid strep test confirmed the diagnosis of group A Streptococcal infection of the tongue and throat (strep is a commonly used abbreviation for a Streptococcus bacteria). Paul was immediately referred to the local emergency department.
• There he was intubated for airway protection, and an intravenous antibiotic therapy was started. During the next 24 hours he showed marked improvement; the oedema in his tongue subsided, and he was able to swallow fluids. He was discharged with a prescription for an oral antibiotic for 10 days.
• Remember the tips to tackle case studies above.
• 1 Explain what information helped the GP make the diagnosis of pharyngitis Strep A What assessment did the GP make of Paul and explain why you think this happened.
• Your Response
• 2 A medication history is taken when Paul presents to the Emergency Department. Discuss why it is important to take a medication history for new admissions. Remember to consult coursework.
• Your Response
• 3 Paul cannot communicate verbally because of his swollen tongue. You are Paul’s nurse. Outline how you would obtain a medication history for Paul.
• Your Response
• 4 Paul initially receives intravenous antibiotics. Discuss the pharmacokinetic reasons for commencing with intravenous antibiotics in the first instance? Remember to consult coursework.
• Your Response
• 5 Consulting the Antibiotic Therapeutic Guidelines, select a suitable intravenous antibiotic for Paul and justify (explain) why this selection is the best option for Paul.
• Include dosing information.
• Your Response
• 6 Paul’s condition has improved, and the decision has been made to change Paul to oral antibiotics. Consulting the Antibiotic Therapeutic Guidelines, select a suitable oral antibiotic(s) and justify (explain) why this selection would be the best option for Paul.
• Include dosing informationYour Response
• 7 Paul is to be discharged from hospital. He will need to take his oral antibiotics for 10 days after discharge. You are the nurse who must counsel Paul about his discharge medications.
• Outline the advice you will give Paul. You will need to consult the Therapeutic Guidelines and also think back to what you have learnt in your tutorials about “health teaching”
• Your Response
• References (not included in word count)
• CASE STUDY 2
• Elizabeth is a 46-year-old telemarketer who undergoes a routine hysterectomy. The postoperative note indicated that the procedure was conducted without apparent complications and Elizabeth was transferred to the ward in a stable condition.
• The following day, Elizabeth complained of severe pain that had spread across her abdomen. An exploratory emergency laparotomy performed at the site of the primary incision revealed a perforated large intestine (also known as perforated viscus) and faecal material in the abdomen. The tissues were in?amed, and small amounts of pus were seen. The abdomen was washed out, and the perforation was repaired. Once the incision was closed, Elizabeth was treated with a number of different I.V. antibiotics.
• Remember the tips to tackle case studies above.
• 1 Explain why emergency laparotomy was performed on the second day.
• Your Response
• 2 Consulting the Antibiotic Therapeutic Guidelines, select a course of suitable intravenous antibiotics for Elizabeth and justify (explain) why this selection is the best option for Elizabeth.
• Include dosing informationYour Response
• 3 Justify (explain) why it is necessary to treat Elizabeth with a course of multiple antibiotics. You will get some clues from the Antibiotic Therapeutic Guidelines, but you will need to research further
• Your Response
• 4 Antimicrobial use may be prophylactic, empirical, or directed against a known organism. Explain whether Elizabeth is receiving prophylactic, empirical, or directed therapy in this case.
• You will need to consult the Therapeutic Guidelines and your course resources.
• Your Response
• References (not included in word count)
• CASE STUDY 3
• Cynthia is a 38-year old female, self-employed as a caterer. She has received an isolated bite wound on her left hand from her daughter’s dog, whilst attempting to remove a bone the dog was eating under her bed. Cynthia has to provide canapes to a large private function that evening, so she cleans the bite wound with running water and covers it with a bandage. Cynthia’s friend recommends that she should get her hand looked at by a health professional, so she makes an appointment to see her GP the following day.
• Cynthia has no significant prior medical or surgical history and takes no medications. She is a non-smoker and consumes 5-7 units of alcohol per week. Cynthia has no allergies or sensitivities. Cynthia could not remember when she had received her last tetanus vaccine.
• Remember the tips to tackle case studies above.
• 1 Consulting the Antibiotic Therapeutic Guidelines, select a course of suitable antibiotics for Cynthia and justify (explain) why this selection is the best option for her.
• Your Response
• 2 Consulting the Antibiotic Therapeutic Guidelines, discuss whether Cynthia should be administered a tetanus vaccination, justifying (explaining) the reasons for your answer. Your Response
• 3 The following week, Cynthia tells her friend Alice about the dog attack.
• Alice says that a similar thing happened to her mother, who was prescribed metronidazole and doxycycline by her GP.
• These are not the same antibiotics that Cynthia received from her GP. Cynthia is quite worried and goes to her pharmacist and asks why Alice’s mother was prescribed different antibiotics. Outline the explanation the pharmacist would provide to Cynthia. You will need to consult the Antibiotic Therapeutic Guidelines.
• Your Response
• References (not included in word count)
• SUMMARY QUESTION
• You are providing advice to a student who is taking this course in 2022. What advice do you provide to them about completing this assignment?
• Your Response (maximum 150 words)

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