Executive Solution Overview
**Step 1: Choose** one of the following vulnerable patients to create a Medication Guide for the patient: – **Patient 1:** 26-year-old female with a diagnosis of major depressive disorder and social anxiety disorder who is increasing in isolation and poor self-care. She is in her third trimester of …
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**Step 1: Choose** one of the following vulnerable patients to create a Medication Guide for the patient:
– **Patient 1:** 26-year-old female with a diagnosis of major depressive disorder and social anxiety disorder who is increasing in isolation and poor self-care. She is in her third trimester of pregnancy.
– **Patient 2:** 16-year-old male with a diagnosis of major depressive disorder, severe. He has seen a therapist weekly for the past 6 months and has had minimal change in symptoms. He has expressed thoughts of wanting to die.
– **Patient 3**: 72-year-old male with diagnosis of major depressive disorder and panic disorder. He has cardiac history and takes antihypertensive medications.
– **Patient 4**: 8-year-old Asian female with a diagnosis of severe depressive disorder presents to the office with a report of worsening symptoms. She has never taken psychotropic medication before.
**Step 2:** **Create** a Medication Guide for a patient. In your guide, you should provide the following specific instructions for the patient:
– Describe the chosen classification of medications, from the classification category, for your chosen vulnerable patient. Explain your rationale for your choice.
– Explain what dose you would start the chosen medication with and the frequency.
– Discuss how the medication works to treat their symptoms.
– Explain how long they should take the medication.
– Discuss the typical or common side effects of the medication.
– Explain the urgent or emergent considerations for the patient taking the medication.
The Medication Guide should also include:
– Directions you would provide the patient on how to take the prescribed medication
– Instructions on what the patient should do if a medication dose is missed
– List of any other medications, over-the-counter medications, and/or supplements/herbals the patient should avoid while taking the prescribed medication
– List of foods the patient should avoid when taking this medication
– Date when the patient should return for follow-up visit with you
– Discussion about the legal and ethical considerations for the medication being prescribed
– Answers in consideration of Social Determinants of Health on how you would:
– Assist the patient who cannot not afford to pay financially for the medication you are recommending/prescribing; and/or
– Has difficulty with transportation that impacts their ability to present for regular appointments with you
– Discuss how financial hardship and lack of transportation could relate to Social Determinants of Health, as well as why they are important considerations for you as a prescriber.
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