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Critically appraise a clinical polypharmacy case s

Critically appraise a clinical polypharmacy case study. The case study will be provided, the student will evaluate the case and make recommendations for safe medication administration using the recommendations from the 2015 Beers Criteria for Potentially Inappropriate Medications in Older Adults. Case Study: Ms. Jones is an 83-year-old female who has recently been admitted to a nursing home from the hospital. The nurse undertakes a medication review soon after she is admitted. She has type 2 diabetes mellitus, recurrent urinary tract infections, osteoporosis, osteoarthritis and chronic heart disease. She has urinary incontinence and fractured her right femur 12 months ago. She has no known drug allergies. Medications at time of review: 1. Sertraline (Zoloft®) 100mg in the morning 2. Metformin (Glucophage®) 500mg three times daily 3. Omeprazole (Prilosec®) 20mg in the morning 4. Aspirin 325mg in the morning 5. Isosorbide mononitrate CR (Imdur®) 60mg daily 6. Digoxin 0.25mg daily in the morning 7. Furesomide 40mg twice a day 8. Alendronate (Fosamax®) 10mg daily 9. Acetaminophen 1000mg four times a day 10. Naproxen (Naprosyn®) 500mg three times a day 11. Oxybutyn (Ditropan)® 10mg at night 12. Zolpidem (Ambien®) 10mg at night 13. Alprazolam 0.5mg three times a day as needed 14. Senna® two tablets at night The discharge documents from the hospital including laboratory results are missing. The unit clerk has placed a call to the hospital regarding this issue but there doesn’t seem to be any staff on that recall the patient. For this case study and medication review please complete the following: 1) Introduction: Define polypharmacy. State why it can be a concerning issue for older adults. 2) Medication Review: Identify potentially inappropriate medications based on the 2012 Beers criteria. Be specific to medication type, dose, or frequency as the potentially inappropriateness. Also state what the possible adverse event is concerning. 3) Plan of Care: Based on your review, discuss your plan that you will discuss with the team including your suggestions for medication changes, additions, needed laboratory tests, and anything else you deem relevant. 4) Improving the System: Incorporate your professional experience and this case study and discuss recommendations you have for improving the system of medications reviews aimed at avoiding polypharmacy and adverse drug events in the elderly. The case study should be three to five pages, use APA guidelines and cite all references appropriately. Please see the associated rubric for specific grading criteria.

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