Case Study  

• Compliant: Melissa is 37-year-old comes into the primary care office reporting constant worrying for the past six months.
• Background: Melissa is married and together they have a 5-year-old daughter and seven-year-old son. She works for Allstate Insurance. Her husband recently got diagnosed with stage IV lung cancer.
• PMHx: Diabetes
• Medications: Multivitamin once day and metformin 500 mg BID
• Assessment:  T 36.5°C ; HR 94; RR: 17; BP: 121/76. Melissa has been having persistent feelings of restlessness, irritability, sleep disturbance, and difficulty concentrating.

Test Questions

1. What is the first line therapy for anxiety?
2. SSRIs block the reabsorption of serotonin in the brain, making more serotonin available.
3. For children and adolescents, the most commonly evaluated treatments for anxiety disorders are psychological approaches.
4. Which of the following a Black Box Warning for Lexapro?
5. Which of the following is not a barrier to practice?

Purpose

The purpose of this assignment is to enhance the student’s clinical reasoning, confidence and learning of multiple pharmacological agents through facilitated discussion.

Description

In Week 6, you will create a PowerPoint Grand Rounds presentation on the topic assigned to you by the faculty member. In Week 7, you will lead a discussion based on your presentation as well as interact with peers in discussions related to their Grand Rounds presentations.

Requirements :

In Week 6, create a narrated PowerPoint presentation related to a common condition in primary care. Your professor will assign you the condition that you are to present. Please use the Kaltura feature available in your classroom to record and submit your presentation. Additional instructions onKaltura can be found under Course Resources.

In a Kaltura narrated PowerPoint presentation of 15 slides or less, students present a narrated case using a fictional patient who presents to clinic with assigned medical condition. Students will describe the most commonly prescribed drugs for your assigned condition. Provide evidence by sharing clinical guidelines, research articles, or other scholarly materials to support your findings. You will identify barriers to practice or additional issues related to the condition and the use of pharmacologic treatment, including potential issues related to cultural diversity and healthcare literacy.The length of your presentation should be between 8-12 minutes total.

Read the following article and incorporate evidence from it as a part of your presentation: Dreischulte, T., & Guthrie, B. (2012). High-risk prescribing and monitoring in primary care: how common is it, and how can it be improved?. Therapeutic advances in drug safety , 3 (4), 175-184. The article can be found at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4110851/

Finally, you will describe the expected outcomes for medication management, including expectations for follow up care. Citations should be provided at the bottom of slides, and a full reference list should be included in APA format on the final slide. You will create five (5) multiple choice or true-false questions created from your presentation content. Provide the answers to the questions you have created. The PowerPoint presentation and questions are due by at the end of Week 6.