NURS-FPX 4000-Advanced Pharmacotherapeutics Discussion 3

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Woo Page 1 of 1 Pharmacotherapeutics 5e Ch25 Student CS Chapter 25: Drugs Used to Treat Inflammatory Processes

Student Case Study

A 16-year-old female presents with complaint of severe menstrual cramps. She has not tried any

medication for pain. She has no allergies and is not taking any routine medications.

1. What would be an appropriate pain medication for dysmenorrhea?

2. What education should be included in prescribing?

A 78-year-old male patient comes to your office complaining of increased left knee pain for the

past 3 to 4 months. He has had no history of recent injury. An x-ray done less than 4 months ago

showed degenerative osteoarthritic changes. He has full range of motion and denies any recent

swelling, pedal edema, or discoloration. He has been a long-distance runner for many years and

was diagnosed with osteoarthritis of his left knee more than 10 years ago. He has decreased his

weekly running, but the pain is persistent and is affecting his daily activities. He has been using

over-the-counter NSAIDs on and off, but states they are no longer working and wants something

“stronger.” His vital signs are all normal and he has no history of fever, chills, or rashes. He is

otherwise healthy.

1. How would you approach the management of chronic pain in this patient?

2. What education would you provide when prescribing pain medication for this patient?

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.