How do you tell one patient that they have coverage for the best technology to be used on them and tell another

patient they cannot have it because they have Medicare/Medicaid?

 

This is going to happen when you have patients with private insurance and government paid for coverage.

 

Is it right to have someone other than our own doctor decide what is best for us?

Have you ever come across this personally or professionally?

 

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QuestionCase study:Patient AO has a history of obesity and has recently gained 9

pounds.

The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

Atenolol 12.5 mg daily

Doxazosin 8 mg daily

Hydralazine 10 mg qid

Sertraline 25 mg daily

Simvastatin 80 mg daily

To Prepare

Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.

Review the case study assigned by your Instructor for this Assignment.

Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.

Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamics processes.

Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.

Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

Explain the following.

Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.

Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.

Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

P.S: I know sertraline (SSRIs) causes weight gain but I don’t know the pharmacokinetics and pharmacodynamics that cause that weight gain.

Thank you

 

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