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Attached is the document with the patient scenario and instructions.Word count: 2500 words. Please avoid using AI since it will be run through an AI detector.Use APA 7th edition format.
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Patient scenario
Elena T. (she/her) is a 53-year-old primary school teacher of Greek background with a past
medical history of social anxiety disorder, hypertension, and osteoarthritis. Her medications
include Zoloft (sertraline 50 mg orally, mane), Olsetan (olmesartan medoxomil 20 mg orally,
once daily), Panadol Osteo (paracetamol 665 mg-controlled release orally, two tablets BD),
and Nurofen (ibuprofen 200 mg orally, TDS PRN). Elena is overweight (BMI = 30) and has a
history of smoking one pack of cigarettes per day for 25 years (31 pack years). She had
elevated blood sugar and cholesterol levels 12 months ago but did not follow up with a
clinical diagnostic work-up. Until recently, Elena has felt fine. Today, she presents to the
general practitioner (GP), Dr. Lee, complaining that her left foot has been weak and numb for
nearly two weeks, and that the foot is difficult to flex. Furthermore, she reports that she has
been very thirsty lately and gets up more often at night to urinate.
Elena’s physical examination including random plasma glucose level revealed the following:
blood pressure of 160/105 mmHg, pulse rate of 96 bpm, and random plasma glucose of 13.1
mmol/L. Dr. Lee suspects type 2-diabetes, and orders additional tests that need to be done
after an overnight fast. Some of Elena’s results of additional tests are presented in the table
below.
Blood test results
BGL: 8.8 mmol/L
HbA1c = 7.5
Total cholesterol: 6.9
mmol/L
HDL: 1.2 mmol/L
Urinalysis
Ketones: negative
Protein: negative
Glucose: positive
Microscopy: negative for
microbes, red blood
cells and white blood
cells.
LDL: 4.7 mmol/L
Dr. Lee initiates pharmacological therapy consisting of Caduet (amlodipine 10 mg and
atorvastatin 20 mg orally, once daily), Diabex XR (metformin 500 mg-controlled release
orally, once daily) and cessation of olmesartan medoxomil. Elena is now referred for
education in relation to her medication management.
A complete response will:
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Include a clear introduction, essay body divided into sections, and a
conclusion.
o Introduction sets the context and diverse perspectives. It
outlines the findings of the patient scenario and clearly and
succinctly describes the structure and purpose of the assignment
focusing on the pharmacology, Quality Use of Medicines (QUM)
Framework, education and medication management.
o Body critically analyses the patient scenario in relation to
pharmacology and the QUM Framework. Applies the principles
of the QUM to develop an education session that covers
medication management aspect for the patient. Utilises the
relevant evidence to the patient scenario, applies theoretical
perspectives to practice and makes clear recommendations for
further research. Examines the patient scenario findings in a
unified and structured manner and considers the quality of the
evidence and similarity of patients studied compared to the
patient scenario given. The body needs to be divided into
sections with headings and subheadings where appropriate. The
ideas expressed in the body of the assignment should follow a
logical progression. A structured approach using subheadings for
the areas discussed can be helpful for the author (to order your
thoughts) and for the reader (they serve as signposts for the
direction of the content). A logical, rational argument also
depends on appropriate sentence and paragraph construction.
Paraphrase previous work wherever possible rather than using
direct quotes. However, direct quotes can be used to emphasise
key issues. Avoid long quotes as they interrupt the flow of your
discussion.
o Conclusion provides a comprehensive summary of the patient
scenario, reiterates the paper’s main findings and outlines
limitations.
Provide a sophisticated and highly accurate explanation of
pharmacodynamics & pharmacokinetics and how the medications apply to
the patient.
Shows how the scenario relates to QUM principles and provide an
evidence-based rationale and explanation for patient’s education and
medication management
A concise and highly systematic synthesis, interpretation and analysis of
research evidence; identifies and analyses patterns or trends in the
literature and provides well-constructed evidence for further research,
with careful consideration to what research has already been undertaken.
Use double spacing and avoid single or triple spacing between paragraphs.
Use a minimum of eight different references (peer-review articles, textbooks, clinical guidelines, policies, professional websites) in APA 7th
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