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Ms. GM is a 48-year-old who presents to your clinic to establish care.

Ms. GM is a 48-year-old who presents to your clinic to establish care.

Ms. GM is a 48-year-old who presents to your clinic to establish care.

Answer:

Subjective Data

This is where we all get ourselves into trouble.

Subjective data is gathered from the patient telling you something that you cannot use your five senses to measure.

In short, Subjective data includes information that the patient, family, or caregiver provides. The best way to obtain subjective data is by interviewing them.

Objective Data

This is the information that we can gather using our 5 senses. It is either a measurement or an observation.

Temperature is a perfect example of objective data. The temperature of a person can be gathered using a thermometer.

Additional information from the patient

I would require further subjective and objective information from the patient. Her medical, familial, surgical, and medical histories would be considered subjective data. I will also need to collect objective data such as weight, BMI, ethnicity, and waist circumference, all of which are important in determining type II diabetes (Woo & Robinson, 2016). In addition, to evaluate the various reasons of memory loss, the brain must be diagnosed using magnetic resonance imaging or computed tomography (Buttaro et al., 2017). Lab testing are also required to determine the success of type II diabetes management. The final piece of information is to study the functioning of the kidney and liver in order to evaluate the impact of prescription medicines.

                                                                                         Ms. GM is a 48-year-old who presents to your clinic to establish care.

My Position on Using Alternative Supplements

Despite my support for the patient’s desire to use herbal medication, I will inform her that the FDA does not regulate herbal medicines. As a result, herbal medication may not fulfill the board’s drug and pharmaceutical criteria (Leach & Page, 2015). It is also critical to advise the patient that a mild pharmacological interaction between ginseng and Coumadin diminishes the latter’s efficacy (Leach & Page, 2015). The combination of the medications is not advised since it necessitates frequent PT/INR monitoring. As a result, I will urge the patient to look into safer alternative medications. The patient should stop using cinnamon since it includes coumarin, a poisonous chemical that harms the liver and kidneys.

Additional Tests for the Patient

I’ll assess the patient’s cognitive abilities to see how ginseng affects them. In addition, the patient will have a brain scan to determine the reason of the memory loss. Finally, I will perform further lab tests to determine the secondary reason of the patient’s memory loss as well as the functioning of bodily organs such as the liver and kidney in reaction to the medications given for the patient.

Question:

Ms. GM is a 48-year-old who presents to your clinic to establish care. During the health history, you learn that she has a history of Type II Diabetes. When asked about prescription and non-traditional medications, she reports being prescribed Aricept, Coumadin, Cassia cinnamon for Type II Diabetes and Ginseng for memory.

  1. Is there any additional subjective or objective information you need for this client? Explain.
  2. What would be your position on the Ms. GMs use of alternative supplements for her diabetes and memory? Explain and include contraindications, if any.
  3. Are there any additional test/assessments you would complete for this patient given this list of medications? Explain.
  4. How might your treatment plan, in terms of medications, differ for this patient? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; contraindications and black box warnings.
  5. What health maintenance or preventive education is important for this client based on your choice medication/treatment?

 

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