Medication Management Case Study

Medication Management Case Study

Case Study #2: Pharmacology/Medication Management

Directions for Medication Management Case Study :
Read the assigned chapters in the course textbooks (for the week’s covered by
this case study). Read the following information (statement and scenario).
Answer the questions at the end of the Scenario for M.M. using your textbooks,
the supplemental readings and other sources that you find to support your
statements. This case study should use the APA guidelines (title page (with
author notes), body (with your specific headings/subheadings),
citations/references, and graphs/tables/charts as appropriate). Please spell and
grammar check your submission prior to submitting via Blackboard –
Communications – Course Messages. No other forms of submission will be
accepted or graded.
Older Adults are often prescribed at least one medication to treat chronic health
conditions (Robnett & Chop, 2015, p. 172). As, often Older Adults are taking multiple
medications, there is a risk of preventable adverse effects (Center for Disease Control
and Prevention, 2012; Robnett & Chop, 2015; pp.179-183). Efforts to prevent these
adverse events require coordinated and managed healthcare interventions to include
medication management (Robnett & Chop, 2015, pp. 183-184) with healthcare
professionals (Centers for Disease Control and Prevention, 2012). Additionally, Older
Adults need to be monitored as their health changes to incorporate these considerations
into prescribing practices based upon current research (Administration on Aging, n.d.).

References for Medication Management Case Study

Administration on Aging. (2011, Jan 31). “Prescription Drug Options for Older Adults:
Managing your medicines.” Eldercare locator. Retrieved from
http://www.eldercare.gov/Eldercare.NET/Public/Resources/Brochures/docs/Elder
careMedicareBrochure.pdf
Centers for Disease Control and Prevention. (2012, Oct 2). “Medication Safety Program:

Adults and Older Adults Adverse Drug Effects.” Retrieved from
http://www.cdc.gov/MedicationSafety/Adult_AdverseDrugEvents.html
Robnett, R.H. & Chop, W. (2015). Gerontology for the Health Professional. Burlington:
MA: Jones & Bartlett.
U.S. Department of Health and Human Services/National Institute on Aging. (2009,
Sept). “Clinical Trials and Older People.” Retrieved from
https://www.nia.nih.gov/health/publication/clinical-trials-and-older-people

Scenario

 M.M. is a 70 year old female who has been diagnosed with the following health
conditions:
o Hypertension (diagnosed at 35 years old)
o Hypothyroidism (diagnosed at 50 years old)
o Arrhythmia (diagnosed at 68 years old)
o Macular Degeneration (diagnosed at 70 years old)
o Parkinson’s disease (diagnosed at 65 years old)
o Arthritis (diagnosed at 55 years old)
o Edema (diagnosed at 68 years old)
 The following medications have been prescribed:
o Synthroid (generic: Levothyroxin Sodium) – Refill 30 tabs/1x per month
o Inderal (generic: Propranolol) – Refill 30 tabs/1x per month.
o Lasix (generic: Furosemide) – Refill 60 tabs/1x per month.
o Percocet – Refill 30 tabs/1x per month
o Lucentis – Refill 90 tabs/1x per month
o Sinemet (Levodopa/Carbidopa) – Refill 30 tabs/1x per month.

o Hydrochlorothiazide (HCTZ) – Refill 90 tabs/1x per month.
 M.M. is often busy and doesn’t always remember to take her medications as
prescribed. She often may take extra to “catch up” when she forgets.
 M.M. often has a glass of wine with dinner when she goes out with her daughter
(at least once a week).
 M.M. is living in an assisted living facility with 8 other residents.
 M.M. has Medicare and a Medigap supplement for her insurances.
 M.M. has meals prepared by the facilities staff, based upon recommendations
from the registered dietitian.
 When possible, M.M. goes on the scheduled trips that the assisted living facility
frequently schedules to museums, shopping excursions and other points of
interest.
 M.M. is considered underweight for her height (96 lbs. for 5’4”). A normal weight
would be between 110-140 lbs.

Questions for Medication Management Case Study

1. What concerns do you have for M.M. regarding medication management?
(Note: Explain what conditions may lead to adverse drug effects.)
2. What individuals/agencies should be involved in addressing these
concerns? (Note: Who should be included in the discussion or be
consulted regarding medication management?)
3. How would you develop an intervention/care strategy of reducing the
potential risks for M.M. experiencing an adverse drug reaction? (Note:

What steps should be taken to reduce drug interactions and preventable
adverse reactions).
4. What can M.M. do to reduce the potential for an adverse drug effect? (Note:
What changes may be necessary to reduce preventable adverse drug
reactions?)
5. What other agencies can assist with improving M.M.’s medication
adherence to minimize adverse medication effects? (Note: Think about
what types of devices or tools are available to remind Older Adults to take
their medication or applications to prevent adverse drug interactions.)
6. What processes or procedures are necessary to safeguard M.M. from
experiencing an adverse drug interaction or effect?

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