COURSE:

NURS-6630N: Approaches to Treatment


Answer the following questions using the patient examples described above.

Patient 1

The patient agrees that he should not continue both medications in combination. He would like to “get off” the clonazepam but worries about “bad withdrawals” that he’s heard about from stopping clonazepam “cold turkey” and is concerned about re-occurring panic attacks. How might you respond to the following:

Patient 2

Patient 3

Patient 4

 

Solution

De-Prescribing

Polypharmacy is a key concern in the healthcare system. This is especially true among older adults who take more than one medication to manage comorbidities.  The issue of polypharmacy is exacerbated by the notion that the healthcare system is geared toward initiating medications but not stopping or reducing the medication.  Even though each of the medications offers benefits to the patient, they also have a potential risk for harm.  In light of this, this paper explores the de-prescribing of Benzodiazepines for the four patient scenarios

Patient 1

The use of Clonazepam and opioid analgesics increases the risk of dependence.  This means that even though the symptoms, may improve the patient may find it hard to stop taking these medications because of dependence (Wright et al., 2021). Also, when Clonazepam is

Patient 2

The common withdrawal symptoms from alprazolam may include insomnia, fatigue, increased anxiety, depressive symptoms, memory problems, irritability, tremors, sweating as well as insomnia.  Serious withdrawal symptoms that a patient can experience include seizure, delirium, muscle cramp, rapid heart rate severe agitation, confusion as well as hallucination (Ait-Daoud et al., 2018).  If you experience the serious withdrawal effects discussed above,……………………..$10

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