Managing Various Medical Conditions … Essay
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Outpatient Treatment Plan for Management of Medical Conditions
The first aspect of an outpatient treatment plan for managing diabetic foot ulcer associated with type 2 diabetes mellitus unspecified laterally is patient assessment, which involves evaluating the patient as a whole, the affected foot, and the infected wound (Lipsky et al., 2012, p.e133). This assessment will be followed by diagnosing the foot ulcer infection based on the symptoms. The diagnosis involves documenting and classifying the extent and severity of the infection. Third, a well-coordinated multidisciplinary diabetic foot care team should be established to help in the treatment process. Fourth, the condition should be managed using antibiotic therapy though the empiric antibiotic regimen is identified based on the severity of the foot ulcer. If the foot ulcer is accompanied by gas in deeper tissues or an abscess, an urgent surgical intervention will be utilized.
The outpatient treatment plan for diabetic polyneuropathy associated with type 2 diabetes mellitus involves suitable assessment and diagnosis of the condition. Once the patient has been comprehensively assessed, the nurse will diagnose the condition based on its severity. This process will be followed by prescription of effective antidepressants to manage the condition. The healthcare team will recommend and prescribe antidepressants because they have proven to be effective for a wide range of neuropathic pains (Cayley, 2006, p.1935). In this case, tricyclic antidepressants will be prescribed while the patient is subjected to regular evaluation to monitor his/her progress. While the patient adheres to the drug prescriptions, he/she will be subjected to regular evaluation that helps in determining the efficacy of the drugs in treating the condition. The evaluation will also be utilized as a means for initiating necessary changes in prescriptions depending on desired patient outcomes and treatment goals.
Primary insomnia can be described as complaint of challenges encountered in sleep initiation, sleep maintenance, and/or sleep quality when there is sufficient opportunity (Erman et al., 2008, p.229). Therefore, a suitable outpatient treatment plan for managing this condition focuses on lessening latency to persistent sleep while enhancing sleep efficiency. In light of the most current evidence-based practice, the treatment plan for this condition involves the use of a series of doses of eszopiclone depending on the placebo in patients with the disease. Depending on the severity of primary insomnia and placebo in patients, the care team will prescribe various doses of eszopiclone and zolpidem. These drugs will be prescribed based on the desired patient outcomes or treatment goals with regards to latency to persistent sleep and sleep efficiency.
Primary osteoarthritis involving multiple joints can be treated in different ways depending on the severity of the condition. For outpatients with this disease involving multiple joints, a suitable treatment plan would involve either pharmacologic or nonpharmacologic therapies. The plan would involve patient education in joint protection measures, offering assistive devices, use of oral and topical nonsteroidal anti-inflammatory drugs, and use of thermal techniques and trapeziometacarpal joint splints. The patient may be also be subjected to psychosocial interventions, self-management programs, aerobic exercises, manual therapy, aquatic or resistance exercises, and walking aids (Hochberg et al., 2012, p.466).
Since an individual with major depressive disorder without psychotic features does not show personality changes and thought disorder, the treatment plan does not incorporate measures that are geared towards treating psychosis. The first step in the treatment is screening for a history of mania, hypomania or psychotic symptoms in patients. This is followed by the use of antidepressants, which are usually effective in patients with moderate and severe major depression (Cleare et al., 2015, p.462). The use of antidepressants will be accompanied by collaborative care or case management in order to enhance outcomes. The patient may also be subjected to alternative treatment like psychological and behavioral therapy, physical treatment, and comprehensive and other treatments. An outpatient treatment plan for an individual suffering from alcohol abuse would entail psychological and behavioral treatment. These treatments may be combined with antidepressants depending on the severity of the addition. Disulfiram therapy can also be utilized to help prevent relapse since it fits into the overall care of a person addicted to alcohol (Huffman & Stern, 2003, p.41).
The treatment plan for outpatients with noncompliance with diet and medication regimen entails conducting patient education on the importance of compliance in the treatment process. This will be followed by simplifying medication regimens, offering pillboxes for patients, using once-a-day dosing when necessary, providing combination tablets, tracking prescription refills using computerized systems, and enlisting support from family and friends (Kleinsinger, 2010, p.55). On the… [END OF PREVIEW]
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