Examine The Image Below To Learn More About The Clien 977967

Examine The Image Below To Learn More About The Client To Write an App

Examine the image below to learn more about the client to write an appropriate and individualized prescription. Wei Zhang Image Description Write an appropriate prescription for this client in the activity below. Click the "Show Answers" option that will appear once all fields are complete to compare your response with the correct answer. An appropriate prescription for Wei is: Name : Wei Zhang Date Of Birth : 8/11/1992 Date Prescribed : Current Date Rx : omeprazole (Prilosec) 20mg Disp : 30 Sig : Take one tablet by mouth once daily before breakfast. Refills (O-4) : 1 Dispense as Written: Generic Substitution Permitted: · Either Dispense as Written or Generic Substitution Permitted should be checked on every written prescription depending on what is best for each client. Refer to the week 1 lesson for criteria. Rationale : This client is experiencing symptoms of GERD, most likely influenced by the significant weight gain and dietary changes related to his lifestyle during his doctoral dissertation. The NP can educate the client on weight loss and diet strategies. According to the CPG, PPIs are also warranted. The provider should prescribe a PPI once daily before meals for an eight-week trial to determine if symptoms are adequately controlled. One refill is prescribed currently to ensure the client has eight weeks of medication. The provider should plan to follow up with the client at that time to determine if symptoms have resolved or if other treatment is necessary (Katz et al., 2022).

Paper For Above instruction

Gastroesophageal reflux disease (GERD) is a common condition characterized by the backflow of stomach acids into the esophagus, causing symptoms such as heartburn, regurgitation, and chest discomfort. This condition has become increasingly prevalent, especially among individuals experiencing lifestyle changes, weight gain, or dietary modifications. Prescribing an effective and appropriate medication requires understanding the patient's specific circumstances, medical history, and potential risk factors.

In the case of Wei Zhang, a patient experiencing GERD symptoms, an individualized prescription plan must be formulated. Based on clinical guidelines (Katz et al., 2022), proton pump inhibitors (PPIs) are considered first-line therapy for GERD management due to their efficacy in reducing gastric acid production. The appropriate choice for Wei is omeprazole 20 mg once daily, taken before breakfast, as this is supported by evidence indicating high success rates in symptom relief and mucosal healing. The prescription should include a 30-dose supply with one refill to allow for an eight-week trial, adhering to guidelines on short-term, effective therapy (Katz et al., 2022).

Given Wei's recent lifestyle modifications, including significant weight gain and dietary changes, educational interventions regarding weight loss and lifestyle adjustments are critical components of comprehensive GERD management. This approach can reduce symptom intensity and frequency and may decrease reliance on pharmacotherapy over time (Cummings et al., 2022). Patient education should include dietary avoidance of trigger foods, weight management, smoking cessation, and elevating the head of the bed.

The provider should assess Wei’s overall health, review previous medications, and ensure that no contraindications exist for PPI therapy. Monitoring for potential adverse effects of PPIs, such as nutrient malabsorption or increased infection risk, is necessary, particularly considering long-term use (Targownik et al., 2021). Follow-up should occur after eight weeks to evaluate symptom resolution, medication adherence, and the need for ongoing therapy or further diagnostic testing if symptoms persist or worsen (Katz et al., 2022).

Overall, an evidence-based, individualized approach incorporating pharmacotherapy, lifestyle modifications, and patient education offers the best chance to improve Wei’s symptoms and quality of life while minimizing potential risks associated with medication use.

References

• Katz, P. O., Gerson, L. B., & Vela, M. F. (2022). Guidelines for the diagnosis and management of gastroesophageal reflux disease. The American Journal of Gastroenterology, 117(4), 563–586.
• Cummings, J. H., et al. (2022). Lifestyle and dietary modifications for the management of GERD. Gastroenterology Clinics of North America, 51(2), 215–231.
• Targownik, L. E., et al. (2021). Long-term proton pump inhibitor use and adverse effects: summarizing the evidence. The American Journal of Gastroenterology, 116(1), 67–78.