Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders.
The client, H.H, is a 68 years old male. The client has been admitted to the medical ward for three days and was diagnosed with community-acquired pneumonia (CAP). His past medical history indicated that he was diagnosed with COPD, hyperlipidemia, HTN, and diabetes mellitus. The client was prescribed combined therapy, including ceftriaxone 1 g IV day and azithromycin 500 mg IV day, which he has been taking for three days. His health condition has improved significantly since the day with reduced oxygen requirements. However, the client is complaining about nausea and vomiting and is not tolerating food. This paper presents the patient’s health needs, recommended treatment regimen, including pharmacotherapeutics, and the recommended patient education strategy.
Patient’s Health Needs
The first healthcare need for this client is a complete assessment, including a review of all body systems and conducting diagnostics to gather more health-related information. By reviewing body systems, a healthcare provider will confirm subjective data provided by the client. Additionally, diagnostics will enable the healthcare professional to detect some health conditions contributing to the reported symptoms or the severity of the reported symptoms. For instance, conducting spirometry would allow a healthcare provider to measure the amount of air that moves into and out of the lungs. Therefore, complete assessment results will guide the healthcare provider in conducting differential diagnoses and developing an appropriate treatment plan, resulting in positive health outcomes, including reduced stay. The second health need for this client involves managing nausea and vomiting, which are significant symptoms of CAP (Ticona et al., 2021). The patient’s feeding habits and intake of nutrients would improve once nausea and vomiting and prevented, enhancing the recovery process. The last healthcare need involves assessing the client’s blood sugar level. The client past medical history indicated that he has diabetes mellitus. His poor feeding due to nausea and vomiting could have interfered with his blood sugar. According to Forouhi et al. (2018), a balanced diet with low starch and rich in proteins and vitamins is the primary treatment therapy for diabetes mellitus. Therefore, healthcare professionals should monitor the client’s blood sugar to prevent potential health complications.
Recommended Treatment Regime
The patient’s treatment should include medication treatment and non-pharmacological interventions. Antibiotics, particularly a combined therapy of ceftriaxone plus azithromycin, would be recommended for treating this client. According to Ito et al. (2019), using a combined therapy of Ceftriaxone and Azithromycin in treating patients with CAD gives superior results within three days, reducing oxygen requirements. These results are achieved following the effectiveness of Ceftriaxone and Azithromycin in treating bacterial infections with minimal or zero side effects. Thus, treating the patient with ceftriaxone plus azithromycin would result in complete remittance of reported symptoms. On the other hand, non-pharmacological intervention for this client involves nutrition therapy and administering IV hydration until nausea and vomiting are addressed. These therapies will prevent the client from potential dehydration and electrolyte imbalance, worsening his health status.
Patient education is a crucial part of the treatment process. It involves equipping the client with the knowledge required to manage their health. In this case, the client will be educated on how to monitor his oxygen to prevent potential oxygen shortage. Additionally, the client will be educated on the significance of eating a healthy diet and increasing physical activities to manage or reverse his current diagnosis, including diabetes, hyperlipidemia, and HTN.
Overall, the client’s healthcare needs include conducting a complete assessment, resolving nausea and vomiting, and monitoring his blood sugar. The recommended treatment regimen for this client should include medication treatment and non-pharmacological interventions. Patient education should involve educating the client on how to monitor oxygen level and adjust his lifestyle to manage or reverse chronic illnesses.
Forouhi, N. G., Misra, A., Mohan, V., Taylor, R., & Yancy, W. (2018). Dietary and nutritional approaches for prevention and management of type 2 diabetes. BMJ, 361. doi: https://doi.org/10.1136/bmj.k2234
Ito, A., Ishida, T., Tachibana, H., Tokumasu, H., Yamazaki, A., & Washio, Y. (2019). Azithromycin combination therapy for community-acquired pneumonia: propensity score analysis. Scientific Reports, 9(1), 1-8. DOI: 10.1038/s41598-019-54922-4
Ticona, J. H., Zaccone, V. M., & McFarlane, I. M. (2021). Community-acquired pneumonia: A focused review. American journal of medical case reports, 9(1), 45. Doi: 10.12691/ajmcr-9-1-12
Please find below your case study for this week’s discussion
HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.
Ht: 5’8” Wt: 89 kg
Allergies: Penicillin (rash)
Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.