“An integrated structured case study where students will be required to show their understanding of health, law and interprofessional working. Students will be required to show their ability to appropriately adhere to university referencing guidelines. Patient D is a 43-year-old female that prese...
“An integrated structured case study where students will be required to show their
understanding of health, law and interprofessional working. Students will be required to
show their ability to appropriately adhere to university referencing guidelines (25%)”–
module DMD.
Module contribution 25%
Deadline see assignment portal
Word count Final submission – 800 words
Patient D is a 43-year-old female that presents to your pharmacy with a prescription. They
have been to the doctor with symptoms of toothache and Pain. The GP has prescribed
Naproxen and Metronidazole. On questioning the patient tells you that they are also
swelling around jaw, experiencing headache, and fever for which they would like your
advice. Use the information in the table to complete a care plan by answering the following
questions.
Assessment
The priority of the patient would be oral infection of the swelling around the jaw.
Toothaches are caused by tooth decay, which can cause cavities, which are holes in the
tooth that will then form the hard surface of the tooth and lymph nodes are swollen, leading
to fever. Also, drinking anything cold or hot can severely trigger a toothache . Therefore, a
recommendation would be to eat softer foods or small bites on the opposite side of her
mouth (NHS inform, 2023). Also, this can happen more severely at night when the patient is
lying down to sleep. As such, it would be recommended to put elevated or more pillows to
elevate (Dental, 2017). Furthermore, with naproxen recommended dose would be 500mg,
then 250mg every 6-8 hours required (BNF, 2023). It is an antiinflammatory pain; it will help
ease dental pain as such and can help ease the symptoms of headaches. If difficult to
swallow, then oral suspension liquid alternative (BNF, 2023).
The healthcare professional to refer to would be a dentist. However, if it requires private,
which is costly, or there is a long queue to call 111 due to her jaw swelling and from then
have regular dental check-ups to avoid pain, the dentist will examine this by carrying out the
X-ray to figure out the exact location of the tooth pain. As such, what will occur is the decay
that causes the painful feeling. As such, the decayed area will then replace with a filling as
such help the situation (NHS inform, 2023). The medication prescribed for her would be the
frequency and dosage of metronidazole; as such, the dosage adjusted to 400mg given in
three times a day, not seven days as stated. Furthermore, it would be better to opt for
metronidazole oral suspension because of the swelling around her jaw. Also, if she takes
metronidazole with alcohol, it can cause hypotension, and it is essential to avoid alcohol
consumption for at least 48 hours (BNF, Metronidazole, 2023).
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