OA – Rishi

1. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?  
2. Assess the applicable clinical practice guideline (CPG) for your assigned client. What treatment is recommended by the CPG for your client’s situation? 
3. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
4. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes? 

Examine the image below to learn more about the client to write an appropriate and individualized prescription. 

Rishi Agarwal 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 Rishi is:

Client Name:  Rishi Agarwal 

Date of Birth: 2/15/1954 

Date Prescribed: Current Date 

Rx:  naproxen (Naprosyn) 250mg 

Dis:  90 

Sig: Take one tablet by mouth every 8 hours as needed 

Refills (0-4): 2 

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: The CPG strongly recommends oral NSAIDs as the initial oral medication choice for clients with (OA) in the knees. Oral NSAIDs are cornerstone in the pharmacologic management of OA due to their proven short-term efficacy in numerous trials (Kolasinki et al., 2020). Since Rishi does not have cardiovascular disease or gastrointestinal (GI) conditions, oral NSAIDs are appropriate. First-generation NSAIDs are first-line NSAID therapy; therefore, second-generation NSAIDs were not selected (Rosenthal & Burchum, 2021). NSAIDs have different side effect profiles. Naproxen is well-tolerated by most clients and is the preferred pharmacotherapy choice for Rishi. Two refills are provided and a follow up appointment is scheduled to ensure no adverse side effects from the medication. 

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Preparing the Collaboration Café 

Follow these guidelines when completing each component of the Collaboration Café. Contact your course faculty if you have questions.

General Instructions

Step 1: Identify your assigned client from the Week 4 Explore lesson. Your assignment is based on the first letter of your last name in the chart below. Review your assigned clinical application activity from the lesson. The client case link will take you to the page in the lesson where the respective case is located.  Scroll to the bottom of the page to locate the client case.

Step 2: Review the client’s case and CDC’s (2022) CPG related to opioid prescribing. You can use the Ctrl F function on your keyboard to assist in your review of the CPG to help find keywords. 

Step 3: Answer the discussion prompts below with explanation and detail, providing complete references for all citations. Refer to the lesson for client information. 

Step 4: Reply to peers with different assigned clients.

Include the following sections: 

I.
Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

1. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?  

2. Assess the applicable clinical practice guideline (CPG) for your assigned client. What treatment is recommended by the CPG for your client’s situation? 

3. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?

4. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes? 

II.