NR565 Week 4 Collaboration Café: CPGs Related to Musculosketal and Rheumatologic Conditions

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ENTIRE CLASS (week 1 – 8):

NR565 – Advanced Pharmacology Fundamentals

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NR565 Week 4 Collaboration Café: CPGs Related to Musculosketal and Rheumatologic Conditions

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.

Last Name	Client From Week 4 Lesson
A – C	Rishi Agarwal
D – F	Roberta Day
G – I	Lillian Cho
J – L	Marianne Terra
M – O	Chara Gutierrez
P – R	Barbara Witten
S – U	Roland Berger
V – Z	Yuval Cohen

Step 2: Assess the client’s case, the applicable clinical practice guideline (CPG), and the prescription writing activity for that client within the lesson.

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:

1. 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?

 

SOLUTION

1. Assigned Client’s Situation
Rishi Agarwal is a 42-year-old male presenting to the clinic with complaints of persistent joint pain and stiffness, particularly in the hands and wrists. He reports worsening symptoms over the past six months, including morning stiffness lasting more than an hour, fatigue, and swelling in multiple joints. His medical history indicates a diagnosis of rheumatoid arthritis (RA) two years ago. Rishi is currently taking ibuprofen 800 mg three times daily for pain and inflammation but reports limited relief. He has not been consistent with follow-up care and has not initiated disease-modifying antirheumatic drug (DMARD) therapy due to concerns about potential…………………………………purchase solution at $10 only