What is the importance of de-prescribing? How might you assist a patient to taper from a medication safely or transition to a new medication?
In this Assignment, you will use the following patient examples to write a 5- to 6-page paper on considerations you have for how you might de-prescribe. Support your answers with five (5) evidence-based, peer-reviewed scholarly literature resources outside of Required Learning Resources in this course.
Note: APA style format guidelines will apply.
Patient Examples:
Patient 1: A 36-year-old male presents to your office being prescribed by his primary care physician (PCP) for the past 3 years an opioid analgesic medication for a work accident. He has chronic pain and is attending a pain clinic. It is determined the best course of treatment for pain is to remain on opioid medication. The patient is also being prescribed clonazepam 1mg BID for “relaxation” and panic attacks.
Patient 2: A 42-year-old female on alprazolam 1mg BID for panic attacks. Panic attacks have been in remission and the patient wants to taper off the medication. But, every time she has attempted to do so in the past, she experienced withdrawal effects. She is wondering how to safely taper off the benzodiazepine medication without having withdrawal effects.
Patient 3: A 24-year-old female prescribed lorazepam 1mg TID for generalized anxiety disorder. She recently found out she is pregnant (9 weeks gestation). She was referred to you by her OB-GYN to discuss this medication for her current situation. The patient is wondering if she can stay on the lorazepam through her pregnancy and postpartum, as it is an effective medication for anxiety symptoms. She plans to exclusively breastfeed for the first 6 months postpartum. She has not had any other trials of medication to treat anxiety as lorazepam has been effective.
Patient 4: A 71-year-old-male who comes to see you at the insistence of his daughter. His daughter expresses concern of memory loss and is wondering if he has the beginning stages of dementia. He is forgetful and seems to be tripping on things or walking into walls, although he has lived in the same home for the past 35 years. The patient does not agree with his daughter but does admit he has had a “few stumbles and falls” lately. Medication reconciliation shows the following medications: metoprolol ER 50mg q day, omeprazole 20mg q day, clonazepam 1mg TID, levothyroxine 75mcg q am. His daughter is wondering if he should be started on a “dementia medication.”
TO PREPARE FOR THIS ASSIGNMENT:
Review the assigned Learning Resources for this week.
Review the definitions presented in your text and resources for de-prescribing and tapering.
Consider the importance of de-prescribing.
Based on the example(s) provided, consider how you might de-prescribe a patient.
THE ASSIGNMENT
Answer the following questions using the patient examples described above.
Patient 1
What are the concerns of the patient remaining on the opioid medication and clonazepam?
How might you educate the patient about these risks and concerns?
The patient agrees that he should not continue both medications in combination. He would like to “get off” the clonazepam but worries about “bad withdrawals” that he’s heard about from stopping clonazepam “cold turkey” and is concerned about re-occurring panic attacks. How might you respond to the following:
How would you instruct the patient to taper off clonazepam?
What other medication would you recommend for the patient for the treatment of his panic attacks? Keep in mind, he will continue the opioid medication for pain relief.
How would you start the new recommended psychotropic medication for the patient?
Discuss one legal, ethical, or social consideration with the treatment plan.
Patient 2
The patient reports withdrawal symptoms when previously tapering off the alprazolam. What symptoms are common withdrawal symptoms from this medication?
Provide the patient education of withdrawal symptoms that range from common and less serious to withdrawal symptoms that are a cause for concern and that should prompt patient should seek medical attention.
Given the patient’s history of having withdrawal effects from attempting to taper off alprazolam, what longer-acting benzodiazepine would you choose to convert the patient to?
What is the dose you would prescribe and how would you taper off the medication?
Patient 3
Review the potential risks, benefits, and side effects of continuing lorazepam throughout the pregnancy and postpartum for both the patient and fetus.
Review other alternative medications to treat generalized anxiety disorder. Include risks, benefits, and potential side effects to both the patient and the developing fetus. Keep in mind, the patient is looking to breast feed for 6 months postpartum.
The patient agrees that it would be safest for her pregnancy and fetus to discontinue the lorazepam. How would you recommend she discontinue lorazepam? Provide education on potential side effects from tapering off the medication, including common side effects to more serious side effects and when to seek medical attention.
The patient would like to forgo medications at this time, given she is early in her pregnancy and is concerned about “damage” to the fetus if she were to continue medications. Provide education to the patient about the risks of untreated anxiety symptoms during pregnancy for both the patient and the fetus.
Patient 4
Review potential side effects for elderly on benzodiazepines providing education to both the patient and the patient’s daughter. What are the risks of continuing the benzodiazepine for this patient?
How would you evaluate the patient for these side effects?
The patient and daughter agree he will need to taper off the clonazepam given the risks of continuing this medication. How would you recommend tapering off this medication?
Review with the patient and daughter potential side effects of tapering off the medication. Review with them common side effects to more serious side effects and when to seek medical attention.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.
use the following patient examples to write a 5- to 6-page paper on considerations you have for how you might de-prescribe.
**Title: De-Prescribing Strategies: Safely Tapering Medications and Transitioning to Alternatives**
**Introduction:**
De-prescribing, the process of discontinuing medications or reducing their doses, is crucial in optimizing patient care, especially when considering factors such as medication efficacy, safety, and patient preferences. This paper explores de-prescribing strategies through the lens of four patient scenarios, addressing concerns, providing education, and recommending tapering or transitioning strategies.
**Patient 1:**
**Concerns and Education:**
Remaining on opioid medication and clonazepam poses risks of addiction, tolerance, respiratory depression, and cognitive impairment. Educating the patient about these risks involves discussing potential adverse effects, dependency issues, and the need for alternative pain management and anxiety treatments.
**Tapering Clonazepam:**
To mitigate withdrawal effects, gradual tapering is recommended over several weeks to months, depending on the dosage and duration of use. Reducing the dose by 25% every 1-2 weeks is a common tapering strategy, with close monitoring for withdrawal symptoms.
**Alternative Medication:**
Considering the patient’s pain management needs, recommending non-opioid analgesics, physical therapy, and psychological interventions is advisable. Selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs) can be effective for panic attacks.
**Legal/Ethical/Social Consideration:**
Considering opioid epidemic concerns, ensuring adherence to prescribing guidelines, monitoring for misuse, and addressing stigma associated with pain management and addiction are vital.
**Patient 2:**
**Withdrawal Symptoms and Education:**
Common withdrawal symptoms from alprazolam include rebound anxiety, insomnia, tremors, and seizures. Educating the patient about these symptoms and emphasizing the need for gradual tapering can alleviate concerns.
**Transition to Longer-Acting Benzodiazepine:**
Switching to a longer-acting benzodiazepine like diazepam can facilitate tapering due to its extended half-life. Starting at an equivalent dose of diazepam and gradually reducing by 10-25% every 1-2 weeks is a typical tapering regimen.
**Patient 3:**
**Continuing Lorazepam:**
Continuing lorazepam during pregnancy poses risks of fetal malformations, neonatal withdrawal, and long-term neurodevelopmental effects. Exploring safer alternatives like SSRIs, cognitive-behavioral therapy, or buspirone is essential.
**Tapering Lorazepam:**
Gradual tapering of lorazepam is recommended to minimize withdrawal symptoms. Providing education about potential side effects and ensuring close monitoring throughout the tapering process is crucial.
**Risks of Untreated Anxiety:**
Untreated anxiety during pregnancy can lead to adverse maternal and fetal outcomes, including preterm birth, low birth weight, and postpartum depression. Educating the patient about the importance of managing anxiety symptoms while considering the risks and benefits of treatment options is essential.
**Patient 4:**
**Side Effects of Benzodiazepines:**
Elderly patients are at increased risk of benzodiazepine-related side effects, including cognitive impairment, falls, and fractures. Educating both the patient and the daughter about these risks is imperative.
**Tapering Clonazepam:**
Gradual tapering of clonazepam is necessary to minimize withdrawal symptoms and rebound anxiety. Collaborating with the patient and daughter to develop a tapering schedule and providing support throughout the process is essential.
**Conclusion:**
De-prescribing requires a tailored approach that considers patient-specific factors, including medical history, preferences, and potential risks. By addressing concerns, providing education, and implementing gradual tapering or transitioning strategies, healthcare providers can optimize patient outcomes and promote safe medication management.
**References:**
[Provide citations for the evidence-based literature resources used in the paper following APA style guidelines.]
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