Posted: March 12th, 2023
Clinical Case: Coaching and Teaching
Use
APA Editorial Format for all citations and references.
- List the goal for this teaching/coaching plan
- Describe three teaching resources
- Identify the teaching strategies that can be used
- List the specific instructions that may be needed regarding her medication and what adverse reactions to be aware of/and what to do
- Identify two factors that may negatively influence adherence to the medication and how they can be overcome
- Describe how to include the family
- Provide information on how and when she should seek support and help
12/29/22, 10:46 PM
Case Summary
https://www.polypharmacy.scot.nhs.uk/for-healthcare-professionals/case-studies/case-1-frailty-without-overt-multimorbidity/case-summary/ 1/2
Case Summary
Patient Details
69 year old man
Current medical history
Fracture neck of femur 2 years ago
Dementia – mixed Alzheimer’s disease / alcohol abuse
Ex-Smoker
Frequent Falls
Results
BP 120/84 mmHg
eGFR > 60ml/min
FBC and U+E normal
MMSE score 14
Current Medication [stable since admission]
Trazodone 150 mg at night
Thiamine 50 mg three times daily
Bendro�umethiazide 2.5 mg once daily
Tramadol 50 mg four times daily
Cetirizine 10 mg once daily
Amisulpride 100 mg twice daily
Diprobase cream (as required)
Fucibet cream topically twice daily
Current Function
69 year old man who has been a care home resident for 2 years. Long term heavy alcohol use in
the past. Developed dementia exacerbated by alcohol related brain damage. Fell at home
leading to fractured hip. Very confused and distressed post-surgery. When settled, unable to
manage at home post-fracture and transferred to care home. Lacked capacity at time of
admission, however with additional support this has improved.
Assistance of two carers required for transfer to chair. Patient falls frequently as he attempts to
mobilise unaided. Conversation is confused and occasional verbal aggression, patient also has
poor short term memory. Prompting is required to ensure that he eats and drinks. Spends most of
12/29/22, 10:46 PM Case Summary
https://www.polypharmacy.scot.nhs.uk/for-healthcare-professionals/case-studies/case-1-frailty-without-overt-multimorbidity/case-summary/ 2/2
the day sleeping in his chair. Sleeps well at night. Over the last 12 months has developed ankle
swelling and shortness of breath.
Most Recent Consultations
Communication is sometimes di�cult due to cognitive impairment. He has had three consultations
in the last 6 months. One was for a chest infection for which he was prescribed an antibiotic. A
second consultation for review following a fall, only minor bruising was noted on examination. The
most recent consultation was regarding concern over leg oedema. There is minimal contact with
the family.
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