Case Study One: Dismissing the non-compliant patient.

Discussion: Clinical Challenges for the NP

Case Study One: Dismissing the non-compliant patient.

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Gwen. a 52 year old Caucasian LPN. recently joined your practice as a new patient. She currently has a BMI of 32. B/P of 142/88. Pulse is 89. Respiratory
rate is 22. Pulse Ox is 96% on Room Air. She is taking Lisinopril 1omg po daily (when she can remember). Metformin 100omg po BID and refuses lab work.
Her physical exam is unremarkable and foot exam is normal. She refuses all vaccinations including Prevnar and Influenza. Gwen’s last mammogram and pap
smear were “years ago.”
ANSWER ALL THE FOLLOWING QUESTIONS IN SEPARATE PARAGRAPHS
1.Identify and briefly summarize the case study you selected
2.Explain any legal implications for standard of care related to the case study you selected
3.Identify and explain the key components of a malpractice policy related to the case study you selected
4-Explain the collaborative agreements and knowledge the rules for your state(GA) in regards to NP practice the case study you selected

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ANSWER 1) The case study is about a 52 year old Caucasian LPN named Gwen. She is a diabetic and hypertensive would is on oral medication of Lisinoprile 10 mg PO daily and Metformin 1 gm PO BID. Her vital signs upon examination is found to be B/P of 1…

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