What would your treatment plan be for this patient? How will you decide which antibiotic to prescribe and how long she will need to take it? What non pharmacological treatments can you offer her to help her feel better?

CASE STUDY

In the subject line of your posts,  identify which prompt you are responding to, for example, prompt #2.

Nancy is an 18-year-old female who is sexually active with multiple partners. She presents to the clinic with painful blister-like sores on the vagina, pain when having sex, and a foul-smelling vaginal discharge for the past two weeks. She is diagnosed with genital herpes and chlamydial infection. Describe your treatment plan for Nancy and for her multiple sexual partners. How should you assist Nancy in getting her sexual partners to come for treatment? What are your obligations to report sexually transmitted diseases?

Nolan is a 55-year-old male with a 5-day history of nasal congestion, rhinorrhea, malaise, and irritated sore throat. His nasal discharge has gone from clear to yellow in color. He took OTC acetaminophen at onset of symptoms with minimal relief. He has no health history and his examination in your office today is unremarkable. He has already missed 2 days of work and insists he needs an antibiotic. He adds that he “always gets an antibiotic” when he sees the other clinician in your clinic. When looking at his chart, you confirm this to be true. You have diagnosed Nolan with a viral URI. What medication treatment plan do you recommend, if any? Discuss your patient education and outcome evaluation for this patient. What does the literature say about the over prescribing of antibiotics?

Jessica is a 35-year-old female who presents to the clinic with a 2-day history of fever , purulent nasal discharge, and erythema/warmth/tenderness to palpation to her left maxillary sinus area. She also states that her “teeth ache” on the left side and that her face hurts worse when she bends down to tie her shoes. She had started with a mild cold a couple of weeks ago and thought she was getting better but then 2 days ago she started feeling much worse. You diagnose Jessica with bacterial sinusitis. She states that she has always gotten a Z-pack prescription for her sinusitis in the past. What would your treatment plan be for this patient? How will you decide which   antibiotic to prescribe and how long she will need to take it? What non pharmacological treatments can you offer her to help her feel better?

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.