1. Pathophysiology of current condition/s, including assessment of pharmacology and pharmacokinetics 2. Consider the patient/collect cues- what information do you have? PATIENT 1: Name: Mrs Wilma...

1. Pathophysiology of current condition/s, including assessment of pharmacology and pharmacokinetics 2. Consider the patient/collect cues- what information do you have? PATIENT 1: Name: Mrs Wilma Weston Age: 74 Medical History- • Renal Failure • Type II Diabetes Mellitus • Hypertension • Impaired vision • Currently on overnight peritoneal dialysis Social History – • Married with 4 adult children and 6 grandchildren, lives with Husband at home, both retired. • Active in local community and community projects. Active in local catholic church community • Wishes to continue to manage PD at home for as long as possible Current medication Calcium carbonate 1500mg mane • Ramipril 10mg mane • Omeprazole 20mg mane • Captopril 12.5 mg TDS • Calcitriol 0.025mcg BD • Metformin 1gm BD • Erythropoietin 60 units per week Current Issue – • Reddened area around catheter site, care review PATIENT 2 Mrs Rebecca Smyth Age 44 Medical History Relapsing – Remitting Multiple Sclerosis (RRMS) following her diagnosis three years ago. Current medical history: • Symptoms of spinal syndrome characterised by paraesthesia, pain, muscle spasms and spasticity. • Muscle weakness and stiffness in her limbs • Increasingly experiencing pain and fatigue • Sense of hopelessness. • Impaired vision which makes reading more difficult • Diplopia which affects her balance. • Slurred speech Social History – Rebecca lives with her husband Jim in their three bedroom home. They have no children. Jim runs the family plumbing business from home but is often out on the road. Rebecca left her position as a customer relations officer at the Westpac bank and is trying to maintain the books for Jim’s business. House has overgrown front yard and 3 broken steps to the front door. Current medication • Baclofen 5 mg tds • Diazepam 5 mg nocte • Trial of Gabapentin 300 mg mane Current Issue – Pain management and increase in symptomology