For your case study essay on Mr. T, who suffers from migraines and is
considering botulinum toxin injections as an alternative to painkillers.
Case study. 2500 word count. Reflective, Analytical and argumentative. Looking at different treatment options and solutions for this patient. Why the chosen treatment is best. Covering good consultation skills and
ups. Harvard referencing. British style writing. Using NMC code of conduct guidelines, NICE guidelines BNF guidelines on medications listed in this essay and articles and books to back up evidence. This Case study is on a male (Mr T) who suffers with migraines and no longer wants to take pain killers and interested in having botulinum toxin injections. The layout of the should be: Introduction, Background, Evidenced Based and Clinical Justification and Conclusion. Please use more British journals, books, NMC guidelines, the royal pharmaceutical society, BNF nice guidelines for looking at the different medicines and their dosage, side effects, contraindications and so on.
INTRODUCTION: (definition of what independent prescribing is, consultation model used – I would like to use Calgary – Cambridge model, diagnosis arrived at, ethical, legal and professional issues considered, how identity and confidentiality of the patient is maintained throughout the case study. A statement that the writer is merely writing this case study from a perspective of the prescriber only. As the writer is not qualified prescriber yet, so sticking with guidelines and maintaining safety.
BACKGROUND: Who is the patient: Mr T. Presenting Condition: Migraines or lingering headaches for the last 6-12 months. Getting worse in the last 3 months. Past medical history: none. Social History: works a lot in front of the computer, sleeps late and wears glasses, grinds teeth at night due to work stress. Does not have much of a social life. Eats healthy and works out regular. Medication: takes paracetamol and ibuprofen regular in the last year. No other medication. Takes protein shakes regular does not take any other vitamins. No allergies. Had his last eye test two years ago, due for a check up. Asked the patient if he has increased or reduced screen time in the last three months, patient said that he has increased in the last year due to running his own business and also working in stocks, dealing with a lot of overseas companies. He also thinks it could be due to screen time and stress. Sleeps les than 8 hours a day, finds it hard to fall asleep. Does not smoke out drink much alcohol. Doesn’t eat much sugar in diet. BMI normal.- Treatment: Routine checks like blood tests to check vitamin deficiencies, blood pressure and stats normal. Book an eye test at local opticians to check if the current glasses he is wearing is not suitable and may be one of the reasons for his ongoing headaches. Botulinum toxin injections to reduce discomfort of migraines and possible inject in the master muscle to reduce the need for clenching as this could be causing the headaches.
EVIDENCE BASED CLINICAL JUSTIFICATION: clinically analyse the prescribing intervention based on clinical evidence, treatment options considered and justification for the product prescribed. Consider any professional and ethical responsibilities as a prescriber and when prescribing the drug and the consultation model chosen. Consider any clinical governance relevant to this case study. Consider any prescribing questions for this condition, review the literature and consider concordance, what is it? Why is it important? How to maximise? What you did and did it work? Include your professional responsibilities in with your professional code of conduct from the NMC and independent prescribers code of conduct (the royal pharmaceutical society)
CONCLUSION: how you have used the evidence and the guidelines to ensure meeting the professional standard, patients safeguard. How will you continue to develop using opportunities for supervision, updates, monitoring, including audit, evaluations of patients etc