Assignment
Case Study: Insomnia and Sleep Disorders
S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally "lived with it" and selftreated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensinconverting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.
Diagnosis: InsomnIa
o List specific goals of therapy for S.H.
o What drug therapy would you prescribe? Why?
o What are the parameters for monitoring the success of the therapy?
o Discuss specific patient education based on the prescribed therapy
o List one or two adverse reactions for the selected agent that would cause you to change therapy.
o What would be the choice for second-line therapy?
o What OTC and/or alternative medicines might be appropriate for this patient?
o What dietary and lifestyle changes might you recommend?
o Describe one or two drug-drug or drug-food interactions for the selected agent.
Format your assignment according to the following formatting requirements:
o The answer should be typed, using Times New Roman font (size 12), double spaced, with one-inch margins on all sides.
o The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.
o Also include a reference page. The Citations and references must follow APA format. The reference page is not included in the required page length.