Cultural consideration that may affect medication adherence for this patient.

A 23-year-old biracial (Black Asian) female arrives at the clinic for an evaluation. She has lost 30 pounds in 6 weeks without trying. She complains of feelings of guilt about her symptoms and everyday sadness that does not go away. She also states she is not able to stay asleep and has difficulty concentrating. Her family is Jamaican and has used herbal teas, not a psychiatrist in the past to treat these symptoms. Discuss how the principles of good prescribing should be applied to this case. Describe a cultural consideration that may affect medication adherence for this patient. Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Sample Solution

   

The principles of good prescribing should be applied to this case in the following ways:

  • Consider the patient's individual needs and circumstances. This includes taking into account the patient's age, race, ethnicity, gender, medical history, and social determinants of health. In this case, it is important to consider the patient's biracial identity and her family's history of using herbal teas to treat mental health symptoms.
  • Start with the lowest effective dose. This is especially important when prescribing for patients who are new to medication or who may be more sensitive to side effects. In this case, it may be appropriate to start with a low dose of an antidepressant and gradually increase the dose as needed.

Full Answer Section

     
  • Monitor the patient closely for side effects. This is especially important when starting a new medication or when changing the dose. In this case, it is important to monitor the patient for any side effects that may be culturally significant, such as weight gain or sexual dysfunction.
  • Educate the patient about the medication. This includes providing information about the medication's benefits, risks, and side effects. In this case, it is important to be aware of the patient's cultural beliefs about medication and to address any concerns she may have.
  • Involve the patient in decision-making. This means working with the patient to develop a treatment plan that meets her individual needs and preferences. In this case, it is important to be respectful of the patient's family's cultural beliefs about mental health treatment.

Cultural consideration that may affect medication adherence

One cultural consideration that may affect medication adherence for this patient is her family's history of using herbal teas to treat mental health symptoms. The patient may be more likely to adhere to medication if it is presented as a complementary or alternative therapy to herbal teas. For example, the provider could discuss how medication can work in conjunction with herbal teas to improve the patient's symptoms.

Additionally, the patient's family may be concerned about the side effects of medication. The provider can address these concerns by providing information about the benefits and risks of medication and by emphasizing the importance of monitoring for side effects.

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