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Scenario: A 46-year-old white male comes in for evaluation of his migraine headache management. His medical history is inclusive for hypertension and a myocardial infarction at the age of 39. He was diagnosed with migraine headaches three years ago. Current medications include Losartan 50 mg a day, verapamil SR 100 mg at bedtime, Carvedilol 25 mg a day, Lipitor 40 mg a day, Topamax 50mg a day He has been admitted to the hospital for migraine management 3 times over the last 6 months. Inpatient admissions have ranged anywhere from 3 to 6 days. Management strategies utilized during the hospitalization include IV corticosteroids, IV Dilaudid and IV magnesium sulfate. BP 132/84, P 82, R 15 Skin: pink, warm, dry Neuro: alert and oriented, CNs II – XII intact Cardio: radial and pedal pulses 2+, heart regular rate and rhythm without murmur or gallop Lungs: clear to auscultation Abdomen: large, non-distended, active bowel sounds all quadrants, non-tender to palpation Please develop a discussion that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion. Initial post Utilize the information provided in the scenario to create your discussion post​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​. Construct your response as an abbreviated SOAP note (Subjective Objective Assessment Plan). Structure your ‘P’ in the following format: [NOTE: if any of the 3 categories is not applicable to your plan please use the ‘heading’ and after the ‘:’ input N/A] Therapeutics: pharmacologic interventions, if any – new or revisions to existing; include considerations for OTC agents (pharmacologic and non-pharmacologic/alternative); [optional – any other therapies in lieu of pharmacologic intervention] Educational: health information clients need to address their presenting problem(s); health information in support of any of the ‘therapeutics’ identified above; information about follow-up care where appropriate; provision of anticipatory guidance and counseling during the context of the office visit Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’ with the patient/patient’s care giver; if appropriate -placing the patient in a Transitional Care Model for appropriate pharmacologic and non-pharmacologic care; if appropriate – consult with or referral to another provider while the patient is still in the office; Identification of any future referral you would consider making Support the interventions outlined in your ‘P’ with scholarly resources. Please be sure to validate your opinions and ideas with citati​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​ons and references in APA format.

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