Question

Read the following case study: You are a newly hired NP in a family practice setting....

Read the following case study:

You are a newly hired NP in a family practice setting. Dr. Rogers is an older physician who has been in private practice for 30 years. It is his business. He does not work on Fridays. You see a patient today for URI symptoms. On exam, you notice that the symptom that is bothering the patient the most is the runny nose. His vital signs are all within normal limits, and his exam only shows a very runny nose. The patient also has a diagnosis of hypertension, which is well controlled with low dose HCTZ. Your assessment is viral URI, and you prescribe OTC Sudafed and arrange for a follow-up appointment if symptoms persist. On Monday, Dr. Rogers calls you into office and says, “You shouldn't have given that patient Sudafed. He has high blood pressure.” He complains, “I had to call him and tell him not to take the Sudafed".

Write a response to the following discussion questions based on the case study in the discussion forum:

  • How does this case study highlight the nature of the conflict?
  • How does poor communication set up the situation that contributed to the conflict?
  • What skills are needed to resolve the conflict successfully?

Note. Initial answers to the discussion question must be substantive and in the range of 250–400 words. Any references used should be properly cited following APA formatting guidelines.

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Answer #1
  • The nature of the conflict in this case study is elevation in the blood pressure after taking sudafed (pseudoephedrine) which was under control with hydrochlorthiazide.
  • sudafed (pseudoephedrine) is an alpha and beta adrenergic agonist that means it stimulates the alpha and beta adrenergic receptors causing vasoconstriction, increased heart rate and bronchial relaxation.
  • As there is no communication between the physician and nurse for 3 days and lack of understanding of the adverse affects of commonly prescribed medications led to the conflict in this case.
  • The conflict in this case study can be resolved by reassuring the patient and teaching the nurses in the clinic by educating the common drug adverse effects.
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