The financial impact of pharmacological interventions can be extremely costly. Even when assistance is available, basic needs tend to take precedence over affording medications when there is an out-of-pocket expense. Chronic diseases such as asthma tend to have a higher cost-sharing copayment tend to delay initiating therapy due to financial constraints (Woo & Wynne, 2012). In the case listed below there are many factors that would need to be addressed in addition to financial concerns, including knowledge deficit, perception, complexity of the drug regimen, adherence, cultural implications, and the caregiver’s role. However, this paper will focus on the financial aspect.
Case Study Scenario
A mother brings her 8-year-old child to the clinic, …show more content…
Secondly, have the patient and mother record medication usage and symptoms, so in future clinic visits the need to increase therapy can be determined. Devise an asthma action plan that is acceptable to both the parent and child (Woo & Wynne, 2012). Establish a return clinic visit in two weeks or sooner if symptoms are not well controlled.
Prescriptive Drug Therapies
Prescriptive drug therapies would include:
• A Short-Acting Beta2 Agonist (SABA) for rescue (Woo & Wynne, 2012) such as: ProAir HFA inhaler 2 to 6 puffs up to two treatments 20 minutes apart as needed for wheezing, may use generic form. Dispense: 1 inhaler may refill x 2 Bethany Kirton …show more content…
This would be a cost effective mechanism to get the child’s asthma under control and prove the need for treatment. Prescription for a 40 kg 8 year old would be:
Prednisone 10 mg tablets. 30 mg BID for 10 days, may use generic form. Dispense: 60 tablets. With no refills
Bethany Kirton NPI#_________
Cost of prescription- $11.95 at Walmart (GoodRX website, 2015)
If this child should escalate in the stepwise approach and need an inhaled corticosteroid, Arnuity Ellipta might be an option. The pharmaceutical company is offering a years worth of Arnuity Ellipta free at this time (Arnuity Ellipta, 2015).
Non-Prescriptive Therapies
Non-prescriptive therapies would include:
• Allergy testing should be considered for this individual.
• Reduction on the exposure to smoking.
• Reducing dust mites by wrapping her mattress and box spring in vinyl.
• Reduction in the exposure to cockroaches by keeping the environment
Case Study Scenario
A mother brings her 8-year-old child to the clinic, …show more content…
Secondly, have the patient and mother record medication usage and symptoms, so in future clinic visits the need to increase therapy can be determined. Devise an asthma action plan that is acceptable to both the parent and child (Woo & Wynne, 2012). Establish a return clinic visit in two weeks or sooner if symptoms are not well controlled.
Prescriptive Drug Therapies
Prescriptive drug therapies would include:
• A Short-Acting Beta2 Agonist (SABA) for rescue (Woo & Wynne, 2012) such as: ProAir HFA inhaler 2 to 6 puffs up to two treatments 20 minutes apart as needed for wheezing, may use generic form. Dispense: 1 inhaler may refill x 2 Bethany Kirton …show more content…
This would be a cost effective mechanism to get the child’s asthma under control and prove the need for treatment. Prescription for a 40 kg 8 year old would be:
Prednisone 10 mg tablets. 30 mg BID for 10 days, may use generic form. Dispense: 60 tablets. With no refills
Bethany Kirton NPI#_________
Cost of prescription- $11.95 at Walmart (GoodRX website, 2015)
If this child should escalate in the stepwise approach and need an inhaled corticosteroid, Arnuity Ellipta might be an option. The pharmaceutical company is offering a years worth of Arnuity Ellipta free at this time (Arnuity Ellipta, 2015).
Non-Prescriptive Therapies
Non-prescriptive therapies would include:
• Allergy testing should be considered for this individual.
• Reduction on the exposure to smoking.
• Reducing dust mites by wrapping her mattress and box spring in vinyl.
• Reduction in the exposure to cockroaches by keeping the environment