CASE 5 ? Mr. B
Mr. B, 74 years of age, complains with increasing frequency of pain. His physician is puzzled by the complaints because the methadone he has prescribed should be controlling the pain. She has already increased the dosage a couple of times and is reluctant to do so again. She finally asked a family member to bring all of Mr. B’s medications to check for a problem in interaction or perhaps the wrong medication. Examination of the methadone tablets reveals that someone has switched most of the methadone with over-the-counter potassium tablets, which are nearly the same size and color. His failing eyesight prevents him from being able to tell the difference in the very similar tablets. Questioning revealed that Mr. B’s niece, a former drug addict, has been living with him in exchange for his care, and she prepares his medications each day. The family has suspected that she is using drugs again, but was reluctant to probe too deeply because there is no one else to care for Mr. B.
Intervention: Recommend an intervention using a theoretical framework
? Which Social Theory of Aging can be applied?
Note: Refer to the following chapters from your textbook reading assignments:
o McInnis-Dittrich, Chapter 3
o Bengston, Chapter 1, 7, 8, 15, 19
? What are the identified intervention goals for the client?
? What are the outcome measures?
? What would need to be re-assessed and within what time frame?
