Mr. Michael Davis is a 41-year-old male who presents to the clinic for evaluation of severe headaches. Mr. Davis appears distressed and exhausted and he is pacing in the exam room and occasionally rubbing his right temple. He reports “I’ve been having these horrible headaches on and off for the past few weeks. The come out of nowhere and feel like someone is stabbing me in the eye.”
Mr. Davis describes a two-week history of severe headaches occurring one to two times daily lasting for about 45 minutes to an hour each time. The headaches started up abruptly after a two-year headache-free period. He describes them as strictly unilateral, centering around his right eye and temple with excruciating, sharp, burning pain. They are severe and he rates them at 10 out of 10 pain. He also experiences some redness of the
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eye, watering of the eye and runny nose when the symptoms occur. Nothing seems to help when the headaches come on, though he’s tried Tylenol and ibuprofen. He has no other past medical history.
Instructions:
For each scenario, please provide the following:
- Identify the type of headache
- Write your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).
- Provide a rationale for your treatment plan.
- Describe the patient education you would provide in relation to your treatment plan.
- Support your plan and education for each scenario with a minimum of two scholarly references.
RELATED: Mr. James Thompson is a 46-year-old male who presents for evaluation of headaches. He reports “I’ve been having chronic difficulty with headache, and they seem to be getting worse.”
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