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CB is a 76-year-old female with a history of chronic renal disease, HTN, and peptic ulcer disease due to NSAID use. She complains of pain in both her knees in which the right is worse than the left that started five years ago. The pain is worse when walking or climbing stairs, and she describes the pain as stiff and achy. She rates her pain a 5/10 with NSAID use, and 7/10without NSAID use. The patient at first took Ibuprofen for pain relief but had to discontinue it due to bleeding and is now taking Acetaminophen. She denies falls and trauma to her knees. Patient also complains of stiffness on her knuckles bilaterally. On exam she is bow-legged and obese.
THE SETTING I see patient is a family practice
Address the following questions: Consider how the setting in which you see clients may impact your recommendations for medications, treatments, or follow-up care. How would your recommendations have changed for this client if she was underinsured? What about if the encounter had occurred at a mobile clinic for unhoused clients? Include the following components:
answer all questions in the reflection prompt
demonstrate clinical judgment appropriate to the virtual patient scenario
cite at least one relevant scholarly source as defined by program expectations
communicate with minimal errors in English grammar, spelling, syntax, and punctuation
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