09-03-2008, 07:54 PM
A 65-year-old Hispanic woman has been treated successfully for diabetes over the past 5 years by a combination of dietary management and prescription medication. Today, at a routine monitoring visit, the examination finds nothing out of the ordinary and you tell the patient œeverything looks good. œI was wondering what you would say, the patient replies with a smile, œbecause I have not taken the medication you prescribed for the past month, and I feel fine. She says that she is still watching her diet, but in place of the prescribed medication, she is taking an herbal remedy suggested by a local bruja. At this point, which of the following is the best response?
A. œTell me more about why you decided to make this change.
B. œWell, what you™re doing seems to be working. Let™s monitor you carefully and have you back in here for a checkup in 2 weeks.
C. œWhat exactly is the herbal remedy you are taking?
D. œYou are taking a big risk and I recommend that you go back to taking your medication at once.
E. œYou have been lucky this month, but it is important for you to take your medication as I prescribed it to maintain your health over the long term.
A. œTell me more about why you decided to make this change.
B. œWell, what you™re doing seems to be working. Let™s monitor you carefully and have you back in here for a checkup in 2 weeks.
C. œWhat exactly is the herbal remedy you are taking?
D. œYou are taking a big risk and I recommend that you go back to taking your medication at once.
E. œYou have been lucky this month, but it is important for you to take your medication as I prescribed it to maintain your health over the long term.