Mrs Rachel A. is a 73-year-old retired hairdresser with a past history of bipolar disorder and osteoarthritis. Because of her history, Rachel is required to take Panadol Osteo (paracetamol), Lithicarb (lithium), Epilim (valproate), and Kalma (alprazolam). Rachel presents to her psychiatrist for a routine six-month review and complains about worsening of her hand tremor, tiredness, and weight gain.
Discuss three (3) physical health implications of using lithium, sodium valproate, and alprazolam in older people with a focus on Rachel. Once you have discussed physical health implications, analyse Rachel’s presenting signs and symptoms in relation to the medications she is on, and discuss the results of your analysis with Rachel.
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