Mrs. Wideman, a 60-year-old African American female,

Mrs. Wideman, a 60-year-old African American female, presents with three months’ duration of interrupted sleep. She states that each night she finds herself repositioning herself and moving her legs constantly. She has tried rubbing her legs with horse liniment, drinking two glasses of wine before bed, and placing a bar of soap near the foot of the bed. She is so tired in the morning that she has increased her daily caffeine intake to now include three cups of regular coffee and large caffeinated sodas throughout the day. Nothing has worked thus far to stop this motion. She also reports that she recently was hospitalized because she needed a hysterectomy. She had excessive vaginal bleeding for about 2 weeks before the surgery. While she was discharged with a prescription for iron, she did not have it filled as she stated that she is always constipated and did not want to experience that feeling. When questioned about her diet, she states that she has been a vegan for 3 years because she is an animal activist and refuses now to eat meat, fish, or any animal products that she is aware of in her foods and beverages. Vital Signs: Temperature 98.6F, Pulse 92, Respirations 24, Blood Pressure 100/64 Describe how you would address the patient’s needs and what may be included in your patient-centered treatment plan. Note: What is in horse liniment? Will it help? Please include EBP, research studies, and/or reliable electronic sources to support your arguments.

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