Personal Experience: Completing the Medication Management

ANS: The nurse instructs the Diabetic patient on the importance and technique on giving themselves an insulin injection.

A teaching plan is one of the most important steps in nursing process. It is a vital tool used to achieve the best quality of patient care. A nurse should teach the patient what they need to know about their disease or disorder, diet, treatment, medication regimens, and self-care (Taylor, LeMone, Lillis, & Lynn, 2008). In this paper, I will explain teaching plan for diabetes patient with regular insulin injection including with the purpose of plan, outcomes, behavioral objectives, and teaching method.

The intended use of medications is meant to improve a person’ health, it is very important the individual administering medication or self-medicating use the drugs correctly, by following the doctors’ instruction for the medication prescribed. Medication is given to diagnose, treat, and prevent illness. Medication can be very dangerous, which can potentially cause harm or even deaf if it’s not used properly.

The item is unlawful medications. The individuals who bargain these medications are Culprits. That is the thing that makes the medication business diverse then whatever other. Alcohol is a medication, yet grown-ups are permitted to utilize liquor items. Nicotine is a medication, yet grown-ups are permitted to utilize a wide range of structures of tobacco items, all which have tobacco in them. The drug Caffeine can be found in numerous ordinary things, similar to pop confection bars. Consider what number of cops we would require if caffeine items were illicit.

This is a complex medication visit. This is a young woman who I have treated for (lipastimea) and depression last seen a year ago. She returns now complaining of increasing depression over the past several months culminating an emergency room visit.

Exploration of the concept of Medication Administration errors (MAEs) especially regarding Insulin and what contributes to New Grad Nurses (NGN’s) becoming second victims, and the impact of it on and its effects on their nursing. Nearly 1 in 3 hospitals that have patients with diabetes are affected by Medication Errors (National Diabetes Inpatient Audit, 2012). Controlling and managing glucose is essential as some health care professionals often overlook proper handling of this and most common error that occurs is over dosing, under dosing or complete omission of insulin administration (CITE), overlooking this can have a serious impact on the patient well-being and also on the health care team. In the case of MAEs, there are three (3) types of victims involved; firstly is the patient and their family, next would be the nurse or health care professional, lastly it would be the involved health care organization which is involved. In regards with the topic NGN’s are considered second victims in these cases, second victims is defined as a “health care provider involved in an anticipated and/or adverse event in which there has been a medical error, and/or a patient related incident or injury who has become victimized in a sense of that the provider is traumatized by the said event” (Dekker, 2013).

This article will look at two articles and focus on aspects of safety medication administration in nursing practice by the staff nurses. This is interesting area because the previous report on the medication administration error in the UK shows that approximately 5.6% of doses administered to adult hospital patients and it has been estimated that 0.6-1.2% of medication administration errors may lead to severe harm even death (Mcleod et al, 2013). Leape et al (1995) indicated that nurses were responsible for 86% of all medication error interception, regardless of the original errors. The nurses play the important role in identifying the causes of medication errors and preventing medication administration errors in nursing practice in order to provide safe care toward the service users (Henneman et al, 2010). The Medicines and Healthcare Products Regulatory Agency (MHRA 2004) documented that the health professionals need to effectively and safely use medicines to ensure patients get the maximum benefit from the medicine; meanwhile minimizing the potential harm. This article will be critiqued on the different types of evidence which explored safety medication administration in the nursing practice toward service user. Using evidence is important in nursing practice because it can help nurses in addressing questions related to best possible care and improve patients’ outcome. It is embedded within the code the nurses are expected to use best possible evidence in the nursing

The following assignment will discuss and analyse a prescribing episode, within practice, furthermore will outline safe prescribing from the Nurse Prescribing Formulary (NPF, 2013-2015).To be able to analyse and reflect on my new role as Community Practitioner Nurse Prescriber (CPNP) I will use Gibbs (1988) reflective model and a structure that will allow the use of a consultation model (Appendix1,Fig1).

Chad is engaging in substance abuse treatment. As of 10/19/2016, Chad Sr started with Southern Illinois Associates LLC. Chad was complaint with treatment recommendations and seems to be making efforts towards recovery. Chad Sr has been receiving psychiatric services, medication management and group and individual therapy at Southern Illinois Associates LLC. Chad Sr has been working to address substance abuse issues as well as mental health issues. Chad Sr’s scheduled group sessions are held the 2nd and 4th Wednesday of every month at 1 pm and 4 pm.

I agree that medications should be used as a treatment intervention to treat substance-related disorders if it is supportive and helpful. Medication-Assisted Treatment (MAT) is used in combination with counseling and it is primarily used for clients who are dependent on alcohol and opiates (McNeece & DiNitto, 2012). McNeece and DiNitto (2012) notes that MAT reduces cravings and withdrawal symptoms by either imitating the actions of the brain’s chemicals (agonists), encourage negative feeling about the substance that is being abused (analogs), or blocks the effects that come with using a substance (antagonist); however, no medication promises a cure. For example, buprenorphine imitates the effects of opioid by restricting the effects, so it

Most of the patients were on insulin but different types and doses namely rapid-acting, short-acting, intermediate-acting, long-acting, and pre-mixed depending on the individual’s response to insulin (WebMD, 2014). The incident that helped me achieve my learning need was when a diabetic patient in his late thirties known as patient A, was admitted with a diabetic foot ulcer medically referred to as a neuropathic foot ulcer. Krentz and Bailey, 2001 in their research found that neuropathic foot ulcers generate when diabetes causes nerve damage in the feet and alters the ability for the feet to feel pain. This causes unnoticed ulcers on the affected feet which later develop into bigger ulcers. On the morning of my third day, after handovers, I went on drug rounds with my mentor and for patient A, I noticed that he had 6 different types of drugs for his diabetic condition. Most of the drugs that were administered to him were also given to other diabetes patients on the ward. I told my mentor what I had noticed and he confirmed that those 6 drugs were commonly used for diabetic patients. I listed down those drugs in a small pocket diary I always carried along on that ward. Later that day during lunch break, I sat with my mentor and discussed my learning needs with him making mention of this particular one and discussed measures that would help me achieve my objectives.

The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed.

In today’s current fast-paced and demanding field of heath care, medication administration has become complex and time-consuming task. Approximately one-third of the nurses’ time is used in medication administration. There is much potential for error because of the complexity of the medication administration process. Since nurses are the last ones to actually administer the medication to the patient therefore they become responsible for medication administration errors (MAE). Reasons for MAE may include individual factors, organizational factors or system factors. This paper will discuss the root causes analysis of MAE and strategies to prevent them.

The next time he decided that to administer insulin. Clinical assessors required to make professional judgements in interpreting what the minimum acceptable levels of competence are in respect to professional standards. These judgements are frequently made with in the role relationship of that of a mentor cum assessor to a student (Stuart 2005). As it is a skill involved, I found it was difficult for him to memorise all the step and rationales. I explained about my experience when I was a student nurse and concept of learning through practice. For students learning during clinical practice is a complex activity. The student has to contend and learn to deal with complex, unstable and uncertain worlds of practice (Schon 1987). With on going support I facilitated learning environment to practice the procedure under supervision

Mark has been in a jovial mood and has been engaging with staff, his anxiety level has very been very law and was not seen once Mark was not feeling well throughout this month. Mark spends time with staff when is in the service and therefore very body enjoys his accompany. The service provides emotional support and this reduces times he might spend in his flat alone and the feel of being isolated.