Pharmacological Intervention Assignment : Patient X

Teaching-learning session is almost the same to the nursing process that is used in clinical settings (Habel,2006). In the learning process, the initial step is assessment of the learners understanding towards their health condition, which is then followed by the questions what do they need to learn and what will be the appropriate approach to teach them (Habel, 2006).

The patient had a sudden onset of lower left quadrant pain and was diagnosed with

If the patient may become upset or nurse must ask intimate questions, I find an empty room, wait until the patient’s roommate has left for a while, or use an empty treatment room or office. For instance, one-to-one instruction method is one of teaching method that I can use in my teaching because it can be tailored to patient learning needs and focused on a patient's specific self-management plan. For example, patient learns how to inject insulin effectively through one-to-one instruction. It also provides an opportunity for both the nurse and the patient to communicate knowledge, idea, and feelings primarily through oral exchange, although nonverbal messages can be conveyed as well.

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.

5. Predict: How often do you think the patient should take a pill? Every 2 to 4 hours

1. There are a number of types of materials and equipment needed for the administration of medication via the different routes. They all serve a type and purpose these include:

Medication assistant treatment also known as (MAT) is when a person has presented with an opioid addiction and have challenges stopping and/or abstaining from opioid use and they are prescribed either Methadone, Suboxone, or Vivitrol. Those who are in support for MAT is that this a better alternative to having individuals addicted to illicit substances. The other side to MAT is that this is way to keep individuals addicted to drugs, legally. I do not support MAT treatment as a form of long term treatment and not as the solution for opioid addiction. Serving as an Addiction Counselor and working with individuals who are addicted to opioids, I encounter many individuals who are or at one point utilized

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

I returned to the Emergency Department on Friday October 9, 2015, here they admitted me into the hospital where I was the General200 floor. During my admission I endured a series of test that for the most part weren’t too bad. First I has a sonogram of my kidneys and ovaries done to check for enlarged kidney or kidney stones. They checked for endometriosis or cysts on my ovaries. Both came back negative. The next little idiosyncrasy lurking amongst my body was a major case of case of constipation. It seems that many of the pain medications had added to this problem. The answer to this problem was a big ole gallon of GO-LIGHTLY that I was to drink. Trust me, the name is a farce. It’s the same liquid used when preparing a person for a colonoscopy. A person does not “go lightly”. Once this task was achieved, an endoscopy was performed. An endoscopy is when a special instrument is inserted thru your mouth, and in my case, down to my stomach and a small piece of stomach tissue was

i) Provide a short session plan related to your specialist area of teaching. Include as a minimum: group profile; anticipated learning outcomes; anticipated learning difficulties; staged procedure with timings; one copy of any materials used.

According to the systematic review covered by Apfel, Turan, Souza, Pergolizzi & Hornuss, 2013 there is a significant reduction in postoperative nausea and vomiting and opioid use when using intravenous acetaminophen. The reviewers used Medline and Cochrane databases to conduct their search along with a hand search of abstracts to identify randomized-controlled trials using intravenous acetaminophen. The review was to determine if the acetaminophen was going to have a significant decline in nausea and vomiting following surgical procedures as

Plan: The primary goal for the nurse is to ensure Caroline is discharged able to administer and monitor her medications as well as recognise the indication, desired effect and potential side effects and adverse reactions for each drug. The nurse must apply health literacy principles, consider verbal and non-verbal communication techniques as well as apply adult learning principles to achieve this goal.

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

A systematic review undertaken by Smetana (2009) identifies postoperative respiratory failure as an example of cascade iatrogenesis i.e. serial development of multiple medical complications that can be set in motion by a seemingly innocuous first event. In this case, Mrs Hilton’s open cholecystectomy is that first event. Smetana (2009) points out that: when an older patient with postoperative pain is over-sedated, a decline in respiratory function occurs, that if not recognized, can result in respiratory failure that requires mechanical ventilation, that again, if not managed properly can culminate in ventilator-associated pneumonia and even sepsis and death (p.1529). After her upper abdominal surgery Mrs Hilton may have difficulty with deep breathing and coughing due to pain however both are essential interventions for prevention and treatment of respiratory infections and complications. Brown et al. (2008) recommend that when Mrs Hilton is awake, turning, coughing and deep breathing should be encouraged every one to two hours as this aids in the removal of secretions and prevents mucous plugs. They also encourage mobility when possible to increase respiratory excursion. Moreover, as Mrs Hilton

According to Bastable and Doody (2007) an objective is a specific, single one-dimensional behavior. Objectives are used to form a map to provide directions on how to achieve a particular goal. In this lesson the students will have two goals. The first is for the student nurses to be able to identify all the supplies necessary to change a sterile dressing and to be able to correctly assess when a dressing needs changed or reinforced. The lesson plan will contain the following objectives: