Symptoms And Treatment Of Medication Regimen

This paper will demonstrate the author’s ability to prescribe safely from the Nurse Prescribing Formulary (NPF 2009-2011). A prescribing situation undertaken by myself while supervised by my mentor will be discussed. The patients name, address, date of birth and GP details have been changed to ensure patient confidentiality in accordance with the Nursing and Midwifery Council (NMC)(2004). The patient therefore will be referred to under the pseudonym Prince Charming.

As it is mentioned earlier, medication administration includes various steps and an interdisciplinary team. Undoubtedly, nurses play a vital role in the medication administration process. Since patient safety is the priority to all health care professionals, it is important for the nurses to effectively communicate and collaborate with an interdisciplinary team if he or she is unsure about any medication prescription to prevent any adverse events. In addition, patient education is another component of safe administration. A patient must be educated on medications they are taking, the reason for taking them, the dosage, a route, potential side effects, and interactions. Nurses should perform “six rights” of the medication each time. Before administering

drugs can be potentially dangerous for a patient, particularly if they are receiving medications from different clinicians who are not communicating with each

This journal talks about it takes failure to resolve medications across changes in care is an important cause of harm to patients. There is not a lot to known about medication discrepancies before patients are admitted to a skilled nursing facilities. To describe the prevalence of, type of medications involved in, and sources of medication discrepancies upon admission to the SNF setting. Cross-sectional study. Patients admitted to SNF for subacute care. Number of medication discrepancies upon admission to the SNF setting. Cross-sectional study. Patients admitted to SNF for subacute care. Number of medication discrepancies, defined as unexplained differences among documented medication regimens, including the hospital discharge summary, patient

At today’s visit she is accompanied by her husband and private aide. Her husband reports that she is doing much better. He states that her pain has improved and she has not taken her pain medication since last visit. He states that her anxiety had improved extremely with the recent change in her Xanax. He states that he has hired 24 help for the patient and since she has not fallen. She reports that she is feeling well. The caregiver reports that the patient continue to suffers from hypotension and hypertension with variation in blood pressure. The patient also continues to suffer from chronic tremors as a result of her Parkinson.

One of the most important steps in caring for hospitalized patients is medication administration. Patients come into the hospital to be treated so they will feel better, it does not matter what the physician does if the medications are not given to the patient they will not get better. According to McGonigle and Mastrian, the steps of administering medication have not changed in many years, they are “assessment of need, ordering, dispensing, administration, and evaluation” (McGonigle & Mastrian, 2012, p. 386). The purpose of this paper is explain the medication administration process that is used in my facility, to determine the technology used is effective.

“According to the Institute of Medicine’s Preventing Medication Errors report, the average hospitalized patient is subject to at least one medication error per day” (Barnsteiner, 2008, p. 2-459). A patient’s home medication regimen is frequently continued during hospitalization. It is often found that during the process of interviewing a patient to collect all relevant data associated with their medication history, over 60% of inpatients had at least one error on their prior to admission medication list (Salanitro et al., 2012). The many challenges and current inability to accurately identify medications taken at home can lead to potential adverse events. “An adverse drug event (ADE) is defined as harm experienced by a patient as a result

Mediation reconciliation is the process of gathering all the medications, including over the counter meds, herbal supplements, and multivitamins a patient is taking regarding their care. Within the parameters of mediation reconciliation, dosage, frequently, name,and route are the prime factors of developing a medication regimen. The goal of knowing all medications of a patient before continuing with care or being admitted to specialized settings like hospitals or clinics will avoid over-medicated adverse effects and possibly death. According to the article, Medication Reconciliation to Facilitate Transition of Care after Hospitalization states that, “ It is estimated that 20% of patients experience adverse effects during the two weeks after hospital discharge (2015). With that in mind, image ho many patients experience this disparity throughout their lives with the advised medications given at the hospital. The nurse, as well as the patient and their families should be encouraged to be more involved in their care to avoid inadvertent inconsistencies across the transition of care between admission, transfer, and discharge from and to specialized settings. Aside from preventing medication errors, we as nurses, can support the patient 's safety as the first line of defense in battles against unsanitary and explosive adverse effects that results from inadequate nursing skills.

Drug administration is a fundamental part of every day in nursing profession. No medication is completely safe and protected in this manner. Therefore, nurses need to have an intensive and broad knowledge of the medications and its method of organization in the compelling treatment of patients whose life lies in her grasp (Satoskar, Bhandarkar, 2005)

According to Kanneh, six “rights” of medication administration need to be implemented with every patient. Drugs are not always one hundred percent safe, but observing the six rights will make administration safer (Kanneh, 2011). These rights include the right person, drug, dosage, time, route, and documentation (Kanneh, 2011). It is more likely for an adverse reaction to occur if a drug is given to the wrong patient because of his or her own allergies and appropriate age of a child for a dose needs to be taken into consideration (Kanneh, 2011). A child’s age is important because metabolism of drugs is different for each year of childhood (Kanneh, 2011).

One of the most important factors before taking steps is ensuring that the patient is part of the process. One of the strategies that a health care provider can do is assess the therapeutic and overall care goals, which means reviewing medications. The therapeutic goals should fit into the overall care goal. The choice of drug, formulation, and dosage should reflect this goal (Oboh, 2013). The second strategy is about gathering information. This intervention shows the provider drugs that may not be taken as prescribed and possible reason for therapeutic failure. This is the time to check that each drug is still relevant to the patient’s condition. It is also important to ask about perceived and actual harm or benefit of the drug (Oboh, 2013). There are several tools that can be used to identify potential polypharmacy in older people. The two most commonly used tools in Canada are known as the Beers and STOPP criteria. Beers are a list of medications that are divided into three classes allowing providers to see medications to be avoided regardless of the disease, medications considered inappropriate when used in patients with certain diseases, and medications used with caution (Kwan & Farrell, 2014). STOPP on the other hand, are clinically significant criteria for inappropriate prescribing, grouped by physiological system including clinical context and stopping rules (Kwan & Farrell, 2014). According to Kwan & Farrell, “using these criteria does not replace the need for clinical judgments and understanding of a patients values and needs; sometimes potentially inappropriate medications (PIMs) might be appropriate if the benefit outweigh the benefits (2014)” The last strategy that can be use is discontinuing unnecessary drugs. The decision on which drugs should remain or be discontinued is based on the risk associated with discontinuing the drug, available guidance, and

Nurses, dieticians, pharmacists, occupation and physical therapist, are responsible for teaching Mr. P how to manage his condition at home. The pharmacist and nurse should explain his medications, the appropriate dosages and proper periods to take them. Furthermore, they should also explain the food restrictions that he has if he is on blood thinners and the potential side effects he may experience. Based on the past medications Mr. P was taking, medication reconciliation should be done, and Mr. P and his family should be notified which drugs he was taking previously before being admitted to the

The physician, Dr. Petrov, wanted to provide medications to his homeland through Project Assist. He was willing to take expired medications with him from the local hospital. Other clinical data required to effectively analyze this case include the types of medications involved, the expiration date, and how the patients will be monitored for side effects. Different classes of medications demonstrate different properties. If one medication expires tomorrow with no change in its safety and efficacy, it does not mean another medication have no change as well. It is also important for us to know the expiration date because most medications that have been expired for a longer period of time tend to be much less effective.

“I wish someone else was here instead of me” a scared 9-year-old me screamed. As the anesthesia wore off and I became more aware, the discomfort of the catheter, general numbness, and nurse reinserting the IV into my arm frightened me. After 6 years of taking daily antibiotics and battling urinary tract infections, I finally had the surgery performed on me to correct the vesicoureteral reflux. Though that night I felt frightened and unfortunate as evidenced by my words, I have grown to truly appreciate that experience. Not only did it preserve the functioning of my kidneys and allowed me to grow up without relatively any health problems, it provided me early exposure to the field of medicine. Due to routine illnesses, severe allergic reactions, and my reflux disorder, I have paid many visits to my pediatrician, emergency room, and had a hospital stay as well. During those visits, the physicians would always make feel safe and comfortable by explaining everything in detail. I wanted to be like them one day making people feel comfortable and aiding them in their time of greatest need.

Clinicians and patients recognize the tremendous importance of medications in today 's medical care. Associated with the development of the pharmaceutical industry, its consumption has been increasing, and with it, the possibility of unwanted effects or adverse reactions.