T. G. is a 54 year old, Caucasian female with a medical history of seizures, hypertension, substance abuse, withdrawal, hepatitis C, and schizoaffective disorder. The past surgical history includes a skin graft. Patient has a medical alert for a history of hepatitis. The patient has an allergy to penicillin. The patient was admitted to OLOL Hospital with an admitting diagnosis of Encephalopathy and Alcohol intoxication. Ecephalopathy states that “Encephalopathy is condition caused by diseases that affect large portions of the brain. The disease may affect the function and/or the structure of the brain leading to a wide range of physical and mental symptoms. An altered mental state, such as confusion and sudden mood changes” (Woods, 2014).
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The first intervention is the nurse will explain the reason for completing all the prescribed antibiotics. As stated in Patient Education: Teaching Strategies to Promote Medication Adherence, “Medication adherence can significantly enhance patient outcomes and reduce healthcare costs. Nonadherence to a prescribed medication regimen has the potential to result in poorer patient outcomes, unnecessary disease progression, reduced quality of life, and premature death” (Engelke, 2015). Completing prescribed medication increases the chances of defeating the infection and decreasing the chances of the infection becoming resistant to the medication. The second intervention is the nurse will explain why drinking alcohol and taking her prescribed antidepressants, antipsychotics, antianxiety, and antibiotic medication does. Alcohol and Medication Interactions states, “Alcohol inhibits the metabolism of these agents and produces a depressant effect on the CNS that includes sleepiness, disorientation, incoherence, and confusion” (Weathermon and Crabb, 1999). Alcohol inhibits the metabolism and suppresses the CNS, the medications therapeutic level in the patient drops significantly. The third intervention is the nurse will show the patient how to dangle and rest while moving from laying down to sitting and from sitting to standing up for a minute or more. Orthostatic hypertension states, “Emphasize the importance of continued medical surveillance, strict adherence to the prescribed treatment regimen, and seeking immediate medical attention for new or worsening signs and symptoms. Educate regarding strategies for managing OH, including avoiding sitting or lying down for long periods, making position changes slowly, sleeping with the head of the bed raised, and sitting on the side for a few minutes before standing” (Schub, 2015). Dangling the patient feet off the edge of the
The first intervention is the nurse will explain the reason for completing all the prescribed antibiotics. As stated in Patient Education: Teaching Strategies to Promote Medication Adherence, “Medication adherence can significantly enhance patient outcomes and reduce healthcare costs. Nonadherence to a prescribed medication regimen has the potential to result in poorer patient outcomes, unnecessary disease progression, reduced quality of life, and premature death” (Engelke, 2015). Completing prescribed medication increases the chances of defeating the infection and decreasing the chances of the infection becoming resistant to the medication. The second intervention is the nurse will explain why drinking alcohol and taking her prescribed antidepressants, antipsychotics, antianxiety, and antibiotic medication does. Alcohol and Medication Interactions states, “Alcohol inhibits the metabolism of these agents and produces a depressant effect on the CNS that includes sleepiness, disorientation, incoherence, and confusion” (Weathermon and Crabb, 1999). Alcohol inhibits the metabolism and suppresses the CNS, the medications therapeutic level in the patient drops significantly. The third intervention is the nurse will show the patient how to dangle and rest while moving from laying down to sitting and from sitting to standing up for a minute or more. Orthostatic hypertension states, “Emphasize the importance of continued medical surveillance, strict adherence to the prescribed treatment regimen, and seeking immediate medical attention for new or worsening signs and symptoms. Educate regarding strategies for managing OH, including avoiding sitting or lying down for long periods, making position changes slowly, sleeping with the head of the bed raised, and sitting on the side for a few minutes before standing” (Schub, 2015). Dangling the patient feet off the edge of the