Professionals like doctors, nurse practitioners, nurses and others are well prepared on when to medicate patients. It is important to be familiarized and understand about the pharmacodynamics of the medication. Also, it needs to be understood medication need, how and when to give it, dosage and possible side effects. According to the Food and Drug Administration (FDA, 2009), medication error accounts for 1.3 million injuries each year in the United States due to the wrong drug, dose, timing of administration, or wrong route of administration. Always keep in mind that route of administration varies depending on health conditions.…
The common factors were anger, isolation, resentment, and blame, especially when medicines had been prescribed acute conditions. The patients that had chronic conditions, it was obviously seen with conditions of a strong network. The patients felt there should have been more communication and information should have been ready for the healthcare facility. Only a minority of patients that were linked the medications had an adverse event though some of them received false reassurances that the drug was not related to their illness which then just created more barriers.…
For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medications daily. The medications he takes are Metoprolol, Valsartan, Amiodarone, Atorvastatin, Clopidogrel, Metformin and Rivaroxaban. He takes the same three medications for three years now and the same four medications since his bypass surgery.…
I was confused because even the primary nurse was concerned the patient was abusing the drug. Still, even when the nurse asked what she could do to prevent this, the response from the doctor was “nothing,” because we could not prove the patient was abusing the drug. This makes me wonder if we should even be using the pill box and just come every day to administer the medication. Another issue is the patient can get more of the medication if they are in need of it. Medicare will pay for additional medication while being a hospice patient.…
This means they are taken via the mouth, in the form of a tablet, capsule, liquid or suspension. These medicines come in a variety of shapes and sizes, colours and tastes. Solid dose oral formulations are made either as tablets or capsules, and are formulated to aid compliance and reduce adverse effects. As well as tablets and capsules, oral medicines can also be delivered by liquids, suspensions and syrups. Again, these are formulated to aid compliance.…
Managing medications for these patients thus becomes an important safety issue. A way of managing these medications is through medication reconciliation. In medication reconciliation, a member of the health care team compares the medications a patient should be using to the new medications that are ordered for the patient and resolves any inconsistencies and discrepancies (The Joint Commission, 2017). The NPSG intends to help organizations decrease the amount of medication errors and negative patient outcomes related to medication discrepancies. Therefore, standards were created in the NPSG that focused on risk points of medication reconciliation such as maintaining and communicating accurate patient medication information, patient education on safe medication use, and coordinating information during transitions of care (The Joint Commission,…
I chose this article because in my personal life, I have interacted with healthcare professionals that want to prescribe depression medication without listening to their patient. Not only do SSRIs have adverse effects in the older adult population, a more whole person assessment is not given to get to the root of the problem. SSRI are extremely beneficial, but addressing the real problem i.e.; social isolation, polypharmacy, or loss of autonomy, may prevent healthcare complications. B. Direct Quotation from the Article Type or copy and paste the exact words. “Elderly patients are more likely to develop hyponatremia with the use of selective serotonin reuptake inhibitors (SSRIs).…
• Discontinue use when your doctor advises you to stop. Age Groups • Use in geriatric patients,…
Other medications patients may be taking- Sometimes a patient is already taking medication when prescribed with another one. It could be for the same condition or a diagnosis completely different. When taking more than one prescription, it is important that…
It is not uncommon for a patient to forget to take their medication at their prescribed time intervals. For many patients, it is difficult for them to remember to take their medication or even remember if they have already taken their dosage. This problem of under or overdosing threatens the health of these patients. For seniors, approximately 1 out of 10 hospital admissions are because of incorrect use of medications. Not taking medication correctly or forgetting to take medication can have serious consequences, such as increased discomfort, inadequate disease prevention, and possibly death.…
Ethnic, Genetic, and Cultural Considerations in Prescribing Providers are accountable to be culturally competent, empathetic and knowledgeable with treatment options for patients. The following paper addresses pharmacotherapeutics, client compliance and advanced nursing practice. Also highlighted will be resources available to clinicians and how to educate a client on the identification or prevention of potential pharmacodynamics or pharmokinetic problems. Ethnic, Genetic and Cultural Considerations More than 1000 medications have ingredients that may be prohibited in various religions and cultures (Hoesli & Smith, 2011). In addition to religious beliefs, other factors may play a part in medication use such as a vegetarian lifestyle…
The elderly population generally have more disease states and therefore are on more medication. This increases the risk of adverse drug reaction (ADR) and drug-drug interaction. Some of the more common ADR include anticholinergic effects, mental status changes, orthostatic hypotension, gastrointestinal tract disturbance, and cardiac changes. In addition, some medication while treating a specific disease can trigger or worsen a different disease (Wooten, 2012).…
At the beginning of my nursing career most of the medical terms I’ve come to use and understand I had while little knowledge about. Some of these terms I picked up in practical experience and other I learnt in lectures. One of these terms has come to be very important in my nursing career and that is medication management. At first my understanding of this concept was very limited and I didn’t understand many of the different factors that all came together to make up the whole. Over my studies this understanding has evolved and become a core part of my nursing practice.…
Of the 375 discharged patients in the study, 53 (14.1%) experienced one or more medication discrepancies, with 49.2% of those categorized as system related. Of patients who experienced medication discrepancies, 14.3% were re-hospitalized within 30 days compared with 6.1% who did not experience discrepancies. Among post-hospital adverse events, medications were the most common problem (66%- 72%), and nearly all post-hospital adverse drug events involved new medication or dosage change at time of discharge. Data on ADEs after discharge are limited; however, in one study, ADE occurrence was reported in 35% of adults taking more than five medications daily; 84% required medical attention and 11% required hospitalization. (p.165) This study, along with information from various studies similar to it, gives essential insight as to what changes need to be implemented in the reconciliation…
What are the most serious concerns facing the patient receiving capsules or tablets? What are the challenges for the patients prescribed capsules versus tablet long-term, as compared with patients receiving short-term medication? Prior to any switch from capsules to tablets, an active discussion between the clinician and patient may be warranted to discuss the complexity of the regimen to support the patient in making an informed decision consistent with the patient’s own needs and…