Medication Analysis Assignment

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Introduction

Drug treatment plays a significant role in maintaining and enhancing the quality and quantity of human lives. Drug treatment, however, is not without risks. There are inherent risks related to the effectiveness, interactions and side effects of each drug, and these risks are multiplied when individuals are treated with polypharmacy. The Institute of Medicine (IOM) estimates that “nearly one third of adults will take 5 or more different medications” (IOM, 2006). The US Department of Health and Human Services estimated that about 1 of every 7 (13.5%) hospitalized Medicare patients had permanent harm from a medical error, 37% of these inpatient injuries were associated with medications and alarmingly half of these adverse drug events were preventable (Levinson, 2010)! Nurses play a major role in the promotion of effective and safe medication therapy. In addition to assessing for effectiveness, adverse effects and interactions, the nurse is also responsible for providing medication education and support such that individuals can take a more active role in their medical care.

This assessment provides you an opportunity to demonstrate analysis ability level 4. Utilizing knowledge that you have gained from Anatomy and Physiology, Pathophysiology, Growth and Development, Health Assessment, Nutrition, Health Promotion including teaching learning principles and Pharmacology, you will complete an evaluation of an individual’s medication regimen. This will involve reading a medical history and watching a video of a nurse and patient interacting. You will also identify the education that is necessary to enhance the individual’s understanding such that the patient will be empowered to better participate in their own medical treatment.

Outcomes

The outcomes for this assessment are as follows:

  1. Correctly identify pharmocodynamics that are relevant to your identified patient and his/her medications. (Course Outcome 1*)
  2. Utilize knowledge of pharmacotherapeutics, pharmacodynamics, pharmacokinetics, pharmaceutics, and the individual patient to critically analyze the actual and potential effects of his/her medication regimen. (Course Outcome 2,3,4*)
  3. Utilize the nursing process, teaching learning principles, and concepts related to health literacy to identify appropriate teaching that will promote participation in managing his/her care through medication therapy. (Course Outcome 4*)

* indicates related course outcomes

Directions

Part 1

Gather Case Study Information

You will be assigned a case study regarding an individual patient with polypharmacy. Initially you will be provided a printed history and physical to review. After reviewing the chart, you will complete the drug profile tabular on the assigned medications.

Part 2

Prepare a Drug Profile in Tabular Format

Complete the Drug Profile in the tabular format for each medication. Utilize a professional source to complete this tabular format for each medication (your text book is an excellent source and should be used) and cite reference(s) in APA for where the information was obtained.

Part 3

Review Nurse/Patient Interaction Video

Next you will watch a video of a nurse interacting with the patient about the medications. I apologize for the poor quality of the videos, these were supposed to be redone, but with the Covid pandemic it is on hold. While you are viewing this, it is strongly encouraged that you take notes about the communication and patient education that occurs. Complete the Assessment and Evaluation of Patient’s Understanding of Drug Regimen questions, while watching the video. You will use your analysis ability to identify the accuracy of information. In addition, you will be evaluating the appropriateness and effectiveness of the current drug regimen.

These questions are to be answered in paragraph format. Your answers should be thorough and include rationale with citations as appropriate. The goal of your analysis is to be able to provide quality, holistic nursing care to the patient in regards to their medication regimen. You may want to organize your answers according to the drug being discussed.

Be sure to fill out the self-assessment and criteria sheet and submit it with your paper. Put your last name and first initial in the domain field before uploading it to Moodle.

  1. The website www.drugdigest.org and http://reference.medscape.com/drug-interactionchecker are two of many resources you may use to assess drug interactions. Again, your book is also an excellent source. Identify the drugs with drug/food interactions to address in your paper.

***Remember that all essay questions start with a topic sentence, utilizing grammatical sentence structure, and cite all references with correct APA 6th or 7th edition formatting. Use https://owl.english.purdue.edu/owl/resource/560/01/ as a reference.

Please complete the following chart regarding the 5 required medications for your patient:

Alverno College: JoAnn McGrath School of Nursing 8

Pharmacology and Nursing Practice

Revised Summer 2020

Name of Drug:

Generic (Trade)

Classifications Route/Dose Mechanism of Action 3 Most Common SE/AE Required nursing assessment and labs before administration How to evaluate effectiveness of the medication 3 Most important areas of patient education
Pharmacologic:

Therapeutic:

1.

2.

3.

1.

2.

3.

Pharmacologic:

Therapeutic:

1.

2.

3.

1.

2.

3.

Pharmacologic:

Therapeutic:

1.

2.

3.

1.

2.

3.

Pharmacologic:

Therapeutic:

1.

2.

3.

1.

2.

3.

Pharmacologic:

Therapeutic:

1.

2.

3.

1.

2.

3.

Please answer the following 10 questions meeting Level 3 Writing ability requirements (See moodle for level 3 writing ability standards):

  1. Does your patient have any allergies? If so, what are they?
  2. Are any of your patient’s medications on Beer’s List? If so, what concerns does this bring about for your patient?
  3. Does your client have renal or hepatic impairment? If yes, how will this impairment affect the pharmacokinetics of their medications? What should the provider do to compensate for this impairment?
  4. Do any of your patient’s medications (including OTC and supplements) interact with one another or with specific foods? If so, which interactions are of concern and why?
  5. Are all your patient’s medication dosages within the adult therapeutic range? If yes, how do you know this? If no, which medications are outside the range?
  6. Are there any medications your patient is taking that you feel are not effective? If so, which medications and why? If you feel they are all effective, why do you feel this way? Give specific examples.
  7. What are the gaps in the patient’s understanding of his/her medications related to their purpose and method of administration? What information would you give to correct this knowledge deficit?
  8. What are the gaps in the patient’s understanding of his/her medications related to their side effects and the management of those side effects? What information would you give to correct this knowledge deficit?
  9. What are the gaps in the patient’s understanding of his/her medications related to food and drug interactions? What information would you give to correct this knowledge deficit?
  10. Find a moment in which the nurse provides misinformation or does not address a key piece of patient education. How would you correct it?

Please answer the following self-assessment questions to reflect on your growth during this project. Remember to continue meeting Level 3 writing ability requirements.

“Problem Solving Level 3 — Implements a disciplinary problem solving process in a real or simulated context and evaluates the process and/or the solution”

  1. Provide data to support how you demonstrated Level Three Problem Solving Ability:

“Analysis Level 3 — Perceives and makes relationships using disciplinary concepts and frameworks with growing understanding”

  1. Provide data to support how you demonstrated Level Three Analysis Ability:
  2. What do you need to do to strengthen your problem solving and analysis skills?

Please complete the Criteria sheet for Student below. Include this in your submission along with your self-assessment above.

References

Institute of Medicine. (2006). Preventing Medication Errors: Quality Chasm Series. Retrieved from http://www.nap.edu/read/11623/chapter/1#xi

Levinson, D.R. (2010). Adverse events in hospitals: National incidence among Medicare beneficiaries. Retrieved from https://oig.hhs.gov/oei/reports/oei-06-09-00090.pdf

Last Updated on April 13, 2021 by EssayPro