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Question: A patient is being discharged from your care on a course of medications. What factors would you consider in preparing the patient to manage their medication at home and what is the process for discharging patients with medication?

01 Nov 2022,7:02 PM

 

Section A: Medication management role

 

  1. Please outline your role in relation to Medicines Management for patients/clients/service users (10 marks)

 

  1. When a handwritten prescription is used, what should the nurse do if part or all of a written prescription is illegible. Explain your suggested actions giving references. (2 marks)

 

  1. What is the main regulatory agency for medicinal products in the UK, give one of the bodies roles? (2 marks)

 

Section B:  Practice Specific Section

Discuss the following questions with regards to your area of practice.  Support all your answer with references.

  1. A patient is being discharged from your care on a course of medications. What factors would you consider in preparing the patient to manage their medication at home and what is the process for discharging patients with medication?

(7 marks)

 

  1. What are the ‘rights’ of medication administration and discuss their important in managing risks?

(4 marks)

 

  1. Two nurses are doing the daily check of the CD cupboard and discover a discrepancy between the CD register and the stock amount counted out. What action should be taken?

             (7 marks)

 

 

Section C: Medication errors

Please support answer with references, where indicated

  1. What is a ‘medication error’ and discuss potential factors which may lead to errors or incidents in the administration of medicines? Support your answer with references.

(8 marks)

  1. What is meant by the term ‘near miss incident? Support with a reference.

(2 marks)

  1. What actions should you take if you suspect you have committed a medication error? Support your answer with references.

(8 marks)

 

Section D: Scenario-based section

Scenario 1: Older adult

Debra Usifoh aged 74 years is an in-patient on a medical ward recovering from a chest infection. She has a history of Parkinson’s Disease. While doing the lunchtime drug round, the nurse discovers there is no stock of Debra’s prescribed Co-Careldopa. Debra is very anxious about not being able to take this medication on time.

  1. What are the indications for, usual doses, side effects and cautions/contra-indications of Co-Careldopa?
  2. How does it work?
  3. Why is it important for Debra to take this medication on time?
  4. What action does the nurse need to take?

 

Scenario 5: A child presenting with an acute illness

 

Rihanna is 7 years old who has a nasty cough and have been taking amoxicillin paediatric suspension, 3 times each day. She is feeling very cross because she has had to miss lots of ballet classes as she is on a week’s intensive course over half term, and she tells you her friends will all learn the steps better than her now. She is in a bad mood and will not take her amoxicillin anymore as she says it tastes horrible. Her Mum and Dad are cross that she is not taking her medicine and do not know what to do? Her parents tell you that they suspect she feels that she will ‘lose face’ if she agrees to take it now. Rihanna says she thinks she can get better by herself. Rihanna verbalises that she is missing her friends and she says she is worried because she overheard her dad say he would lose his job if he had to take any more time off. Considering this situation

  1. What are the usual dose indication and side effects of amoxicillin?
  2. How does amoxicillin work?
  3. What are the risks of stopping the antibiotic before the course has finished?
  4. How would you approach this child/parents to encourage concordance with the regime?

 

 

Expert answer

 

A medication discharge plan should consider the individual patient's needs and abilities. Some factors to consider include:

- The patient's understanding of their medications and why they are taking them

- The patient's ability to take their medications as prescribed

- The patient's ability to store and handle their medications safely

- The patient's ability to afford their medications

 

The process for discharging a patient with medication typically includes:

- Reviewing the patient's medications and instructions with them

- Providing the patient with a list of their medications, including doses and frequency of administration

- Answering any questions the patient has about their medications or discharge instructions

- Making sure the patient has a follow-up appointment scheduled with their primary care provider or a specialist, as appropriate.

When discharging a patient on a course of medication, there are several factors to consider in preparing the patient to manage their medication at home. First, it is important to review the medication regimen with the patient and make sure they understand all of their medications, including why they are taking them and how to take them correctly. It is also important to ensure that the patient has a reliable supply of their medications and knows where to get more if needed. Finally, it is important to provide the patient with any necessary follow-up information, such as when to schedule appointments with their healthcare provider or when to seek medical attention if they experience any problems. The process for discharging patients with medication can vary depending on the individual situation, but should always include a review of the medication regimen and a discussion of how to manage medications at home. When discharging a patient on a course of medication, there are several factors to consider in preparing the patient to manage their medication at home. First, it is important to review the medication regimen with the patient and make sure they understand all of their medications, including why they are taking them and how to take them correctly. It is also important to ensure that the patient has a reliable supply of their medications and knows where to get more if needed. Finally, it is important to provide the patient with any necessary follow-up information, such as when to schedule appointments with their healthcare provider or when to seek medical attention if they experience any problems. The process for discharging patients with medication can vary depending on the individual situation, but should always include a review of the medication regimen and a discussion of how to manage medications at home.

 

When discharging a patient on a course of medication, there are several factors to consider in preparing the patient to manage their medication at home. First, it is important to review the medication regimen with the patient and make sure they understand all of their medications, including why they are taking them and how to take them correctly. It is also important to ensure that the patient has a reliable supply of their medications and knows where to get more if needed. Finally, it is important to provide the patient with any necessary follow-up information, such as when to schedule appointments with their healthcare provider or when to seek medical attention if they experience any problems. The process for discharging patients with medication can vary depending on the individual situation, but should always include a review of the medication regimen and a discussion of how to manage medications at home.

A medication discharge plan should consider the individual patient's needs and abilities. Some factors to consider include:

- The patient's understanding of their medications and why they are taking them

- The patient's ability to take their medications as prescribed

- The patient's ability to store and handle their medications safely

- The patient's ability to afford their medications

 

The process for discharging a patient with medication typically includes:

- Reviewing the patient's medications and instructions with them

- Providing the patient with a list of their medications, including doses and frequency of administration

- Answering any questions the patient has about their medications or discharge instructions

- Making sure the patient has a follow-up appointment scheduled with their primary care provider or a specialist, as appropriate.

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