Essay Bag of Medications – Medical and Surgical History for the Patient – Nursing Assignment Help

Assignment Task:

Overview of the Assignment

The objective of this assignment is to give a perspective of the responsibilities of a nurse when admitting a patient who cannot give a clear history. Often students become focused on task and skill completion when in the clinical setting. The significant contribution of the RN to both the admission and discharge processes will be more readily experienced and understood through this exercise.

Setting

You are a student nurse working in an Emergency Unit. Admitted to the ward is a non-communicative patient. After receiving handover from the admitting nurse, you read through the patients’ notes. The notes provide patient information in the form of a physical examination along with minimal laboratory and diagnostic testing information. A “bag of medications” belonging to the patient was presented to you. The bag contains 3  medication bottles, and an empty drug Webster pack to the medications with administration instructions.

TASK ONE

Individually, you are to develop a reverse case scenario of a patient, relevant to the information you have been given. You will need to identify and explain:

1. A probable medical and surgical history for the patient, and reason for admission.

2. Class, Mechanism of Action, Adverse effects, Potential drug-drug interactions, the physiologic manifestations of these reactions, and Nursing considerations when the patient is on  all those medications (3 medications)

TASK TWO 

You will be provided with additional information pertaining to the patient, which include the hospital course and an updated focused physical examination.  You will be required to

1. Summarise the Class, Mechanism of Action, Adverse effects, Potential drug-drug interactions, the physiologic manifestations of these reactions, and Nursing considerations when the patient is on the post admission medications. You should be discussing only ONE medication from this list

2. Identify medications from the patient’s home list and post admission list appropriate for continuation at discharge

3. Any patient-centred modifications or discontinuations to the list and provide a rationale why these medications may be discontinued and why other medications may be added

4. Discharge teaching points you would provide to the patient regarding ONE of the medications.