Prescribing Medication Case Study

Within this assignment it is intended to present an example of a prescribing situation that arose in practice, to ensure prescribing issues are illustrated. The rationale for the decisions reached will also be discussed. A brief overview of the nurse prescribing initiative and how it developed will be addressed. The importance of ethical principles, accountability and legal issues that surround nurse prescribing will be demonstrated. As a patient will be addressed in the example, a pseudonym will be used.

System failures and poor communication has led to decreased patient safety and satisfaction within the hospital. Three critical areas that need immediate solutions are the drug administration system, hand washing protocols and follow ups and communication between patients and clinicians. Dosage issues whether it is frequency of a drug given or if the patient has even received their medication have occurred because there is no standard system for drug administration . Also, there is little adherence and enforcement to handwashing when interacting with patients. Lastly, there is no protocol when following up with patients leaving them feeling frustrated with the negligence of the clinicians.

The aim of this assignment is to analyse the use of safe and effective prescribing which occurred in the student health visitors (HV)’s area of practice under the supervision of the practice teacher. The case study will be developed on the seven principles of the prescribing pyramid (NPC, 1999) and Driscoll model of reflection will be used to reflect on the prescribing scenario. In accordance with the Nursing and Midwifery ‘s professional code of conduct (NMC, 2015) confidentiality shall be maintained. Hence mother will be known as Debra and baby knows as Ella.

A review of the records reveals the member to be an adult female with a birth date of 03/14/1983. The member has a diagnosis of Generalized Anxiety Disorder. The member’s treating provider, Vickki-Ann Samuel, MD recommended the member continue treatment using the prescription medication Pexeva 30 mg.

First, the medical assistant should convert the doctor’s prescription into layman’s terms for Doris. Medication A is two teaspoons by mouth every four hours. Medication B is 2.5 milliliters by mouth three times daily (Fulcher, Fulcher, & Soto, 2012, p. 1b). Doris should be cautious of confusing her medication dosages as that could lead to possible overdose. If Doris is afraid of mixing her medications, the medical assistant should convert to the unit that Doris is more comfortable with. For example, if Doris prefers milliliters, she should take around 9.8 milliliters of medication A. Alternatively, medication B could be taken at .5 teaspoons (Fulcher, Fulcher, & Soto, 2012, p. 131). Patients taking multiple medications should have a medication

In the following case study, the author will discuss the issues surrounding a seventy-year-old female with a chronic neuropathic ulcer on the sole of her right foot and the rationale and implications of

SM moved to Arlington, Texas in October of 2016 from North Carolina after having difficulty living alone without support. He has had medication from his previous primary care provider in North Carolina. He recently attempted to go to the Dallas VA and had difficulty making an appointment in order to refill his medications. He reported that his current plan is to get an appointment with TRICARE for medication management. According to his report, his only psychotropic medication is currently Wellbutrin. While still in North Carolina SM has been taking medication which he received from his primary care provider in North Carolina. SM was also seeing a psychologist once a week, but then abruptly stopped going to him and has not reconnected with

After Doris was sent home with two types of medication, she should really read closely to what the bottle says. Medication A is to be taken every four hours by mouth and medication B is to be taken three times a day by mouth. Usually when some medication is three times a day, it has to be taken with food, that way it can be taken with meals. The medication that is every four hours probably will be okay taken on a empty stomach. Since these medications are liquid, the doctor will advise nothing to be ate or drank within 30 minutes of taking. Liquid medications are usually made for coating the throat/intestines. And of course, no alcohol and no operating machinery until Doris gets used to the side effects.

The following assignment will discuss and analyse a prescribing episode, within practice, furthermore will outline safe prescribing from the Nurse Prescribing Formulary (NPF, 2013-2015).To be able to analyse and reflect on my new role as Community Practitioner Nurse Prescriber (CPNP) I will use Gibbs (1988) reflective model and a structure that will allow the use of a consultation model (Appendix1,Fig1).

There are many definitions of Independent prescribing, the Department of Health (2006 para 7 & 8)) working definition is:

How would you encourage parents with children to approach a health professional about over prescribing antibiotics that could potential lead to resistance? How would you educate parents to recognize warning flags with over prescribing habits? You state that health education programs need to have the ability to enable and empower parents, how could empower lead to further complications associated with antibiotics? In your opinion what is a approach that could be taken to encourage health professional to reduce prescribing habits while still empowering parents to have guidance and ownership over their families health status?

Prescription medications ordered by physicians to treat a patient’s ailment are intended to be used strictly as prescribed to relive painful symptoms or to act as cures for various illnesses both physical and psychological, and yet often time’s they are abused, meaning they’re taken for unintended purposes, in unwarranted ways, amounts, or by those other than the individual for whom they were prescribed (Robinson & others, 2015). A number of individuals take prescription drugs for recreational purposes and are lucky enough not to experience any negative health impacts, adverse side effects, or addiction. Yet, for every person who abuses prescription medications without experiencing dangerous consequences, there are countless other abusers who will. For instance, abusers of opioid medications such as OxyContin, the Schedule II federal calcification brand name for oxycodone-hydrochloride; an opioid (narcotic) pain reliever used for analgesic purposes; may experience respiratory complications, reduced lung function, irregular heartbeat, increased alertness and/or extreme fatigue, dizziness, swelling of the eyes, tongue, and throat, rash or hives, decreased cognitive function,

New drugs present an opportunity for new money. People have not seen this before and advertisements on television, in magazines, and online present their drug as some kind of miraculous discovery. The world is constantly changing and improving, we know new and better technology is coming out daily, and we believe the same about health care, to a certain extend we are correct. Over the past hundred years we have drastically improved healthcare, for prescription drugs with a brand name, it needs to be understood that this is a for profit business. Advertised prescription drugs are not a news flash from the medical field, they are a ploy from a pharmaceutical company to encourage consumers to purchase their brand. Aspirin, while having a multitude

It is estimated that 20 percent of prescriptions that are written are never filled. The high cost of medication is one of the reasons that many people do not get their prescriptions filled. Going without needed medication can have adverse effects on one's health. Below are some things that can be done to save money on prescription drugs:

America is making profit out of prescription drugs, being the wealthiest country, people in America should not live in fear that they would go bankrupt or die if they cannot afford the drugs. Drug companies need to stop being greedy, selfish, and uncaring. These drugs are expensive, however, many Americans cannot afford these prices. The increasing cost of prescription drugs in the United States has become a source of concern for million of patients. They are taking advantage of innocent elders, consumers are unable to purchase prescription drugs, and the pharmaceutical industry is contributing to the high price of prescription drugs. This issue is important to me because I am planning to go into the pharmaceutical industry. I want people to