For drug administrators, their incentive for using the drug is that the drug’s got to make economic sense. Data showed that for more than 4,300 patients, Angiomax was a more superior alternative to Heparin. Also shown in tables b and c that it effectively reduced the incidences of death by 30% , heart attack by 26%, need for a repeat angioplasty by 14% and major bleeding by 65% (sum of weighted average between high risk and very high risk). Given the average cost per death, heart attack, repeat angioplasty and major bleeding is $8,000 to the hospital, a drug administrator should consider this drug as a cost saver. Product also works much faster, instead of 2-3 hours, it took 30minutes, that might save nurse cost.…
In my role as a specialist nurse I am involved with caring for patients within a community setting and providing a holistic assessment of their needs. This can involve assessing patients as a result of a supported discharge from secondary care or referral from General Practitioners (GP’s) for issues related primarily to their cardiac condition, their general overall health and any other health related issues. These assessments can take place within the patient’s home or within a clinic setting. These assessments are quite commonly carried out with very little prior knowledge regarding the patient and this is currently an area under review. For the purpose of this case study I will look at a lady who attended a clinic session within a GP’s practice.…
Administer all medications to assisted living residents. Maintain current medical records, call in order to pharmacies, clarify Dr. orders and maintain a professional and compassionate relationship with staff, residents, and family members.…
The nurse was very positive throughout the experience. One thing I saw she advocated was to hold off the need for her azithromycin, because she had an empty stomach and would vomit if taken without a meal. The nurse spoke to the doctors and came to a conclusion about her medicine regime that the patient agreed on. During the labor, I surprised myself in helping her with encouraging words during her labor pushes. It was a group effort to cheer…
I would tell her that there are written instructions that she can give to describe the kind of health care she wishes to have or not have if she becomes incapacitated. The instructions are called advance directive which provides guidance to family members and health care providers in the event that the patient is unable to communicate her wishes at times a decision must be made. The are two types of advance directives in the health care setting which are living will and power of attorney. A living will is a document that provides instructions as to medical care the patient should receive in the event she is unable to make personal decisions. It shows the family members and health care providers that they will act in compliance with the patient’s…
Unit 14- Understand the administration of medication to individuals with dementia using a person centred approach.…
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.…
The healthcare provider should initially obtain a history of any previous anemia or blood disorders and records, if possible, providing results of any previous blood tests as these can help determine the duration of the disorder. It will be important to examine any family medical history, particularly questioning about jaundice, cholelithiasis, splenectomy, bleeding disorders, and abnormal blood test results (Maakaron, 2011). Questions regarding occupation, hobbies, prior medical history, medications including over the counter preparations, and household product exposure can help identify possible noxious agents (Maakaron, 2011). Specifically ask questions regarding medical conditions known to cause anemia such as rheumatoid arthritis and renal disease (Schrier, 2012). Questions addressed to medication use should include intake of NSAIDS and corticosteroids as both are associated with anemia due to gastrointestinal damage (Zaiden & Rana, 2012). In addition, some antibiotics are associated with lowered platelet levels (Zaiden & Rana, 2012). Alcohol intake should also be explored. If the patient is female and the healthcare provider is concerned about possible blood loss, specific questions regarding menstrual periods and details regarding previous pregnancies and/or abortions are important to ask. “Estimates of menstrual losses are notoriously inaccurate if only routine inquiry is made” (Maakaron, 2011). Inquiries regarding the color of stools and urine assist in identifying gastrointestinal blood loss, hepatic disease, and/or hemolytic…
Potentially inappropriate medications (PIM) use in the elderly population is defined as the use of a medication where the potential risks outweigh the expected benefits in older adults. Older adults experience some changes in pharmacokinetics and pharmacodynamics, which makes them more sensitive to certain adverse effects of medications.…
This is understandable this barrier between old and young generations because of the development of technology. Other nurses and I have some self-strategies that can implement to help with us in collaboration with S.V. We developed a SBAR – Situation Background Assessment Recommendation (Black, 2017) - for all UAPs on the floor. This SBAR folders help S.V. keeps in tract of her chart papers. I spent time to teach her how to save data and transfer information from vital signs machine to computers. I also use clarification to communicate with her to make sure that I get the accurate information; whenever the patients’ orders has been changed, I will let her know immediately because I know she has a hard time to look up these information from…
across the hfe span; older people are just as unlikely to take a medicine that interferes with their lifestyle or behefs as younger people (Carter et al, 2003). The concept of concordance has emerged as a principle underpinning many suggested solutions to these problems (Medicines Partnership, 2003). This article examines the concept of concordance and concludes that, while useful as a principle, it is difficult to translate into practice. This is implicit in practical attempts to do so where concordance is either not found (Latter et al, 2007) or is quickly substituted for something more meaningful, such as 'shared decision making' (Clyne et ai, 2007 p4), 'adherence' (Cribb and Barber, 2005) or even 'compliance' (van Eijken et al, 2003).…
References: Cutting,K. White,R. Edmunds,M. (2007) The safety and efficacy of dressings with silver- addressing clinical concerns. International Wound Journal.4 p.177-184…
This is so true Shannon. Most people at this age do not even care about primary care physician, instead they spend their income on fanciful things. If possible, the family needs to be involved if the patient is closed to home. There has to be visiting nurse at least thrice a week to check blood sugar and weight and reinforced good nutrition, blood sugar monitor, medication, signs and symptoms of DM and the precautions. Patient needs a podiatrist on how to cut her nails, she should be advised not to scratch herself so hard because a little cut could result in same incident and eventually lead to gangrene and later amputation which would be more distressing.…
Make sure to ask family if he or she has any questions for the Dr. before leaving the room. A second intervention for better communication is the prevention of medical terms when explaining a medical condition. It is important to explain in the simplest form possible, even if the patient/family has some medical training.…
I really do understand their feeling, they always feel helpless, and no one actually can understand them even their family. The only way to help them is to understand why they feel painful and sad. Although every patient treatment is different, I tried to mention the process and experience that most patient will have to go through. Also I want to let the patients, their family or even the other people that are interested to know about the uses of the tools and instrument need in the treatment, especially chemotherapy. When I doing the chemotherapy, I always found the instruments very interesting and keep asking questions about it, my parents are medical professional so could answer me most of the question, but not everyone know very well in this aspect. So I introduce some common…