Department of Health (1989) Report of the Advisory Group on Nurse Prescribing (Crown Report). Department of Health, London. HMSO…
| This article found that although there are information and studies on medication errors within acute care settings, there were no studies noted for nursing homes or long term care settings. This study also worked to incorporate the fact that most acute and long term care facilities are now using automated systems for medication dispensing and how that plays a part in medication errors. This research was structured and explained well. It displayed the need for this study to be completed and was described in both the abstract and background information. The purpose of this article is to alert other medical personnel about the risk for medication errors.…
In the social care sector practitioners are often responsible for supporting service users with their medication. This support can take a variety of forms from the administration of the medication to a timely reminder. Practitioners in social care settings need to have an awareness of how the safe use of medication can contribute to positive wellbeing for individuals. This unit provides the knowledge…
Administration (BCMA) in acute care and long-term care settings. Background: Medication errors are the most commonly documented cause of adverse events in hospital settings. Scanning of bar codes to verify patient and medication information may reduce medication errors. Method: A prospective ethnographic study was conducted using targeted observation. Fifteen acute care and 13 long-term care nurses were directly observed during medication administration at small, medium, and large Veterans Administration hospitals to detect workaround strategies. Results: Noncompliance with recommended practices was observed in all settings and facilities. A larger proportion of acute care nurses than long-term care nurses scanned bar-coded wristbands to identify…
1. List as many concerns about this list of drugs in this patient as you can.…
General guidelines in the topic that is relevant in adult social care has been published by the Royal Pharmaceutical Society under the name ‘The Handling of Medicines in Social Care’ and one published by NICE named ‘Managing Medicines in Care Homes’.…
The focus on prescribing within nursing profession was first brought into discussion by Royal College of Nursing (RCN) in 1980 but has proven to be cornerstone after was part of the government agenda as a result of Cumberlege report in 1996.This report outlined the need for nurse to become a prescriber especially in community settings to provide clients with better care, safe and practical access to medication (Nuttal, 2008). Furthermore “The Medicinal Product Prescribing Act “1992 outlined changes in circumstances including nurses as prescribers, followed by recommendations made by Crown Reports1999 that suggest that health visitors (HV)) should be authorised to prescribe from a limited list, identified as the nurse prescriber’s formulary (NPF). (DH,2004).…
Reducing the inappropriate use of antipsychotic drugs in nursing homes can assist in improving dementia and other health issues. Adequate staffing is critical to a safe and healthy environment. Without enough nurses and aides, patient’s care suffers. A resident can become malnourished, fight urinary tract infections, become prone to bed sores and potentially progress to a potentially threatening infection if adequate staffing is not provided by the facility. Another factor to determine adequate staffing is staff turnover. Heavy turnover demonstrates indication of unhappy workers, whose dissatisfaction could mean worse care (How to Choose a Nursing Home, n.d.).…
As a side note, I personally do not give these types of drugs in the hospital setting to the elderly, unless they have previous taken them at home. Multiple times in nursing career, I seen severe delirium or confusion after the elderly have taken these. I always ask for Restoril, if the doctor orders Ambien or like type. This helps me take of the patient better and helped the patient get some real sleep.…
The world of today and the Brave New World may be more alike than some would have thought. After reading the book and studying the elements within it, I see one thing that is getting us closer to a society like the Brave New World; drugs. Now some people would say I’m crazy for saying this, that there is no way that people of 2017 are that deep into drugs for me to be comparing us to citizens of the brave new world, but those types of people are ones whose minds are not open to new ideas.…
Lowe, L., and Hurst, R., (2002) Nurse Prescribing: the reality. In Humphries, J.L., and Green, J., (eds) Nurse Prescribing 2nd Ed. Palgrave : London.…
Polypharmacy is the use of two or more medications for the same disease by a patient. When the patient experiences polypharmacy they are at a higher risk for medication adverse reactions with other medications and reactions with food. In order to avoid polypharmacy in older adults the health care provider should make sure the patient’s medication regimen as simple as possible. The use of medication organizers to help with remembering to take medicine and help with organization of medicine. (Potter, Perry, Stockert, & Hall,…
The patient chosen for this essay is a sixty year old man. This patient was one of the palliative care patients that the team of district nurses I was allocated to work with in my community placement care for. The patient has terminal liver cancer. The patient lives with his wife whom is his main carer. The district nurses had to visit him every day of the week. The patient had a syringe driver on situ which needed to be filled with a new dose of medication every 24 hours. Also the extension set needed to be changed to the other side of the patient’s body when the side it was on became sore. The main care needs for the patient were to palliate physical symptoms and maintain independence for as long and as comfortably as possible.…
The treatment of older people is currently a hot media topic, in particularly medication in the elderly and covert medication to. Covert medication has advantages and disadvantages in treating people with Dementia who have behavioural and psychological problems. There are ethical and moral issues with a potential scope for abuse also issues related to consent, capacity, autonomy and best interest and these are all elements that require stringent guidelines. There is a duty of care to the patients and the professional standard that the Nurse who uses covert medication should never use it as a routine response to someone refusing to take medication it must be done as a last resort when all other methods have failed and the multi-disciplinary team is consulted with a pharmacist to confirm that it is safe to do so. Medication should never be crushed when there is a viable substitute method of administration.…
Substance abuse in the elderly exists just as in any other population. Many seniors develop substance abuse problems due to circumstances or situations due to the aging process. A report by the Center for Substance Abuse Treatment/Substance Abuse and Mental Health Services Administration indicates that 17% of adults age 60 and older are affected by alcohol abuse and abuse of legal drugs.…