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Case study on polypharmacy
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In the process of taking the patient's drug history, asking for other possible medication is not the best way to inquire other things that the patient may be taking. A better way is going systematically and asking by category such as any herbal products that she may be taking. Another possible way of framing the question is by enquiring if there is any other product that she may be using that mat not have been prescribed by a doctor. This will enhance the chances of owning in cases of polypharmacy. The moment that Ms. F said that she was a using a herbal product, I would start by first saying that it was thoughful for her friend to help her control her weight by her suggestions. Thereafter, I would continue to educate her about polypharmacy
Polypharmacy is the “concurrent use of several differ drugs and becomes an issue in older adults when the high number of drugs in a medication regimen includes overlapping drugs for the same therapeutic effect”(Woo & Wynne, 2011, p. 1426). The patient is currently taking several medications that can potential interact with each other, perform the same therapeutic effect, and creating side effects. The following is a list of her medications and their indications:
This can be done by teaching the individual on ways to modify their diet or preparation of their food. You can teach the individual on eating food that are low in fat and less in refined sugar. . After interviewing Ms. M.G., a physician assistance who lived in Kentucky near the Appalachian region, I was able to have a better understanding of this culture view of health care practice. Ms. M.G. reports “Taking care of an Appalachian patient can be very difficult sometimes, especially when you are trying to educate them on ways to modify their diet and making better food choices. The Appalachian’s do not trust strangers very easily and they may not be honest or open up to you about personal issues or tell you what they are really eating. This can sometimes create a barrier between the provider and the patient. You have to slowly work on building a repor with the patient” (M. Garcia, personal interview, November 8,
Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Patients who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. There is a great need for nursing interventions in conducting a patient medication review also known as “brown bag”. As nurses obtain history data from patients at a provider visit, the nurse should ask “what medications are you taking?” and the answer needs to include over-the-counter medications as well. If the response does not include any medications other than prescribed meds, it is incumbent upon the nursing professionals to question the patient further to ensure that no over-the-counter medications or supplements are being consumed. This is also an opportunity for the nurse to question about any adverse reactions the patient may be experiencing resulting from medications. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients continuing to take medications that have been discontinued by the physician. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.
Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Elderly who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. Elderly who take over-the-counter medications, herbs, and supplements without consulting their physician are at risk for adverse reactions associated with polypharmacy. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients who continue to take medications which have been discontinued by the physician. There is a great need for nursing interventions regarding polypharmacy, including medication reviews also known as “brown bag”. As nurses obtain history data and conduct a patient assessment, it is essential to review the patients’ medications and ask open-ended questions regarding all types of medications in which the patient is taking. In addition, the patient assessment is also an opportunity for the nurse to inquire about any adverse reactions the patient may be experiencing resulting from medications. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.
While the patient’s personal health history is very important to provide information about their allergies, prescriptions, over-the-counter drug use, alcohol or tobacco use, and social drugs it is most effective to obtain the multi-generational health history (Lilley, Snyder, and Collins, 2016). Multi-generational
SM reported that he is currently taking psychotropic medications including Zoloft, a sleep medication and bupropion. SM explained that but after being medically retired he left fort hood in June of 2016 when he got a 90 day supply of medication from his off post provider. He indicated that because he was not taking as much medication as he was prescribed he was able to make the 90 day supply last until December of 2016 after which he began going back to the psychiatrist and psychologist. He reported he most recently was seen by his psychiatrist in January and is followed up by his psychiatrist approximately every 6 weeks for medication management. He also reported that he also saw a psychologist in January for individual therapy. SM report
Development is a never ending cycle in life. Each person begins to develop from conception until passing away. Now, while most people think that development starts after birth that is incorrect. Development starts as soon as the baby is conceived. Everything that a woman carrying a baby does or takes place in will translate into the baby. The baby shares a blood flow with the mother. Drugs, even legal drugs, will go into the mother’s blood stream which will then go into the baby’s blood stream. The “maternal blood flows through the uterine arteries to the spaces housing the placenta, and it returns through the uterine vein to the maternal circulation” (Santrock, 2012, p. 80). This means that anything that enters into the blood stream will also affect the baby. Each type of drug is under a certain category. Psychoactive drugs are drugs that are constantly being studier. According to Santrock (2012), psychoactive drugs are drugs that act on the nervous system to alter states of consciousness, modify perception, and change moods. (p.83). They come in three categories: stimulants, depressants, and hallucinogens. Stimulants include caffeine, cocaine, methamphetamine and nicotine. Some people say that pregnant woman do not know what taking these into their system is doing to their baby. Stimulants are becoming more popular and there effects need to be studied and known. Each stimulant affects the baby in short-term and long-term.
The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed.
A sad fact in American society is that thousands of people search for the elusive dream of being thin. On any given day, one finds neighbors, friends, and relatives on some kind of diet. Dieters assume various disguises, but the noteworthy ones are the "bandwagoneer," the "promiser" and the "lethal loser."
Discuss the medication management education that is required to enable Polly to manage her medications at home.
“The potentially serious side effects of these drugs can be understood in terms of their
Drugs, Brains, and Behavior: The Science of Addiction The article, Drugs, Brains, and Behavior: The Science of Addiction, published by the National Institute on Drug Abuse, discusses the lasting effects drug use has on the human brain. According to the article the brain is the most complex organ in the human body. The brain regulates your body basic functions; enables you to interpret and respond to everything you experience. The brain also shapes your thoughts, emotions, and behaviors.
The dietitian will use food and nutrition to try and cure the diseases. Often it will help a tremendous amount. The dietitian will work with alternative and herbal remedies to help prevent and treat different diseases. The dietitian’s goal is to cure different conditions with the use of food and herbal remedies, rather than prescription pills and harmful chemicals that could in the long run, harm the body even more. Dietitians that work with these patients have to be calm during their practices, “these specialties involve high-pressure work environments and long hours that demand leadership, assertiveness, and career commitment from the dietetic professional” (28). They will also create a personal relationship with their patient in order to make the patient more comfortable and open up to them because in most cases, the patient is coming to the dietitian for weight problems. If they are overweight or underweight, the dietitian will try to help them become comfortable in their own body before they make any drastic changes. It makes the process easier. It can also make the process easier by creating a relationship with their patients. If the patient thinks of the dietitian as their friend, they will most likely think of it as just conversing rather than confessing. In all honesty, it is hard to open up to people, especially if you have dealt with body image issues your whole
One of my mother’s friends struggles with anorexia. This lady went to school with my mother. In high school, the woman was an average weight for her height. The problem was, she was tall: six foot, two inches. Her height caused her to weigh more than many of the other girls. The lady began shedding pounds near the end of her sophomore year. She kept losing weight until she could no longer play sports. She quit them all and shortly after was hospitalized for two months. Many years later, I met the woman. My mother says she looks just as skinny as her high school years.
Pharmacists often work together in a team with other healthcare professional like physicians and nurses. In the process, pharmacists will give advice to them on the selection of medication, by providing the evidences based on the dosage form, the side effects and possible interaction with food of the medication. On the other hand, pharmacists also take part in research and clinical studies. Recently, pharmacists are recruited to conduct pharmacy-based research in pharmacies. (Swanson, 2005)