Whether I work in the recovery room or intensive care unit, the elderly patients are a special population in my daily nursing practice that are at risk for drug overuse, underuse, or misuse. Moreover, my older patients tend to consume more medications due to their extensive medical history or chronic diseases. Burcham and Rosentheal (2016) explain some of the reasons for drug adverse reaction in older adults. Older adults do not adhere to their medication regimen prescribed by the doctor, they are more sensitive to drugs since they have more comorbidities, and take more medication than a younger person. Economic or cognitive decline could be some issues for noncompliance to the medication regimen. I met a lady at the pharmacy who could not afford to buy her blood pressure medication, so she had not taken the medication in over a year.
Often times the nurse administers Ativan with the intention of sedating the patient and preventing them from hurting themselves. I had a patient who came to the hospital from a nursing home and his family was upset because the
…show more content…
but, fortunately she did after four hours. One must be very careful when administering medication to the elderly population. the Beers criteria list for potentially inappropriate medication use in older adult could serve as a guideline when administering medication to the older population. According to the American Geriatrics Society (2015), this criteria was developed to protect the life of the older adult by limiting the exposure of inappropriate medications. I truly believe this list is easy to understand because it is categorized by organ system, therapeutic classes, and disease. It explains the reasons for not recommending the medication and the quality of the evidence for each
Healthcare professionals must talk to their patients about possible side-effects of drugs they are taking and make sure they understand what can happen. In doing so, patients may start to understand why something is happening to them and it is a normal side-effect, which can not only lead to trust from the patients to providers, but can lead to the passing of knowledge from one to another which may prevent future
This is something that needs to be looked into more and more monitoring of how the nurses are able to treat their patients. There has been too many episodes where nurses just didn’t want to do their job like give meds when they were suppose to be administered or reporting when patients were in extreme
My preceptor and I discussed both the dangers of this class of medications as well as their usefulness. We also discussed the fact that there is new research to
Barry insists that when patients consult with their doctors about the side effect, they are only treated with yet another drug; this is known as a drug “cascade.” She goes on to claim that tens of millions of people suffer each day due to the side effects of drugs. Also, she acknowledges that adverse side effects cause for 4.5 million emergency room and doctor’s office visits per year. Moreover, Barry acknowledges that serious drug reactions are the fourth leading cause of hospital deaths, only topped by stroke, cancer, and heart disease. The facts Barry offers are notable because of the cyclical effect drug use imposes on patients: a patient takes drugs, the patient has side effects which land him or her in the emergency room or hospital, the patient is prescribed new or “better” drugs, the patient continues to have side
The growing cost of prescription drug pose a problem for the uninsured, these patients with a limited income find themselves debating between filling their prescriptions or feeding their family. It is important as practitioner to take the time to go over the prescriptions with the patients to determine whether the medications cost will be the reason to compliance issues. The four-dollar generic medications will help patient to comply with their treatment plan and avoid the worsening of their condition. As stated in the Chain drug Review (2012)“The generic drug utilization rate is likely to grow as Americans increasingly seek ways of lowering health care costs and as more branded drugs begin to face the expirations of their
One example of this type of clinical practice when a PWD refuse to take prescribed medication is ‘covert medication administration’. Covert medication administration (CMA) is the process of concealing medications in food or beverages to prevent detection and is used for patient without their consent because of presumed lack of decisional capacity to give or refuse consent. This is prevalent in residential aged care facilities (RACF), especially in patients suffering from dementia. According to Abdool (2017), more than 70% of healthcare professionals (HCPs) faced the decision to CMA. Significantly, almost all are in unison that CMA is justified on certain occasions.
The first indication that there is an ethical issue in this case was when Dr. Petrov asks the pharmacist, Harold Hawkins, to donate his soon to expire medications. Dr. Petrov is heading back to his home country and wants to take medication donations with him. He insists that medications, even if not fully potent are better than no medication at all. This is an ethical issue because the people that may receive these medication could experience potential harm. Another issue is that the hospital policy and the law prohibits Mr. Hawkins from donating these medications.
Without being diagnosed correctly, “7.5 percent of U.S children between the ages [of] 6 and 17 take medication for ‘emotional or behavioral difficulties’” (Insel). Overmedication is the inappropriate medical treatment that occurs when a patient is given or takes unnecessary or excessive medications. Many are wrongly diagnosed by doctors, or self-medicated. With every disorder comes an evaluation and many doctors do not evaluate their patients or their behavior, they get straight to medicating.
To create an environment where these errors are a rare occurrence, all healthcare professionals must dedicate themselves to implementing QSEN's six core competencies each and every day. These professionals must also speak up when they see room for improvement in their workplace. Regardless of the healthcare setting or demographic of patients, safe outcomes are the purpose of providing patient-centered care. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. As the nursing code of ethics states, nurses have the duty to protect the health and safety of those in their care (Winland-Brown, Lachman, O'Connor Swanson, 2015).
Taking a medication or medications everyday of one’s life is not always an easy task. According to Benjamin (2012), “Seventy-five percent of Americans have trouble taking their medicine as directed” (p.2). Lack of adherence can cause a person their health as well as the health care system billions of dollars. An approximation of 125,000 deaths a year in the United States (U.S.) is due to medication non adherence (p.2). Benjamin (2012) stated, “nearly half of all the Americans-133million-people suffer from at least one ongoing or chronic health condition” (p.2)
Medication use is potentially dangerous. Polypharmacy is increasing, and makes it harder to keep track of side effects and interactions and of potentially inappropriate drug combinations. “The risk of serious consequences, hospitalization, and death due to medication errors increases with patients’ age and number of medications (Scand J Prim Health Care, 2012)”. For example, the GP is supposed to monitor the patient's regular medication, but does not always do so. Lack of monitoring and keeping track of patients’ medication use is a main cause when a patient is given inappropriate drugs.
DUE programs play a important role in helping managed health care systems to understand, interpret, review and improve the pattern of prescribing, administration and usage of medications. Employers and health plans find DUE programs effective since the outcomes are used to foster more effective use of scarce health care resources. Pharmacists play a important role in this process because of their skill in the area of drug therapy management. DUE affords the managed care pharmacist the chance to identify trends in prescribing within community of patients whether by pathological-state such as those with asthma, diabetes or high blood pressure, or by medication-specific criteria. Pharmacists can then, in association with prescribers and other members of the health care team, start the action to improve medication therapy for patients.
In late adulthood, many people are categorized and judged solely on the basis of their chronological age. This is called ageism. Ageism is a form of stereotyping. Just as racism and sexism hurt the feelings of the people “grouped” in those categories, the elderly who are grouped together by ageism can be full of self-doubt, depression, anxiety, and ageism can lead to serious medical issues. The stereotype of ageism often causes a person over the age of 65 to refrain from asking for help.
I worked day shift and came into report that fateful day to hear about a dying patient I was assigned. Apparently, she was brought to the hospital from a nursing home because of uncontrolled pain. The doctor who admitted her was notorious for berating a nurse at a moment’s notice and was the head physician at the hospital and ruled the roost (so to speak) and was impossible to please – reportedly. The off-going nurse was giving me report, and it went something like this: “She is in there crying and squirming in pain.
It came down to the poor resident being in the facility for 3 days, without any full assessments being done, and no-one knew the resident’s history and the medications had been put in the computer incorrectly. Fortunately, there was no harm