This paper is a case study reflection that needs to be applied and underpin the steps of safe prescribing, ethics, responsibility and legal of prescribing with respect to standards of Nursing and Midwifery Council (NMC). In this regard, I will follow the Driscoll (1994) Model of reflection, which is based on three questions that explains experiences, differences that are made, significance, and actions to continue professional development with respect to learning. Discussion Driscoll (1994) Model of reflection
Bailey RSI Medication and intent Summary Rapid sequence intubation (RSI) is a standardized protocol that uses medications to facilitate endotracheal intubation of patients in emergency settings (Mason, Weant & Baker, 2013). Some indications for use of RSI include respiratory distress, trauma, or decreased airway patency (Mason et al., 2013). RSI medications include pretreatment medications such as fentanyl or lidocaine; acute paralytic agents and sedatives; and long term pain management, sedative or paralytic agents (Mason et al., 2013).
MS, as discussed, can be slow or fast progressing. Also, there are other neurological diseases that are symptomatically similar to MS as they also show signs of demyelination. MS is often diagnosed using both clinical and MRI results. The physician would usually first take a family history as genetics also play a role (albeit small) in MS presentation. The physician would move on to complete a physical examination, often looking signs such as lack of balance and coordination, loss of vision, and decreased emotional and language functions.
Before developments made while classifying clinical judgment, nurses were not guided by and standards while relating to their client's challenges. For instance, may describe sick persons recovering from surgeries as appendectomy, diabetic or difficult. Realizing a person has diabetes issues triggers the mind blood sugar challenges and high risks of infection.
• If not, for what symptoms would you be prepared to recommend it? • Are the indications for use restricted to the indications for use of the active ingredients? (i.e. is the manufacturer claiming effects that could not be expected from the ingredients present?) c) Suitable dose • What is the recommended therapeutic dose range for each of the active ingredients?
22.214.171.124. Symptomatic treatment of ADPKD Cases of ADPKD require a symptomatic treatment by prophylactic and supportive measures such as tight blood pressure management; also include adequate pain control, antibiotics for urinary tract infections, sufficient fluid intake, and avoidance caffeine and smoking. Urinary tract infections could be treated by using cyst-penetrating antibiotics, which is lipophilic agents penetrate the cysts consistently such as trimethoprim-sulfamethoxazole and fluoroquinolone (Elzinga et al., 1987 and Elzinga et al., 1988). 11.126,127, Whereas cyst hemorrhages require a careful administration with bed rest, analgesics and water. Also cases of nephrolithiasis require prophylactic measures, which include good water intake, such as potassium citrate was suggested for three causes of stones associated with ADPKD, uric acid lithiasis, hypocitraturic calcium oxalate nephrolithiasis, and distal acidification defects (Torres et al., 2007).
However, the responsible and trusted caregiver team must take an action through multiple processes in order to favor the patient. Although the physicians have known earlier when the terminally ill patient near to die, they are not comfortable with withdrawing of life-sustaining treatments. The intention is not to kill the patient, but using the available technology and creating a moral obligation to use what ethical principle prescribes. Underlining the disease process cannot be reversed, life-sustaining treatment can be withdrawn acknowledging that the treatment limitation (Reynolds, Coper, & McKneally, 2005). Ethics committee is a helpful source of advice that can provide consultation about ethical issues in treatment limitation.
From doctors not introducing themselves, explaining to patient about their condition and/or pharmacists not explaining to patients how to take a certain medication, these are all ‘small’ forms of unprofessional, this brings as to the following question.. What is unprofessional conduct? According to the Georgia Composite Medical Board (2012), as stated by the medical act " any departure from or failure to conform to the minimal standards of acceptable and prevailing medical practice and shall also include, but not be limited to the prescribing or use of drugs, treatment or diagnostic procedures which are detrimental to the patient as determined by the minimal standards of acceptable medical care ".
The Opioid ban is where doctors are not able to prescribe patients their prescription drugs of opioids that they need. Opioids should be given to all those in need because many opioid alternatives are lest effective. Such as the alternative of therapy, and alternative medicines witch can potentially make matters worse for them. The opioid ban should not be administered due to resulting issues that could occur. To introduce this topic, I will talk about what opioids are, why the opioid ban is an issue for those who use them, and the effectiveness of the governments’ and doctors ‘recommended alternatives.
Medication adherence refers to whether a patient is taking their prescribed medication as directed. Many chronic illnesses can be fought of and beaten with the use of pharmacotherapy. However, many patients cease to take their prescription, which could happen for a number of reasons, ranging from the patient, to the physician (Brown, Bussell, 2011). This is a very big problem, as developing, manufacturing, and distributing drugs costs a lot of money, and even human lives, that will go to waste and be destroyed if people do not take their medications.
Due to the impaired judgment, intense emotion and overt psychosis, there is an increased risk of violence in mentally ill patients during a relapse. Therefore, verbal de-escalation was crucial in eliminating the possible aggression during the first few home visits. Madam MA appeared frustrated the moment she saw the community team going to her house. She could not see the reason for the home visits. After the verbal de-escalation, she appeared calmer and was able to talk with the community team.
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.
Anyone with an addiction clearly has a problem and needs help. That shouldn’t matter if the drug is legal or not. I think if the person has an addiction, they should have the opportunity to get help. But if the person is unwilling to seek or get help, then they should be punished and put in jail, if that drug is illegal. As far as legal prescribed drugs, I believe it should be more of a doctor’s position to realize that an individual is addicted and they should stop prescribing the drug to them.
As a society, we rely greatly on prescription medications to treat medical conditions and alleviate pain. Growing up, I always had the tendencies to avoid medication unless medically necessary. Fortunately, I was a very healthy child that rarely relied on any type of medication. As I got older, I noticed some of my family members having to take medication on a daily basis. I quickly realized that many people need prescription drugs in order to maintain their health when dealing with life-threatening conditions including high-blood pressure and high cholesterol.