Friday, December 6, 2019

Context of Caroline postoperative patient †MyAssignmenthelp.com

Question: Discuss about the Context of Caroline postoperative patient. Answer: Patients context Caroline is a day five postoperative patient, and her discharge has changed by a day. She is an employee working at a given Information Technology company, upon her discharge she hopes to return to her employment. She will be on the medication (Panadeine Forte 2 tablets qid).Caroline is very keen to go back to her bed. Cues collected from the scenario: Caroline has: She has declined the communitynursing services She hopes to return to her employment shortly in the IT company She is very happy to go back home and stay in her bed. Medication Panadeine Forte is a kind of medicine with the brand names of Panadeine Forte Tablets. The active ingredients are Codeine phosphate, hemihydrate, and Paracetamol. The medicine is very good for the relieved of both the severe pain and fever. The patient should be properly educated on the prescription depending on her age. Failure to follow medical instruction may lead to future complications. The medicine should be kept away from children and at a temperature of about 250Celcius. Script Justification Good morning Caroline my name is Robert and am a Registered Nurse in charge of your dischage. First I would congratulate you for the quick improvement. The pharmacist has sent me with your medication. I would like us to go through the medication before you have your discharge. This introduction part is to build a relationship with the patient. Use of polite greetings and introduction makes feels that despite her condition the nurses still cares for her. Introduction also initiates the agenda of the discussion. It is ok. Robert, youre most welcome. Thank you, Mrs. Caroline. You have been given a new medication due to the change in your discharge. I am going to help you on how to how to take the medicine. Would it be ok if I sit down Mrs. Caroline? Feel free to ask any question as we go through this medical prescription. According to the principles of adult learning, adults always respond well to the learning that is centered towards performing a common task (Melton, 2017). I will ensure that I maintain an eye contact and display comfortable body language including sitting in front of Mrs. Caroline to engage her closely. A conducive environment is required for Caroline to ask questions freely. During the discussion, she should be encouraged to ask as many question as possible. You may sit down Robert. Thank you for taking your time to visit me. I wish to know more about the medication. Thank you, may I get closer to you? This is Panadeine Forte. The medication is very special; it will help you get relieved from both severe and moderate pain. It will also help with fever. Do you remember our surgical Registrar talked to you about what to do and not what to do while at home? According to adult learning principle, the adults always want to know why they are learning about new medication (Bradley, Chang, Fallar and Karani, 2015). I would ensure that I maintain an eye contact and the body language to facilitate learning. The environment should be pleasant and free from noise. I would sit down and display best body language to capture the attention of Caroline (Melton, 2017). Yes, I remember well. He advised me on the proper medication to take Excellent Mrs. Caroline, Panadeine Forte Tablets helps with both severe and the moderate pain. You should take two tablets at an interval of 6 hours (2 table 3 times a day) that is two tablets in the morning, afternoon and evening. You need to take the tablets with clean water. Always ensure that you take medicine as prescribed because the side effects due to overdose are severe.Incase of any problem with the medication, plesase feel free to contact the doctors for any consultation. Is that right? I should always ensure that several learning preferences are included in our learning process not only through the verbal. Demonstrations and discussions may also be used because these might be Carolines preferences (Knier, Stichler, Ferber and Catterall, 2015). It is ok, I will follow all instruction as prescribed in this medication. Thank you, Caroline, together with the medication, take time to walk around and have some small exercise as this will help you with the joint pain. It is also advisable to take a lot of water because to avoid constipation which may occur as one of the side effects. At this point, I want to confirm if I have explained the medication correctly. Are you at position to take me through the procedure? Provide Caroline with the print documents because of it the best way of reinforcing learning (Veronovici, Lasiuk, Rempel and Norris, 2014). At this method, I will use teach-back method of learning to confirm Caroline understanding on the medication. Yes, Mr. Robert.I will take two tablets in the morning, afternoon and evening. I should always take it with clean water. Exercise and water are also good for my health.In case I clear the dose yet the condition not changed what I should do? That is a good question, Caroline. You will need to come back to the hospital for further consultation as well with the stoma nurse who will be checking on you. Positive response is used to reinforce the response on the importance of asking questions by patients; this motivates Mrs. Caroline with in-depth mastery of the medication (Peter, 2015). Did you have any other question, Caroline? In case you have any question while at home you can always contact pharmacist or doctor. The medication also has some printed documents to take home with you. References Peter, D., Robinson, P., Jordan, M., Lawrence, S., Casey, K. and Salas-Lopez, D., 2015, Reducing readmissions using teach-back: enhancing patient and family education,Journal ofNursing Administration,45(1), pp.35-42. Veronovici, N.R., Lasiuk, G.C., Rempel, G.R. and Norris, C.M., 2014, Discharge education to promote self-management following cardiovascular surgery: An integrative review,European Journal of Cardiovascular Nursing,13(1), pp.22-31. Knier, S., Stichler, J.F., Ferber, L. and Catterall, K., 2015, Patients perceptions of the quality of discharge teaching and readiness for discharge,Rehabilitation Nursing,40(1), pp.30-39. Melton, L., 2017., Evidence-Based Discharge Education Guidelines to Improve Adherence to Self-Care and Decrease 30-Day Readmissions for Older Heart Failure Patients, Bradley, S.M., Chang, D., Fallar, R. and Karani, R., 2015, A patient safety and transitions of care curriculum for third-year medical students,Gerontology geriatrics education,36(1), pp.45-57.

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