Subject Code & Title :- NUR231 Drug Therapy Supplementary
Assignment Type :- Assessment
Assessment Information:
a.Please enter your responses in the sections of the template below.
b. This is not an essay format and does not require an introduction or conclusion.
c. Use the third person in your responses.
d. Do not use bullet points in your responses. Use academic writing.
e. Use Arial 11 font with 1.5 line spacing.
f. Approximate word counts have been provided to guide you in each section.
g. Use APA 7 th edition referencing.
h. References are to be placed in the section at the end as indicated.
i. The reference list is not included in your overall word count.
NUR231 Drug Therapy Supplementary Assessment
As a nurse you will be required to interpret and use pharmacotherapeutic information and reliable clinical evidence to support your colleagues and patients in the quality use of medicines. You will interpret and use evidence to inform safe and comprehensive practice when designing professional focused and person-centred medication information.
A supplementary assessment receives only a pass or fail grade.
Part A: The goal is to provide professional focused information on a medication
Consider the patient situation
Lynn Freeman is newly diagnosed with type 2 diabetes. Lynn is 40 years old, weighs 92 kg and has little access to fresh fruit and vegetables. She cannot find time to exercise due to her work and childcare commitments as a single parent. She is of Aboriginal descent and lives with her three young children in Cherbourg. Over the last month Lynn has been constantly fatigued and has been treated by her general practitioner for hypertension with metoprolol 25mg BD and recurrent vaginal infections with candida treated with Miconazole cream.
Lynn is an inpatient in Cherbourg Hospital She has been reviewed by an endocrinologist and is prescribed an oral hypoglycaemic agent of Gliclazide Diamicron 60mg MR at
Criterion One: Application of pathophysiological concepts to justify clinical decision-making
Collect cues/information:
1. As a nursing student, your clinical facilitator has allocated you the care of Lynn after the morning handover. You are asked to explain the pathophysiology of type 2 diabetes to her. What is your response?
2.Your clinical facilitator tells you that Lynn has asked to manage her diabetes with solely weight loss and exercise like her aunty who also has type 2 diabetes. What is your response?
Responses:
1.
2.
Criterion Two: Application of pharmacotherapeutic concepts to explain safe medication practice
Process information
Lynn is disappointed that the endocrinologist has prescribed an oral agent. Your clinical facilitator asks if you can explain to her how Lynn’s medication works to achieve glycaemic control.
1.Explain the dosage administration and common drug interactions of Gliclazide (Diamicron).
2. Explain the actions mechanisms and indications of Gliclazide (Diamicron)
*See also MimsOnline 2022 Full Prescribing Information Gliclazide (Diamicron)
Responses:
1.
2.
Criterion Three: Evidenced-based argument and justification of decisions
Identify problems/issues
On your afternoon shift you are accompanying the community nurse on a visit to Lynn’s house to monitor her progress with Gliclazide (Diamicron). On questioning she states that she feels unwell. You take her blood glucose level (BGL) and find it to be 3.0mmol/L.
1.What are the registered nurse’s responsibilities relating to the Nursing and Midwifery Board of Australia (NMBA) Registered Nurse Standards for Practice in providing safe care to Lynn? Identify one standard and apply it to your responsibility in this situation.
2.Identify two possible causes of her hypoglycaemia.
Take action
3.What are the appropriate nursing actions after taking Lynn’s BGL? Give a rationale for the nursing actions.
4.If Lynn appears to have altered consciousness, explain the nursing actions you would take and provide a rationale.
Responses:
1.
2.
3.
4.
Part B: The goal is to provide person-centred information on a medication
NUR231 Drug Therapy Supplementary Assessment
Integrate the ACQHS Quality Use of Medicines principles into any of your responses below Lynn and her aunty require information and education about diabetes and medication management. Standard 3.2 of the NMBA Registered Nurse Standards for Practice requires nurses to ‘provide the information and education required to enhance people’s control over health’
Criterion Four: Application of social justice principles and the Quality Use of Medicines when describing mechanisms of action, adverse effects benefits risks and management of pharmacotherapy using person-centred approaches
Take time to educate:
1.Lynn is struggling to come to terms with her diagnosis and the need to have an oral hypoglycaemic agent. What emotional and psychological support would you consider?
2.What information would you give her about the long-term benefits of having Gliclazide (Diamicron) and closely monitoring her BGL?
3.What information would you provide to Lynn about recognising the long-term effects of hyperglycaemia?
4.What education would you provide regarding drug administration?
5.Identify one aspect that you would have to consider in relation to social justice. How could this impact Lynn’s on going health needs? What solution might you offer to address this?
6.What education would you give Lynn regarding her ongoing glycaemic control in relation to a) hyper tension and b) exercise?
Responses:
1.
2.
3.
4.
5.
6. (a)
(b)
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