Assisting with Medications Case Study: Mr. Hudson - PDF

7 Case Study #3 Mr. Hudson is an older adult living with diabetes, and a hx of HTN. He also has developed conjunctivitis in his right eye the past week. He lives alone and requires assistance with his medications. Mr. Hudson uses a walker for mobility. As per your agency’s care plan, your DOT is...

7 Case Study #3 Mr. Hudson is an older adult living with diabetes, and a hx of HTN. He also has developed conjunctivitis in his right eye the past week. He lives alone and requires assistance with his medications. Mr. Hudson uses a walker for mobility. As per your agency’s care plan, your DOT is to assist Mr. Hudson with his 0800 medications. 650 mg of Acetaminophen (Tylenol) 5 mg Glyburide (Diabeta) Polysporin (antibiotic) eye drops 1 drop to Right Eye Document on the MAR immediately following. Special Considerations: Give medication with milk only Ask client to remove contact lenses before eye drop instillation Complete the above DOT skills with a partner and then switch. Then complete the questions together and submit: 1. What identifiers do you use for clients/residents when assisting with medications? - My client’s full name - His DOB, Date of Birth - His MAR, Medication Administration Record, to confirm dedications match what I got in hand. 2. What do you do if he refuses to take his medications? I cannot force him to take medications. I may ask him the reason he does not want to take them and convince him to take the medication for the healing. I need to document the refusal in the MAR and report it to the nurse. 3. What time should medications be given? Can you change times for convenience? Explain your answer. - 08:00 in the morning. - No, I cannot change time for convenience. If I change the medication given time, it will affect the drug effectiveness or the process of absorption. 7  8 4. As an HCA, can you purchase OTC medications for you clients? No, I cannot purchase over-the-counter medications for my clients without permission of the nurse or physician because there might be a polypharmacy issue. I don’t know if there’s any interaction with other medications that my clients is taking. 5. What is the classification and action of Diabeta? (Table 45-2 p.1064 in your text) - Classification: Oral sulfonylurea antidiabetic - Action: Stimulates the pancreas to release more insulin to lower blood sugar level. 6. What is your responsibility with this type of medication? - Give the medication with milk only. - Ensure he takes the medication - Documentation to the MAR. 7. What observations do you need to make with Diabeta? - Observe for any symptoms of low blood sugar such as, confusion, shakiness, dizziness or sweating. - Watch for his blood sugar level. 8. If you believe you have made a medication error or notice that one may have been made by someone else, what do you do? - Report immediately, don’t try to ignore or cover the mistake. - Monitor the client for any adverse effects. - Document the error in the MAR - Self reflect and learn from the mistake 9. How many Rights are there for Assisting in Medication Administration? What are they? There are 10 Rights for assisting in Medication Administration. - Right Patient: - Right Medication: - Right Dos (right amount): - Right Route: - Right Time: - Right Documentation: - Right to Refuse: - Right Assessment - Right Education 8  9 - Right Evaluation 10. How many “checks” are there? When do you do the “checks”? There are 3 checks when preparing and administering medications. 1. When taking the medication from the storage. 2. When preparing the medication on the bedside. 3. Right before administering the medication to the client. 11. Is it alright to turn your back on a medication sitting on the counter to get a glass of water? Why or why not? Provide rationale. - No, I should never turn my back on the medication. - The reason is to prevent someone taking the medication by accident. - I might mix up the medication with other’s if someone put other medication now. - Medication errors might happen when it’s not attendant. 9