For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medication daily. My participant, JR had heart bypass surgery, exactly 4 bypasses, on June 1, 2015, due to 90% of his coronary arteries being blocked. For about two weeks prior to the surgery, he could not walk, felt very dizzy, fatigue, and weak. His legs even gave out and he fainted. He then decided to go to the doctors, got lab work done and found out about his coronary arteries were blocked. If he did not have this surgery, he would have died. This eight-hour surgery was a huge reality check for him. After this surgery, he completely changed his lifestyle by not smoking, not drinking, eating healthy and going on walks. Prior to this surgery, JR had and still has type 2 diabetes, high blood pressure, and high cholesterol for about five years now. As I was talking to him, it was clear that he knew all his medication very adequately especially when to take it, why he takes it and how to take it. He is also fully aware of healthy lifestyle choices. As we were talking I gave some advice to help continue his healthy lifestyle. The interventions I completed based on the medication review with the patient …show more content…
Today he chooses to have a healthy life and control his diabetes. He takes one medication orally for his diabetes, Metformin. JR has a good, healthy diet as well as exercise habits like taking walks with his dog. JR takes seven medication on the daily with three being for his heart, one for his high blood pressure, one for his cholesterol, one for his diabetes and another one to prevent blood clots. After making sure there was no drug to drug interaction between any of this medications, I informed my patient that his medication can not cure diabetes and high blood pressure but control
Anne is a seventy-four year old female with multiple comorbidities. The patient I interviewed is a sixty five year old male with a past medical history of hypothyroidism and no other reported medical conditions. Additionally, Anne requires assistance with completing her activities of daily living such as shopping, transportation and managing her finances. Also she rarely leaves her home, and is inactive due to chronic pain. The patient I interviewed is able to care for himself independently and is rather active. The patient I interviewed continues to work outside his home and routinely
Currently, LG takes medication for high cholesterol. She has been informed this is likely genetically inherited from her father and cannot be controlled with just diet and/or exercise. She goes yearly to her primary physician to manage this condition. She has one sibling with bipolar disorder and the other two do not have any medical problems. Her oldest brother and his family provided most of the hands-on care for their father a few years before he died and this has helped LG, her siblings, and all of the family members be more vigilant about staying healthy, eating well, exercising, and getting regular medical checkups. LG stated that her family stays well educated regarding their health and family history and if they have any questions about the genetic problems in the family, they will typically research the internet and follow up with their general
This patient has been seen every 6 months for a focused physical examination with a total cholesterol, liver function panel and a FPG to evaluate his diabetes status and cholesterol management program. He has attended nutrition counseling in the past and has complied with lifestyle modifications including diet and exercise resulting in a weight loss of eight pounds over the past year. Over the pasts twelve months, this patient’s total cholesterol levels have significantly improved from 280 mg/dL to 190 mg/dL. This is the second time h...
The patient has a history of anxiety disorder, depression, diabetes, and hypertension, controlled with medications.
...so discuss making a exercise plan that will work for the patient, and will not cause him/her any pain. If all of the correct measures are taken, and the patient is taking care of themselves, they can prevent more serious complications from occurring. They must know that they are serious complications from one not taking care of themselves, or living a unhealthy life style. It does involve a lifelong commitment to change. Medication will help, but one must also be willing to change.
For this evaluation of a clinical practice guideline I chose to evaluate a guideline that was published in 2012 and that addressed the use of oral medication in the treatment of Type 2 Diabetes (Appendix B). People who have received a diagnosis of Type 2 Diabetes Mellitus (T2DM) are facing a long term treatment plan. Diabetes mellitus is a chronic metabolic disorder that results from a problem with insulin in the body. T2DM is growing in prevalence and is a cause for concern. There are several co-morbidities that can be linked to poorly controlled blood sugar levels such as cardiovascular disease, peripheral vascular disease, renal failure, and a decrease in eyesight. If blood sugar levels can be maintained at a normal to near normal limits the patient has a decreased risk of experiencing these comorbidities. Because of this it is important for the healthcare practitioner to evaluate all treatment methods available and the evidence that supports the efficacy of recommending this treatment to our patients. I used the AGREE II tool in evaluation of this guideline (Appendix A).
Client shared numerous physical concerns that should be tackled right away. Client explained a fall at home was the initial reason for the visit. While client refuses to go to see a doctor it would be advised client check to make sure there’s no fractures in the bones. At the doctor it would be detrimental to discuss if the diabetes played any effect into the fall. Lastly, it would be ideal the client got a professional opinion on whether her medications are adequate. It’s evident that in order to tackle the psychological barriers, the physical concerns are also priority.
Coronary heart disease is a common term for the build-up of plaque in the heart’s arteries that could lead to heart attack (Coronary Heart Disease, 2017). Furthermore, there are many known coronary heart disease factors that can be controlled. These are high blood cholesterol, high blood pressure, diabetes and pre-diabetes, obesity, smoking, lack of physical activity, unhealthy diet and stress (Coronary Heart Disease Factors, n.d). The techniques of motivational interviewing are more persuasive than coercive and more supportive than argumentative. The motivational interviewer must advance with a firm sense of purpose, clear methods and skills for seeking that purpose, and a sense of timing to mediate in specific ways at quick brief periods of time (Miller and Rollnick, 1991). The clinician uses motivational interviewing on account of four general principles in mind. The key principles are to express empathy, avoid argument, roll with resistance and support self-efficacy (Treatment, C. for S. A.,
After several days of working with me the patient’s states “I know I haven’t taken very good care of my body, but I would like to start doing that now. I have not even tried to manage my diabetes
“Education is not the preparation for life; education is life itself.” - John Dewey. Every year, as we enter a new grade, new challenges approach us. Eighth grade is no exception., and will be very different from 7th grade. As I enter my eighth grade school year, I will be bombarded with a variety of new experiences and challenges such as buddies, academics, and being prepared for high school. One of the most important tasks that is thrust onto me is buddies.
One important fact in this case is medication that the physician administered to the patient is not listed in the case study. All information must be documented, this helps to keep track in the event the patient gets a reaction this is significant information that must be recorded. Although this may be unimportant to the case this should still be listed. As this patient condition worsened he was diagnosed with osteomyelitis. As mentioned above knowing all medications being administered are important, when treatment first began the pharmacist in this case did exceptionally well keeping track of the medications being administered. Another important factor is that the pharmacist kept track of the care being provided to the patient because the pharmacist reviewed patient results he was able to make suggestions to the physician to check the patients creatinine levels. However the pharmacist in the case is the defendant. Although the pharmacist did well in reviewing the patient’s information during most of the treatment, he did fail to do a follow up check. The
The care plan is composed of the right food, exercise and medication (Mayo Clinic Staff, 2014). The person needs to know what type of foods affects their blood sugar levels and most of the time the patient is sent to a nutritionist to follow a diabetic diet. The patient needs to keep track of a food log to discuss later with the doctor or nurse on the next appointment (Mayo Clinic Staff, 2014). An exercise regimen also helps to keep the sugar levels balanced. It is important to keep an exercise schedule that will help the person to keep an exercise routine in accord with the medications and meals. It is very important to stay dehydrated and to keep track of the blood sugar levels (Mayo Clinic Staff, 2014). The medications are to lower the blood sugar levels. It is very important to store the insulin properly, check the expiration date and double check the dose before administration. The person will need to report to the doctor if the blood sugar gets too low or still high, because the doctor might need to adjust the dosage or timing. Also, it is important for the doctor to know if the person is taking medications for other conditions, because that will help the doctor to prescribe the correct medication for the person (Mayo Clinic Staff,
Another barrier is the client’s willingness to make the changes that will have a positive effect on his health outcome. The nurses and community case workers can provide all the necessary information, but the client has to be willing to accept the assistance. The best way to affect a positive lifestyle change is to encourage the client to take small steps toward the desired change. For example, the client needs to weigh himself daily and record the information, so a scale is provided and he agrees to record his weight twice a week. As this positive behavior change becomes a habit, them it could evolve into recording this information daily.
was well organized, efficient and effective. She was compliant with 83% of the new plan regimen by the end of the four weeks project. She was also in compliant of her weekly weight regimen and documentations throughout the course of the project. Even though C.M skipped imputing some caloric intake and meal times in her journal, at the end, she was able to achieve 90 % compliance of healthy eating through label reading food planning and the use of the national dietary guidelines. She was also able to reduce her intake of fast foods noted by a marked reduction in weight of 7 lbs. at the end of the third week. While C.M made a lot of progress in most of the itemized plan of care, she was non-compliant in the area of meeting with a nutritional counsellor. She attributed this to lack of time and financial
Cheney, K., & Haak, E. (2009). IT 'S TIME TO UNSPOIL YOUR KIDS. Money, 38(6), 58-61.