Question

I'm sorry I didn't post the question in details ,this is the full question , Using the acronym, A.C.T.I.O.N identify and explain the sequence of the tool recommends you follow to address all medication problems 2) Give a brief description of the focus in each section, Situation : Your client is 84 and has rheumatoid arthritis, Each week the RN distributes her medication for each day in a diverted. Today your client's joints seem very inflamed and she asks you to open her diverted for her, For this scenario what section in the medication problem A.C.T.I.O.N plan" resource would turn to when addressing the situation? b) What action would you take to assist your client? Record your answer for part b" if you are documenting in the client's record

Answer 1

THE PURPOSE OF THE RESORCE GUIDE IS TO PROVIDE DIECTION WHEN YOU HAVE IDENTIFIED POSSIBLE MEDICATION RELATED PROBLEMS.

WHAT A.C.T.I.O.N MEANS ;

A-ASSESS/OBSERVE THE SITUATION

C=CONTACT YOUR SUPERVISOR

T=TALK TO FAMILY MEMBER IF PRESENT

I=IDENTIFY HOW YOU CAN HELP

O=OPEN THE CHART AND DOCUMENT

N=NOTE TO FOLLOW UP

EACH SECTION OF THE SCREENING TOOL AND THE RESORCE GUIDE IS COLOUR CODED

SECTION A- PROBLEMS TAKING MEDICATION CORRECTLY

SECTION B-PHYSICAL OR COGNITIVE PROBLEMS

SECTION C-BARRIER AND THE OTHER PROBLEMS

SECTION D-CHANGE IN CLIENT CONDITION

SECTION E-CHANGE IN CLIENT MEDICATION.

=IN THIS CASE,THE CLIENT HAS RHEUMATOID ARTHRITIS (AUTO IMMUNE DISEASE WHICH AFFECTS THE JOINT) AND TAKING MEDICATION FOR THAT BUT NOW JOINTS ARE VERY INFLAMMED . SUGGESTING THAT THERE IS CHANGE IN HAS HEALTH CONDITION AND REQUIRES CONSULTATION WITH THE PHYSICIAN AND SO THERE IS A ISSUE WHETHER TO CONTINUE THE SAME OLD MEDICATIONS OR NOT.

IT IS IMPORTANT TO MEET THE DOCTOR THAT SHE CAN CLOSELY MONITOR FOR ANY SIDE EFFECTS AND CHANGE HER TREATMENT.IT IS NECESSARY BECAUSE SHE HAS INFLAMMATION.

THE DOCTOR WILL WORK WITH HER TO DEVELOP A TREATMENT PROGRAM.THE DRUGS YOUR DOCTOR PESCRIBES WILL REDUCE THE INFLAMMATION.

=THE ISSUE CAN BE ADDRESSED BY GOING TO SECTION D=CHANGES IN CLIENT CONDITION

IN THE SECTION D;RELATED

CHANGE IN BOWEL PATTERNS

CHANGE IN BLADDER PATTERNS

CHANGE IN BEHAVIOUR ,MEMORY ,MOOD OR THINKING PATTERN

CHANGE IN MOBILITY

CHANGE IN APPETITE

CHANGE IN ENERGY LEVEL

CHANGE IN SLEEPING PATTERN

CHANGE IN COMFORT LEVEL

IF ANY CHANGE CLIENT HAVE

YES

ACTION

CONTACT YOUR SUPERVISOR

THE CLIENT HAS SWELLING IN HER LEG SO SHE CANT WALK IT AFFECTS HER MOBILITY.SO WE CAN CONSIDER SECTION D -CHANGE IN CLIENT CONDITION.THE HIGH INFLAMMATION AFFECT HER WALKING.THE ARTHRITIS INFLAMMTION CAUSE PAIN.

=ACTION= I WOULD TALK TO THE SUPERVISOR REGARDING THE ISSUE AND ALSO EXPLAINS THE PROBLEM TO THE CLIENT S ATTENDANT AS WELL IF P RESENT.

THE NURSES ALREADY HAVE AN IMPORTANT ROLE IN THE FOLLOW UP AND TREATMENT OF PATIENT WITH INFLAMMATION MAINLY IN RHEUMATOID ARTHRITIS.

SO THE NURSE CHECK THE MEDICATION AND THE MEDICATION RIGHTS AND THE CHART RECORDED THE MEDICATION .EDUCATE THE CIENT ABOUT THE SERIOUSNESS ABOUT THE INFLAMMATION.PROVIDE PSYCHOLOGICAL SUPPORT.

TALK TO THE SUPERVISOR REGARDING THIS ISSUE AND REDUCE THE PROBLEM AS SOON AS POSSIBLE.

THE NURSE SHOULD PROVIDE SOFT AND SAGGING MATTRESS,LARGE PILLOWS THAT HELP TO REDUCE THE INFLAMMATION.ELIVATION OF BED LINENS REDUCES PRESSURE ON INFLAMMED JOINTS.

FREQUENT POSITION CHANGING HELP TO REDUCE INFLAMMATION

THE NURSE SHOULD RECORD THE MEDICATION CHART INTAKE AND OUTPUT CHART

POSTION CHANGE CHART

PAIN MANAGEMENT CHART

NURSE SHOULD GIVE HEALTH EDUCATION TO THE PATIENT AND THE ATTENDERS TO REDUCE THE INFLAMMATION