CASE STUDIES
2
Medication management
Gail Peters has osteoarthritis, inflammation in her right leg, severe joint pain, and
hypertension. The fall has resulted in a fracture of the right femur. The ECG shows AV block
that may have resulted in the blackout and fall leading to the fracture.
The Brief Pain Inventory, a fundamental tool of nursing is used to assess Gail Peters’
pain status (Chiarotto et al., 2019). It provides a more in-depth analysis of pain and discomfort
such as intervention in activities, history or location. Pain is measured on a scale of 10, with 0
being painless or no discomfort and 10 denoting terrible pain. The important part is that it is
based on emotional or affective perception instead of physical symptoms and thus has a
screening capacity.
Ms. Peters should be prescribed a combination of oral Paracetamol and Ketorolac (typical
NSAIDs) for pain management (Glyn-Jones et al., 2015). This is currently advised for first-line
pain treatment. Only Paracetamol is not enough for the management of Ms. Peters’ severe pain.
Ketorolac will prevent prostaglandin synthesis to reduce inflammation and pain. A calcium
channel blocker antihypertensive drug may be administered which has no contraindication with
Ketorolac. If the pain persists, Morphine will be administered and if the pain seems under
control, reduction of doses may be considered depending on the signs of side effects (Villafañe,
Valdes, Pedersini, & Berjano, 2019).
Patient safety
The emergency department is described as the provision of health and social support
services around the clock for those who may require unplanned or unscheduled urgent care,

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Case Study on Medication Management

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