NURSING PROFESSIONALS ARTICLE 2022

Running head: MEDICATION ASSIGNMENT 1
Medication Management Assignment for Case Study 2
Name of the Student
Name of the University
Author Note

MEDICATION ASSIGNMENT 2
Medication Management Assignment for Case Study 2
Medication management is one of the most crucial aspects of care, and the nursing
professionals have a crucial role to play in ensuring that the patient is capable of self-
management of medication (Khan et al., 2017). The following sections of the paper will
critically evaluate the case study of Hadden, a 63 year old male individual who is suffering
from chronic obstructive pulmonary disease. Based on the analysis of the patient’s current
situation, the priorities of self-management of medication will be determined and will be
addressed using adequate nursing interventions and strategies.
Discussion
Patient Situation
The patient is 63 year old male who is a current smoker and has smoked 20 cigarettes
a day for the past 40 years. The patient is unable to perform daily activities on how to own
and requires nursing assistance. The patient has a history of obstructive sleep apnoea, for
which he requires continuous positive airway pressure and mild hypertension. The patient is
noticing increased dyspnoea and is requiring oxygen. He has stated of being fatigued during
the day and has flushed in appearance. The heart rate of the patient is 90 bpm, respiratory rate
is 34 breaths per minute, blood pressure is 132/88 and SpO2 92% on 2 Lpm of O2. Tenacious
sputum and green coloured cough have been observed.
Current Medications
The current medications of the patient include:
o Trelegyellipta100/25/62.5 micrograms 1 puff /day mane
o Salbutamol 200 micrograms inhaled with spacer prn
o Augmentin Duo Forte 875/125mg bd
o Prednisolone 50mg daily for 5 days

MEDICATION ASSIGNMENT 3
o Nicorette patches 15mg/16 hours daily
o On home, oxygen 2Lpm / min for 18 hours per day via NP.
Collecting & Processing Information
The patient has a history of hypertension but is taking no medications for it currently.
The current blood pressure of the patient is elevated, indicating hypertension. The respiratory
rate of the patient is significantly higher than the normal rate of 20 breaths per minute, and
the heart rate is also elevated (Xie et al., 2019). The patient states that he takes his
medications whenever he remembers, indicating that he may have missed several dosages.
Furthermore, the patient states that he has not quit smoking and smokes regularly. The patient
states not ‘feeling attached’ to anything, raising concerns for ‘end of life’ ideations as he
refrains from using the oxygen as prescribed by the health care team. He also refrains from
taking oxygen out of the house with him as people stare at him. All these are leading to
worsening of the COPD symptoms.
Identification of Problems and Issues
The vital signs are indicating rapid worsening of the COPD symptoms, where the
patient is feeling troubled in breathing and has a significantly high respiratory rate and heart
rate (O'Conor et al., 2019). The condition of hypertension also seems to be present with
elevated blood pressure. The patient is showing non-adherence to prescribed medications
which one of the major reasons behind the worsening of his health condition. Furthermore,
smoking is one of the major risk factors of COPD, and the patient is needed to be educated
appropriately to ensure smoking cessation and on-time restoration of respiratory health
(Korpershoek et al., 2017).
Establishment of Nursing Goals
Reviewing the patient’s current situation and the identified problems, several critical
nursing goals need to be developed, primarily concerned with the self-management of