Medication Plan | Case Study

Running head:MEDICATION PLAN
MEDICATION PLAN
Name of the student
Name of the university
Author note

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MEDICATION PLAN
Patient Context
Caroline Morris, a woman with a son and a daughter with ulcerative colitis, was admitted to
the hospital. Previously her weight loss and diarrhoeal condition made her weak, tired and
miserable and had to undergo this surgery. She arrived at the GI ward from recovery post-op
bowel resection with LLQ ileostomy formation. She stated nausea, vomiting, and immense
pain after getting admitted.
Cues collected from the scenario
Caroline Morris has:
 Weight loss and diarrhoeal condition due to which weakness, tiredness prevailed
 Deterioration in health condition leads to insufficient concentration in job
 Depressed
 Grimace on movement
 Immense pain in the abdomen, back and pelvis
 Nausea
Medication
Buprenorphine other names Norspan patch is commercially available as the Suboxone brand
name drug and is formulated in a 4:1 fixed-dose combination medication along with
naloxone, a non-selective potent opioid receptor antagonist. Buprenorphine is a weak partial
mu-opioid receptor agonist and a weak antagonist of kappa-opioid receptors used to treat
extreme pain(Goonoo et al. 2014). Buprenorphine is poorly absorbed gastrointestinally and is
thus administered as a sublingual tablet. Norsspan patches consist of buprenorphine which
belongs to opioid analgesics.
Script Justification
Good morning Mrs. Caroline Morris. I am a In the health care system, communication is

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MEDICATION PLAN
stoma nurse and would like to demonstrate
on the medication that has been prescribed so
that you face no challenges while taking
medicine.
the key to attain high patient outcomes.
Yes, sure, can you please put the medicine in
my bag?
Mrs. Calorine, this medication is different
from others that you have been using for
these days. I feel it is important to gain
knowledge on the medication about how to
use it, when to use and why to use it.
Are you comfortable listening to me for a
few mins? You can stop me and ask
questions and clear your doubts.
According to Adult Learning Theory, it has
been found that adult learning has differed
from children, and it comprises principles
which include participation, repetition,
relevance, transference and feedback. So it is
necessary to provide all the information
related to the drug (Christie et al. 2015).
The gesture of asking that if it is the right
time to talk because she might be in pain
which creates discomfort and Mrs. Caroline
will fail to participate in the conversation
efficiently.
While attending a patient a supportive
environment enhances the conversation, and
clearing doubt will help in a proper
understanding of the medication.
Yes, I am in good condition right now. Please
explain elaborately so that I don't have to stay
back.
It is also expected to motivate the patient so
that they have that eagerness to learn like
Mrs. Calorine, thus avoiding readmissions.

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MEDICATION PLAN
Sure, I will try my best to deliver the
necessary information. Please adjust the
reading glass so that you can concentrate on
the packaging and the instruction.
The name of the medicine is Norspan. It
consists of buprenorphine. NORSPAN
patches are used for moderate to extreme
pain relief. Hope you remember the
instructions that have been given during your
stay in hospital
Educating a patient is the greatest approach
and is a key consideration for the start of the
education plan (Narva, Norton and
Boulware, 2016). A clear vision of
packaging and instruction is necessary can be
achieved with the help of glasses.
Yes, I have asked to stay well hydrated and
feed on a healthy diet.
The patient must be engaged in the
conversation by revising the existing
knowledge.
Alright. Buprenorphine falls under a group of
medicines which is known as opioid
analgesics. These are mainly used to treat
pain. It is important to know that each patch
can be worn for seven days. Have you seen
anybody to use this patch?
By verbal communication, it is necessary to
understand the learning preferences despite
other learning preferences (Adler, Rodman
and Du 2016)
No, I will be using this for the first time. Can
you please show me?
It is necessary to know about the existing
knowledge so that no misconceptions are
created.
Yes sure. Before starting, the most important
part that you should know is the first
NORSPAN patch that you will be using may
Thorough knowledge on application process
helps to know the effectiveness of the
medication or else Mrs. Caroline would have

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take up to three days to achieve its full effect.
This is due to the need to consume
buprenorphine through the skin and then into
the blood until you start to feel the impact
(D’Onofrio et al. 2015).
misinterpreted the situation on the first three
days of application
So, if I feel extreme pain within the first three
days, what measure will I take?
Patient engagement is necessary.
Good question. For this additional medicine
will be prescribed to keep the pain under
control. I am now coming to the application.
Find a place of clean skin on the upper outer
arm, upper stomach, upper back, or stomach
side. Do not put the patch on raw, burned or
wounded skin.
Be sure the place is nearly hairless and
doesn't have large wounds.
A silver backing foil protects the adhesive
side of the board. Carefully peel off the
smaller portion of the back foil you won.
Peel the remaining foil and press the patch
with the palm tightly onto the skin and
gradually count to 30.
Ensure the entire patch is in contact with the
skin, especially around the edges.
The use of print documents is an effective
means of promoting learning and
strengthening materials (Coffey, 2018)

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MEDICATION PLAN
Alright, I understood clearly. What is the
dose quantity?
It seems you understood clearly. The
medication you are recommended releases
buprenorphine 10micrograms per hour over 7
days.
I emphasize the importance of getting
positive input on the questions
If you have any questions, please feel free to
ask. I have made a printed document of the
same information that I have shared so that
no confusion arises when you go back home.

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MEDICATION PLAN
References
Adler, R.B., Rodman, G.R. and Du Pré, A., 2016. Understanding human
communication (Vol. 10). Oxford University Press.
Christie, M., Carey, M., Robertson, A. and Grainger, P., 2015. Putting transformative
learning theory into practice. Australian Journal of Adult Learning, 55(1), p.9.
Coffey, S.M., 2018. Health Information Technology and Language Barriers in Pre-Admission
Clinics.
D’Onofrio, G., O’Connor, P.G., Pantalon, M.V., Chawarski, M.C., Busch, S.H., Owens, P.H.,
Bernstein, S.L. and Fiellin, D.A., 2015. Emergency department–initiated
buprenorphine/naloxone treatment for opioid dependence: a randomized clinical
trial. Jama, 313(16), pp.1636-1644.
Goonoo, N., Bhaw-Luximon, A., Ujoodha, R., Jhugroo, A., Hulse, G.K. and Jhurry, D., 2014.
Naltrexone: A review of existing sustained drug delivery systems and emerging nano-based
systems. Journal of Controlled Release, 183, pp.154-166.
Narva, A.S., Norton, J.M. and Boulware, L.E., 2016. Educating patients about CKD: the path
to self-management and patient-centered care. Clinical Journal of the American Society of
Nephrology, 11(4), pp.694-703.