Nursing Assignment: Medication Management and Patient Education

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student:
Name of the University:
Author Note:

1NURSING ASSIGNMENT
Introduction:
According to the case study, Marcel is a 70 year old farmer who has been suffering
from Diabetes and its uncontrolled symptoms. In order to promote recovery, the nursing
professional must adapt a person-centred approach and collaborative practice so as to devise
a care plan for the patient (American Diabetes Association, 2015).
Discussion:
Identification and prioritization of patient’s medication management:
In order to devise an effective care plan, it is important for the nursing professionals
to prioritize patient problems. Identification of patient priorities would help in assisting care
professionals to make use of care principles to promote effective recovery (Barrès & Zierath,
2016). Further, upon identifying the care priorities, the nursing professional would typically
adapt a person-centred approach in order to devise an appropriate care plan for the patient. It
should be noted in this context that the two nursing priorities for the patient would comprise
of teaching the patient self-management skills and promoting health literacy and improving
his medication management routine. On the basis of the case study analysis, it can be said
that the patient’s Diabetic condition had deteriorated on account of the identified care
priorities. Upon applying the principles of clinical governance, it can be said that the patient’s
health condition had significantly deteriorated due to poor lifestyle factors. Therefore, it can
expected that upon addressing the identified care priorities the patient’s condition could be
improved.
The nurse would typically make use of the clinical reasoning cycle in order to identify
and collect information related to the medication management routine of the patient.
Therefore, to address the nursing priority of managing the patient’s medication, the nursing
professional would need to draft a schedule for the medication dosage and timing of the

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patient. The routine would comprise of mentioning the dose level of insulin and other
diabetic medications. The rationale for managing the medication routine of the patient would
help in controlling the elevated blood glucose level of the patient (Brummel, Soliman,
Carlson & de Oliveira, 2013). This would help in preventing instances of hypoglycaemia as
has been reported consistent with his experience of hyperosmolar hyperglycaemic state
(Bowen et al., 2016). In addition to this, research studies report that improper medication
management in patients suffering from Diabetes could trigger an episode of hypoglycaemia
as well as altered mental state conditions resulting due to hyperosmolar hyperglycaemic state
(Kuntz et al., 2014). In addition to this, promoting health literacy to the patient is also
important as it would help in disseminating awareness about the need to optimize the blood
glucose levels in the body so as to avoid instances of skipping medication and consuming the
correct medication doses (Solomon er al., 2017).
Further, appropriate measures would be adapted by the care professionals to educate
and empower the patient about self-management skills. The care professionals would teach
the patient the process of monitoring his blood glucose level by using blood glucose test
strips (Van der Heide et al., 2014). The nursing professional would teach the patient how to
correctly use the blood glucose test strips by pricking of the finger. Further, the nurse would
also educate the patient about the risk factors that could potentially interfere with the
optimization of the blood glucose level. Also, the nurse would consult and involve a
multidisciplinary team or care professionals comprising of a dietician, ophthalmologist and a
physiotherapist who would practice collaboratively to ensure holistic management of the
symptoms of the patient (Barres & Zierath, 2016). In addition to this, the patient would also
be educated about the cause of diabetic foot ulcers and neuropathy (Watson & Dyck, 2015).
In order to alleviate the patient from the impact of Diabetic foot ulcer, the patient would be
encouraged to adapt precautionary measures to ensure Diabetic foot care. According to