Nursing Case Study: Goals, Medication Information, and Discharge Planning Tool

Running head: NURSING
Nursing
Name of the student:
Name of the University:
Author’s note

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Part 1:
a. Based on the review of the case study of Mr. Mathewson, the two goals/objective and
outcomes desired for the patient are:
 To reduce the exacerbating effects of illnesses like COPD, asthma, rheumatoid
arthritis and hypertension.
 to support Mr. Mathewson to provide relief to patient from inflammation, severe
allergies and increased bronchial obstruction
b. The following evaluation criteria will be important to evaluate patient’s compliance with
his medication:
 The first criteria is to evaluate patient’s knowledge of inhalation technique for prescribed
inhalers as improper inhalation technique are the major reason for decrease efficacy of
the medications (Price et al., 2013). Hence, patient’s understanding about ways to use the
device is important to ensure that medications are used optimally. This may help to
implement educational interventions to reduce inhaler technique related errors.
 To ensure compliance with the prescribed medication, it will also be important to assess
whether Mr. Mathewson is able to return demonstrate the inhalation technique that he has
been taught by medical staffs or not. Patient’s demonstration of inhaler technique can be
measured via a validated checklist that can give idea about skills related to the use of
devices like metered dose inhaler and the Diskus device inhaler. This evaluation criteria
can have a significant impact on patient outcome and return demonstration of appropriate
technique (De Tratto et al., 2014).
 Patient’s self-perception related to the use and importance of each medication must also
be evaluated as their understanding about the medication regimen can have a major

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impact on improving adherence to treatment guidelines and improving symptoms of
patient.
Part 2:
The medication information for each medication prescribed to Mr. Mathewson are as
follows:
1. Lisiniprol and hydrochlorothiazide:
Purpose and benefit of the medication: Lisiniprol is an ACE inhibitor and hydrochlorothiazide is
a thiazide diuretic used to treat hypertension.
How to take the medication:
The two medications are taken orally with or without food. The directions on the prescription
label need to be followed carefully.
Special precautions for the medication: Patients must inform physicians if they are allergic to
ACE inhibitor or taking Valsartan and sacubitril. They must also inform them about other
medications and nutritional supplements that they are taking. Monitoring for side effects like
dizziness, cough, headache, stomach pain and swelling of the face is important.
2. Carvedilol (Coreg)
Purpose and benefit of the medication: It is a beta blocker or alpha/beta-adrenergic blocking
agent used to treat patients with mild to severe heart failure, hypertension and patient with left
ventricular dysfunction.