Patient Scenario: Medication, Multidisciplinary Care and Treatment

This report centers on a patient, Bob Jackson, experiencing abdominal pain and diarrhea. It explores the rationale behind medication choices, specifically Endone and Paracetamol, detailing dosages and timings for effective pain relief and symptom management. The report emphasizes the limitations of Celebrex in this context. Furthermore, it advocates for a multidisciplinary team approach, highlighting the crucial role of a counselor in providing comprehensive care, support, and guidance to the patient throughout their treatment journey. The report references various literature sources to support its arguments, underscoring the importance of hydration, dietary considerations, and the potential need for hospitalization in severe cases. The conclusion reiterates the significance of healthcare professionals and multidisciplinary team members in patient recovery.

PATIENT SCENARIO

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................1
QUESTION-1..................................................................................................................................1
QUESTION-2..................................................................................................................................2
CONCLUSION................................................................................................................................3
REFERENCES................................................................................................................................4

INTRODUCTION
The report is based on a patient scenario, Bob Jackson who is suffering from highly
abdominal pain and diarrhoea. The report will cover a detailed rationale using support of
literature by which medication would be administered to Bob and why.? In addition, using
multidisciplinary team approach, an appropriate member will be engaged for Bob's care. This
will be supported by literature. The main scope and focus of report is to determine medication
uses for patient in order to provide inclusive care and administration effectively.
QUESTION-1
It can be said that Celebrex is not useful to reduce abdominal pain and diarrhoea. Endone
and Paracetamol is an effective medication for getting relief from pain. These medicines will be
administered to Bob in terms of different dosages which will be given to him at specific time
intervals. Endone dose will be increased by 10mg. 1Gm dose of paracetamol will remain same.
The timings of dose will be change that for the very first Endone will be provided at 10 am after
some breakfast. Finally, paracetamol dose of 1gm should be provided in the evening between 8
to 10 pm after dinner.
These medications are chosen for Bob as Endone, as it contains active ingredient
oxycodone hydrochloride Robinson, Gott & Ingleton, (2014). It is a narcotic analgesic that helps
in getting relief from pain. Celebrex is a nonsteroidal anti-inflammatory drug and is not useful in
pain relief, as it adverse reaction is diarrhoea. It can be used to treat arthritis, acute pain, and
menstrual pain. These are anti-motility medicines to treat diarrhoea. Paracetamol is a common
tablet that is used to treat fever and pain. The mixture of Endone and paracetamol medicine will
help to recover him as soon as possible.
According to Sampson, Barbour & Wilson, (2016) abdominal pain and diarrhoea are
some common diseases caused by food poisoning and water, which contains bacteria. It is also a
common complaint of every consultation in primary care and affects every person once in their
life. It is very crucial for the person suffering from diarrhoea and abdominal pain to stay
hydrated and increased use of clear liquid, juice and broth. Alcohol and caffeine should be
avoided amount of mild foods should be in small amount. In case of any critical condition caused
by abdominal pain and diarrhoea, the patient should be admitted to hospital as soon as possible
that intensive care is required to manage level of health. In addition, the medication should be
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provided according to the condition of patients in terms of dose and timings to assist diagnosis
properly and appropriately. Endone, medicines with loper-amide or bismuth subsalicylate will
help to make patient feel better. Paracetamol is helpful to reduce abdominal pain.
Overall, it can be said Endone can be provided to Bob as medication in order to reduce
abdominal pain and diarrhoea Peabody, (2015). This is an effective and appropriate medicines
that will help Bob to recover as soon as possible from his critical condition of pain.
QUESTION-2
Multidisciplinary team approach is integrated towards health care that the determination
of treatment planning and options is a collaborative process, which involves consultation of
medical and health care professionals with patients and his family members effectively. For the
engagement in Bob's care throughout his hospital admission, a counsellor will be the best option
as a multidisciplinary team member, which will help to provide information regarding health
care activities and should be followed by Bob before and after the treatment of his diagnosis.
Counsellor in multidisciplinary team is a primary care provider person that helps to
engage patients and medical facilities provided by health care professionals Twigg & et.al.,
(2016). Counsellor is referred to Bob so that intensive care is needed during the treatment of
diarrhoea and abdominal pain such as to take medicines on time, stay hydrated and selection of
food and water such as juice etc.
According to Jangland, Kitson & Muntlin Athlin, (2016), counsellor work in various
settings and plays an important role in treatment of patient. The primary role of counsellor is
case management, finding resources that are crucial towards patient needs after they discharged.
Bob is suffering from diarrhoea and abdominal pain and admitted in hospital due to critical
conditions. Alang & Kelly, (2015) says that an intensive care is needed during the treatment of
diarrhoea and abdominal pain and a counsellor will help to deliver information, which is required
for a patient in order to take care of different activities regarding medical and health care. A
counsellor also supports patient with psychological approach and increase motivation to fight
with disease by understanding the mental conditions effectively. He also provides information
about nature of disease, ways to overcome it and tell about what to do while the treatment is
running.
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Overall, engagement of a counsellor is important for Bob that he will help him in
different ways so that he can recover as soon as possible. Abdominal pain and diarrhoea is a
common disease which is caused by food poisoning and water, which contains bacteria that
during the treatment it is necessary for a patient to select his food and liquid items Ibrahim &
et.al., (2014). A counsellor helps to make a consultation with health care professionals in order to
assess what kind of requirements should be followed by patient during the treatment effectively.
This will help Bob to recover fast with the help of effective and appropriate advice.
CONCLUSION
It can be concluded from the above report that health care professionals and
multidisciplinary team members play an important role in patient’s life in order to provide
treatment and suggestions that helped them to recover as soon as possible. The main points
argued in this report are diagnosis, treatment, medication and intensive care of patient. Bob had
an abdominal pain and diarrhoea and should be provided with appropriate medication and
counsellor facility so that he could recover easily and effectively.
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REFERENCES
Books and Journals
Robinson, J., Gott, M., & Ingleton, C. (2014). Patient and family experiences of palliative care in
hospital: what do we know? An integrative review. Palliative Medicine 28(1) 18-33.
Sampson, R., Barbour, R., & Wilson, P. (2016). The relationship between GPs and hospital
consultants and the implications for patient care: a qualitative study. BMC family
practice. 17(1) 45.
Peabody, F. W. (2015). The care of the patient. Jama, 313(18), 1868-1868.
Twigg, D. E., & et.al.,(2016). The impact of adding assistants in nursing to acute care hospital
ward nurse staffing on adverse patient outcomes: An analysis of administrative health
data. International journal of nursing studies 63 189-200.
Jangland, E., Kitson, A., & Muntlin Athlin, Å. (2016). Patients with acute abdominal pain
describe their experiences of fundamental care across the acute care episode: A multi‐stage
qualitative case study. Journal of advanced nursing 72(4) 791-801.
Alang, N., & Kelly, C. R. (2015, January). Weight gain after fecal microbiota transplantation.
In Open forum infectious diseases (Vol. 2, No. 1). Oxford University Press.
Ibrahim, M. S., & et.al.,(2014). A multidisciplinary team approach to two-stage revision for the
infected hip replacement: a minimum five-year follow-up study. The bone & joint
journal 96(10) 1312-1318.
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