Medication Management Case Study: Hadden, NUR2102, University

This case study centers on Mr. Hadden, a 63-year-old man with COPD, obstructive sleep apnea, and hypertension, who has been a long-term smoker. The assignment focuses on applying the clinical reasoning cycle to prioritize Hadden's medication self-management. The study identifies issues suc...Read More

Running head: HADDEN CASE STUDY
Hadden Case Study
Student Name
University Name
Author Note

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Introduction
Mr. Hadden is a 63 year-old man who has been brought to the emergency clinic on
the complaints of moderate chronic obstructive pulmonary disease (COPD). It has been
discovered upon asking the patient that he has been an avid smoker of religiously smoking
around 20 cigarettes per day for the last 40 years. He has obstructive sleep apnoea and uses
continuous positive airway pressure (CPAP) and mild hypertension. In the following
paragraphs, the clinical reasoning cycle will be used such that the priorities regarding the
medication self-management of the patient could be achieved. In addition, deducing the
nursing interventions and their analysis will also be discussed briefly.
Identification of the priorities of Hadden’s medication self-management
Self-management of medication has been characterized by one spectrum of specialists
as the degree to which a patient accepts drug as recommended, including the right portion,
recurrence, and dividing yet additionally it’s preceded, safe use after some time. Adherence
to prescriptions expects patients to start an endorsed medicine suitably (first stage), actualize
dosing effectively (second stage), and dodge improper suspension (third stage) (Khan et al.,
2017). Underlying drivers of prescription non-adherence are not obviously seen, yet are dared
to include a perplexing interchange between medicinal services framework factors, clinical
ailment, pharmacotherapy, financial variables, and patient components. After analyzing the
case study, it can be observed that there are certain inhibitions or perceptions of Hadden
which are needed to be acknowledged and addressed by the nurses (Bourbeau et al., 2015).
He shares that he feels awkward to carry the oxygen out of the house premises as other
people stare at him. It is important for him to understand that the improvement in the health
condition is of utmost priority and not the staring of the people. In addition, he also mentions
that he takes medicine only when he remembers them. It is one of the issues that are prevalent
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in patients who are in their old age. Hence, it is crucial to prioritize the medication self-
management of Hadden such that a positive health outcome could be established. In presence
of the following issues, it has also been reported by Hadden that he does not take his oxygen
quite often as he is directed to because he does not want to get attached to anything. Upon
understanding the intensity of the health condition of Hadden, it is important for him to take
oxygen as frequently as it is directed by the physician because of his decreasing oxygen
saturation levels.
Nursing interventions
Patients with health conditions which are deemed chronic regularly require complex
medication regimens, which can be trying to oversee and can prompt non-adherence and
prescription mistakes. The issue is especially predominant among patients with low wellbeing
education. Self-administration has increased expanded significance in the administration of
constant obstructive pneumonic sickness patients. The heterogeneity in self-administration
intercessions has convoluted the improvement of suggestions for clinical practice (Krauskopf
et al., 2015). After considering the situation of Hadden, one of the appropriate interventions
to reduce the usage of cigarettes to avoid exacerbation of his condition is nicotine
replacement therapy. Clinical trials demonstrate that Nicotine Replacement Therapy (NRT)
dramatically improves the hope of stopping-by 50-70 percent relative to stopping without
assistance (Yang et al., 2017). NRT does not contain the harmful substances present in
cigarettes or tobacco smoke or secondhand smoke, such as the cancer-causing chemicals
(Mulhall & Criner, 2016). In addition, it is also important for the nurse to educate the usage
of oxygen not depending upon the notion or perspectives of other people and improve the
health condition. It is important to educate the patient about the benefits of oxygen support
and the pathophysiology of the functioning of the oxygen support. An information sheet of
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the medications that are required to be administered to the patient is to be given to the patient
and made him understand about the timings and put alarms in their clocks. It is in this way
that it can be expected that the medication adherence of Hadden could be improved.
Strategies to evaluate the interventions implemented
Sadly, for patients with COPD, ideal self-management is hard to accomplish, with a thus
lower quality of life. Acknowledgment of such challenges has prompted the improvement of
self-administration mediations that straightforwardly target parts of the administration of their
sickness by COPD patients. The key point of these mediations is to build patients' association
in their treatment and care, urging them to embrace sound practices, does illness explicit
clinical systems deal with their indications and improve their quality of life (Donohue et al.,
2015). In this manner, drawing in the medical attendant administration and nursing the
executives in wellbeing administrations to create and actualize these self-administration
mediations is prescribed. The all out wellbeing status is a significant part of quality of life
and is identified with various parts of a person's understanding of wellbeing, including
physical, mental and social prosperity, which are significant areas upgraded by COPD self-
management mediations (Cannon et al., 2016). For the effective understanding of the
effectiveness of the following interventions which are administered to the patient by the
nursing professionals, it is required to monitor the health condition of the patient before and
after the administration of the intervention. It is likely to be established that the health
condition of the patient has significantly improved.
The utilization of pharmacotherapy, including nicotine replacement therapy (NRT),
has been appeared to improve the probability of an effective quit attempt. Smoking
suspension has various wellbeing benefits, remembering an expansion for life span, even
among smokers who quit further down the road (Lindberg et al., 2015). In the case of
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Hadden, it can be expected that the administration of the therapy will help him in reducing
the daily consumption of cigarettes. However, it can also be ascertained that the
administration of NRT in collaboration with enrolling for quit nicotine programs would have
helped in achieving better results (Safka & McIvor, 2015). It is with the inclusion of these
interventions that a subsequent development in the health condition of Hadden could be
expected to improve.
Conclusion
In concluding remarks, it can be ascertained that for the improvement in the medical
condition of Mr. Hadden, it is crucial for the medical and nursing professionals to prioritize
the management of self-medication as because he is a chronic patient of COPD. It can be
understood that the situation of the patient is critical because of the number of cigarettes he
smokes in a day and should be given careful consideration for establishing a positive health
outcome. There are certain issues with body image have been established with Hadden like
he does not like to carry oxygen while he is out of his home. It is critical for him to
understand that the intensity of the condition that he is in at the moment, it may prove to be
detrimental for the health and should acknowledge the risk factors associated with the actions
that are frequently executed by him. Hence, it is important for the nursing professionals to
educate him about the potential risk factors and explain to him about the benefits if he
follows the interventions. It is then only possible for Hadden to observe an improvement in
the health condition.
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References
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