NURBN 2010 Clinical Drug Education: Medication Prescription Transcript

This assignment presents a transcript of a consultation between a Nurse Practitioner (NP) and a patient named Marnie, who is prescribed Oxycodone for pain management following a foot injury sustained during an exercise rehabilitation session. The transcript details their discussion on the medication's purpose, dosage, and potential side effects, such as dry mouth and dizziness. The NP emphasizes the importance of adhering to the prescribed dosage, offers advice on managing side effects (e.g., reducing tea and smoking to combat dry mouth, resting after taking the medication), and discusses the patient's exercise rehabilitation plan, including a referral to an exercise physiotherapist and an occupational therapist. References to relevant medical literature are included, providing context and supporting information for the clinical scenario. The assignment also involves a video recording demonstrating the delivery of a clinical drug education plan to a patient, focusing on the patient's understanding and adherence to the medication regime, considering their health literacy levels.

Running head: MEDICATION PRESCRIPTION: TRANSCRIPT
MEDICATION PRESCRIPTION: TRANSCRIPT
Name of the Student:
Name of the University:
Author note:

1MEDICATION PRESCRIPTION: TRANSCRIPT
Nurse Practitioner (NP): Good morning Marnie! So tell me, how are you feeling now?
Marnie (M): The pain in my foot is unbearable! I was exercising and a weight slipped on my
foot.
NP: I can’t imagine what you must be feeling right now. But tell me, the last time we met, we
discussed on your medication about your depression and your participation in an exercise
rehabilitation plan. Would you mind sharing your experiences on it? How do you feel?
M: Well, I have tried to stick to my medications and my mum keeps on reminding me to take
them. But the medications make my mouth so dry and there are days when I just can’t seem to
make it out of bed. The exercise plan seemed enjoyable but right now, I don’t really think I can
make my way out of anything with this pain. It feels miserable, like I am back to where I started.
NP: My apologies Marnie, but I would point out that you are doing a great job and your efforts
to stick to your medication and rehabilitation is a reflection of your wonderful progress. Now for
your pain, you have been prescribed a medication named Oxycodone. It is a liquid medication
which is used to reduce symptoms of pain by you can say, changing the way your body reacts to
these symptoms (Lee et al., 2018). Since your general practitioner has already prescribed you
with the dosages, I am sure following the same will give you some relief from your pain. As a
precaution however, you must strictly make sure that you are measuring the medication with the
spoon provided with the solution because too much of it could be harmful (Lelic et al., 2016).
M: Harmful? Would it make my mouth dry again? I already feel so tired to do anything!
NP: That is a great point you highlighted Marnie, and was just about getting to it. Relax – very
few patients have reported any harmful side effects with this medication – unless of course they
are overdosing on it, which is easy to avoid if you are careful. Perhaps we can talk with your

2MEDICATION PRESCRIPTION: TRANSCRIPT
mum and together, we can make sure you stick to the measurements and amounts, right? So
regarding the case with dry mouth – yes, this medication can make your mouth feel a little dry
and also make you feel a little light headed (Riley et al., 2015). Tell me Marnie, you enjoy
drinking tea very often?
M: Oh yes, I do!
NP: I understand Marnie. But did you know that tea often leaves a bitter, dry after taste in your
mouth – so when you are consuming too much of it, it often makes your mouth feel drier than it
already is (Tran et al., 2017). Tell me one more thing, if you don’t mind, how are you dealing
with your smoking?
M: Well after my last visit with the counselor, I have cut down quite a bit.
NP: It is okay Marnie, you are doing great! But I would also point that smoking has a tendency
to dry your mouth too. So I suppose if you could gradually cut down on your tea and smoking, I
am sure it would help lessen the effects of dryness of oxycodone! And remember to take sips of
water throughout the day, I am sure that will help to get rid of the dryness! (Åstrøm et al., 2019).
Now coming to the part on dizziness, this medication can make you feel a little light headed after
consumption. So I would suggest that you rest sometime after taking it and move up from bed
very slowly and gradually. You will anyway need to be at complete rest for your injury (Spiegel
et al., 2018).
M: Thank you. But what about my exercise plan?
NP: I can talk to your general practitioner about referring you to an exercise physiotherapist and
perhaps together, we can work on really mild exercises after your pain reduces to that you get

3MEDICATION PRESCRIPTION: TRANSCRIPT
back up on your feet again (Daene et al., 2015). Further, we could set up your appointment with
an occupational therapist. Any idea on that Marnie?
M: Well, no not really.
NP: Well an occupational therapist will help you reduce your pain by suggesting you really mild
techniques and activities like stretching to stimulate your movement (Hesselstrand, Samuelsson
& Liedberg, 2015). I would suggest you stick to your new medication plan and let me know on
any health problems you face!
M: Okay! Thank you!

4MEDICATION PRESCRIPTION: TRANSCRIPT
References
Åstrøm, A. N., Lie, S. A., Ekback, G., Gülcan, F., & Ordell, S. (2019). Self‐reported dry mouth
among ageing people: a longitudinal, cross‐national study. European journal of oral
sciences.
Daenen, L., Varkey, E., Kellmann, M., & Nijs, J. (2015). Exercise, not to exercise, or how to
exercise in patients with chronic pain? Applying science to practice. The Clinical journal
of pain, 31(2), 108-114.
Hesselstrand, M., Samuelsson, K., & Liedberg, G. (2015). Occupational therapy interventions in
chronic pain–a systematic review. Occupational therapy international, 22(4), 183-194.
Lee, D. W., An, J., Kim, E., Lee, J. H., Kim, H., & Son, J. C. (2018). Comparison of oxycodone
and fentanyl for postoperative patient-controlled analgesia after orthopedic
surgery. Anesthesia and Pain Medicine, 13(3), 271-277.
Lelic, D., Fischer, I. W. D., Olesen, A. E., Mørch, C. D., Arguissain, F. G., Manresa, J. A. B., ...
& Drewes, A. M. (2016). Venlafaxine and oxycodone effects on human spinal and
supraspinal pain processing: a randomized cross‐over trial. European Journal of
Neuroscience, 44(11), 2966-2974.
Riley, J., Branford, R., Droney, J., Gretton, S., Sato, H., Kennett, A., ... & Welsh, K. (2015).
Morphine or oxycodone for cancer-related pain? A randomized, open-label, controlled
trial. Journal of pain and symptom management, 49(2), 161-172.
Spiegel, R., Rothschild, S. I., Sutter, R., & Kalla, R. (2018). 1793P Painkiller-related dizziness in
malignant tumors: A systematic review. Annals of Oncology, 29(suppl_8), mdy300-107.

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Tran, W. C., Huynh, D., Chan, T., Chesla, C. A., & Park, M. (2017). Understanding barriers to
medication, dietary, and lifestyle treatments prescribed in polycystic kidney
disease. BMC nephrology, 18(1), 214.