Comprehensive Nursing Report: Viktor's Medication Management and COPD

This report presents a nursing case study focusing on Viktor, a 63-year-old male patient diagnosed with COPD, hypertension, and obstructive sleep apnea. The report analyzes Viktor's medical history, current symptoms, and medication adherence challenges. It utilizes the clinical reasoning cycle to assess the patient's condition, identify nursing priorities, and formulate patient-centered goals. The report emphasizes the importance of patient education, including the rationale for medication schedules and the risks associated with non-adherence, such as smoking. It proposes nursing interventions like health proficiency, education, and referral to a psychotherapist, as well as practical solutions like pill organizers and breathing exercises. The effectiveness of these interventions is to be evaluated through diagnostic test results and symptom monitoring. The report concludes with an assessment of the care priorities, the barriers to medication compliance, and the potential for improved patient outcomes through the implementation of the suggested nursing interventions. The paper also references several research studies to support the proposed interventions and rationales.

Running head: NURSING
NURSING
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Author Note:

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Introduction
Medicines are endorsed as persistent to coordinate health and lighten their expectation
for everyday comforts (Agarwal et al., 2017). With an increase in the age of a patient, there is
an increase in the issues relating to the physiological working of the body. In this specific
circumstance, it is noticed that expending the prescription at the right time is vital to
guarantee that the health status does not worsen any further (Livet et al., 2018). Medicine
management executives incorporate the system of instructing the patient to deal with the
endorsed drug and devour them at the right time so as to get positive result (Busfield, 2015).
This paper plans to dissect the contextual analysis of the patient Viktor utilizing the
clinical thinking cycle to enable the patient with prescription administration techniques. The
clinical thinking model prepares nursing experts to ponder the clinical status of a patient and
utilize successful leadership procedure to actualize measures in order to improve the health
result of the patient (Murray, 2017).
Discussion
After investigating the situation in the case, it can be very well referenced that the 63-
year-old male patient, Viktor has been determined to have COPD. The therapeutic history of
the patient notices that he had been experiencing hypertension and obstructive rest apnoea
that required the utilization of CPAP. The given subtleties inside the contextual investigation
specify that the patient has been an ordinary smoker and for the past 40 years, the patient had
been smoking 20 cigarettes on a normal. Four days back, the patient had been determined to
have a viral disease that caused an intense fuel of his COPD manifestations. Furthermore, it
ought to likewise be noticed that the patient had released from the clinic 3 weeks prior which
pursued his treatment for the analysed lower flap pneumonia. Likewise, of late the patient had
been encountering shortness of breath, dyspnoea and is thinking it is hard to adapt to COPD

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side effects. He additionally thinks that it is hard to talk in full sentences and his current
indispensable evaluation information revealed that his respiratory rate is around 34 breaths
for each minute, pulse to be 132/88, Heart Rate to be 90 Beats for every minute and SpO2 to
be 92% 2Lpm of O2. Further, his COPD side effects have been accounted for decline which
is observed by his consistent gainful hack producing greenish and persistent sputum. The
patient further notices to encounter tension and admit to thinking that it is dangerous to stop
smoking. He further notices to take his drug just when he recollects and furthermore
expresses his repugnance for taking his oxygen outside because of inclination clumsy out in
the open.
On breaking down the analysis of the information provided by the patient, it very well
may be expressed that the patient should be instructed about his endorsed medicine alongside
the related method of reasoning to cause him to comprehend about the criticalness of
conforming to the recommended drug schedule. The essential objectives for the patient would
incorporate the accompanying:
• The patient would most likely show the expected capabilities to agree to the medicine
schedule
• The patient would probably altogether pursue the drug schedule
• The patient would certainly seek consistency with the treatment plan and the drug routine
The justification for the verbalization of the patient consideration objectives can be
expressed as the expanded significance to conform to the endorsed drug routine to maintain a
strategic distance from the intense worsening of the COPD indications.
The evidence base proposes that smoking is one of the significant hazard factors that
amplify the nature of the COPD side effects (Augusti & Faner, 2018). Further, not adhering
with the medicine routine deteriorates the nature of the side effects and meddles with the

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beneficial outcome of the recommended mediation. The nursing interventions that would be
incorporated into the medication management system would include bestowing wellbeing
proficiency, giving wellbeing knowledge and education and sorting out a referral to a
psychotherapist (Jaye et al., 2018). Research studies notice that conceding wellbeing
proficiency disperses mindfulness in connection to the noteworthiness of agreeing to the
medicine routine and gives an itemized comprehension about the hazard elements activated
by rebelliousness with prescription daily schedule (MacLean et al., 2016). As the given data
recommends that the patient has been encountering expanded nervousness and feels clumsy
to convey his oxygen outside, he would be eluded to a psychotherapist who might lead
inspirational directing so as to improve his consistency with medicine schedule. He would be
displayed with breathing exercises considering his symptoms that would help in decreasing
the frequency of his shortness of breath and will ensure comfort. Further, to improve the
prescription administration of the patient, it can be devised that a pill coordinator box is given
to him with proper date, time and dosage orchestrated as per the requirements of the patient
(Taylor et al., 2018). Likewise, wellbeing guiding would fortify improved comprehension
about making a positive way of life switches, for example, quitting any pretence of smoking
and including a gentle physical exercise routine in order to reduce the nature of wellbeing
status.
The interventions that have been applied by the nursing professionals would be
assessed based on the indicative test reports and the nature of the side effects exhibited by the
patient during the session. Moreover, the crucial appraisal information of the patient during
the sitting would likewise help in evaluating the consistency level with drug dosage.
Furthermore, the increase in the COPD symptoms would increase the readmission rates in the
hospitals for which the compliance rate with medications will be evaluated in a patient.
Conclusion

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Therefore, it can be concluded that this essay successfully assesses the priorities of
care for the patient and the barriers that have been identified for the compliance level with the
administration of the prescribed medicine. The evaluation measures that were mentioned in
the essay will help in fostering a better recovery for the patient. In addition to this, the
nursing intervention with appropriate and supporting rationales has been discussed in the
paper which will help in improving the compliance with medication in a patient. Thus, it can
be implemented that nursing procedures will improve the expression of side-effects in a
patient.
References:

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Agarwal, R., Jain, P., Ghosh, M. S., & Parihar, K. S. (2017). Importance of primary health
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Agustí, A., & Faner, R. (2018). COPD beyond smoking: new paradigm, novel
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