NURBN 2010: Patient Education Video for Marnie Brown on Escitalopram

This assignment presents a video recording of a nursing student providing patient education on the antidepressant medication, escitalopram, to a patient named Marnie Brown. The student explains the drug's purpose in treating depression, its potential benefits like improved mood and increased activity, and potential side effects such as drowsiness and nausea. The student emphasizes the importance of adhering to the prescribed dosage and reporting any unusual changes to a healthcare professional. The scenario reflects a real-world patient case, incorporating elements of the patient's medical history and current condition, and is designed to assess the student's ability to communicate complex medical information in a clear, patient-centered manner. The student also addresses the patient's questions and concerns, providing a comprehensive overview of the medication and its implications for the patient's well-being. The video aims to demonstrate effective patient education skills within the context of a pharmacology assignment for nursing students.

Nursing
Student name:
Institutional affiliation

Nurse: Good morning, my name is XY and I am going to be your nurse today. May I know your
name, please?
Patient: I am Marnie Brown.
Nurse: how are you feeling today?
Patient: I am better but I still feel like sleeping is all I need right now.
Nurse: thank you for that. Today I am going to take you through information on one of the drugs
that are recommended for your health. There will be no physical procedures but only a question
and answer session will be enough. Will you be ok with that?
Patient: yes you may proceed.
Nurse: thank you. Following the doctor's review on your health status, he recommended a drug
known as ecitalopram for you to take. According to Mikus, Krajcik, and Ciutti (2017), this drug
is used to treat depression. And maybe I should let you know a little about depression.
Depression is a state of feeling hopeless, worthless and loss of interest in activities that one used
to like. One feels like nobody likes them and most of the time they stay alone with deep
thoughts. They also look sad most of the time. They also don't feel like performing any task and
would just want to either sleep the whole day or just sit somewhere doing nothing (Segal and
Teasdale 2018). This drug will, therefore, help you feel a sense of worth and gain interest in
doing activities such as cooking as you used to do before. It will also make you happy and active
and you will avoid sleeping most of the time and be able to attend to your children needs.
Despite the drug having many benefits, it can have some negative effects such as drowsiness,
dizziness, nausea and sleep problems but they can reduce if you take the right dose of the drug at
the right time (Polychronious et al 2018). Have you ever heard about this drug or any other drug
which works the same?
Patient: no I had no information that there is a drug that can help me with my symptoms.
However, my grandmother used to tell me that tea has power and whenever I take it I usually
feel better.

Nurse: tea also has a certain substance called nicotine which has some effect that the drug
provides also (Abburi et al 2016). Do you have any question concerning the drug?
Patient: how many times will I have to take the drug?
Nurse: the doctor will inform you of the dosage and the frequency at which you will take the
drug. I will, therefore, encourage you to take the drug as prescribed by the doctor. This is
because if you skip some doses or if you use the drug for few days and then stop, you will not
see the benefits or changes that the drug has (Rajan et al 2018). This is because the drug level in
your blood should be maintained at a constant level for it to be effective. If you don’t follow the
regimen also you may experience worst side effects than expected and it can be hard to tolerate
it. However, if you take the drug as prescribed and you experience any changes that you don’t
understand, please feel free to ask a nurse or a doctor so that you can be reviewed. This is
because people may react differently to one given drug (Betts et al 2019). Do you have any other
question?
Patient: no, I am satisfied.
Nurse: thank you for your time.

Refferences
Abburi, C., Wolfman, S. L., Metz, R. A., Kamber, R., McGehee, D. S., & McDaid, J. (2016).
Tolerance to ethanol or nicotine results in increased ethanol self-administration and long-
term depression in the dorsolateral striatum. eNeuro, 3(4).
Betts, K. R., Aikin, K. J., Kelly, B. J., Johnson, M., Parvanta, S., Southwell, B. G., ... &
Cameron, L. (2019). Taking Repeated Exposure into Account: An Experimental Study of
Direct-To-Consumer Prescription Drug Television Ad Effects. Journal of health
communication, 1-9.
Mikus, P., Krajcik, S., & Ciutti, P. (2017). Use of Drugs Prolonging QT Interval in Patients at
the Time of Admission to Geriatric Department. J Gerontol Geriatr Res, 6(424), 2.
Polychroniou, P., Mayberg, H., Craighead, W., Rakofsky, J., Aponte Rivera, V., Haroon, E., &
Dunlop, B. (2018). Temporal Profiles and Dose-Responsiveness of Side Effects with
Escitalopram and Duloxetine in Treatment-Naïve Depressed Adults. Behavioral Sciences,
8(7), 64.
Rajan, R., Roy, A. D., Todi, S., Dutta, P., Chatterjee, T., Lahiri, S., & Sengupta, A. (2018). A
review article on the impact of drug-food interactions and its prevention. International
Journal of Food Science and Nutrition, 3(4).
Segal, Z. V., & Teasdale, J. (2018). Mindfulness-based cognitive therapy for depression.
Guilford Publications.