Medication Considerations
Cultural Considerations & Pharmacogenetics
- Pharmacogenetics: Analysis of a patient's DNA to determine the most effective medications based on their genetic makeup, improving medication selection across diverse populations.
Nursing Process & Critical Thinking
- Varied Symptoms: Recognize that patients may present with diverse and unique symptoms.
- Critical Thinking: Engage in critical thinking to determine appropriate nursing interventions.
- Non-Pharmacological Interventions: Implement non-pharmacological interventions (e.g., comfort measures for pain) while awaiting medication orders or effects.
- Provider Consultation: Consult with healthcare providers to seek guidance on medication-related issues.
Medication Administration Record (MAR)
- Reviewing the MAR: Utilize the MAR to verify and administer medications safely.
- Comprehensive Information Gathering: Collect thorough information regarding a patient's medication use:
- Prescribed medications.
- Over-the-counter medications.
- Vitamins, herbs, and supplements.
- Assessment of Medication Adherence: Evaluate if patients are taking medications as prescribed, including dosage and timing.
Compliance vs. Adherence
- Negative Undertones: Be aware of the negative connotations associated with the terms "compliance" and "noncompliance."
- Underlying Factors: Investigate underlying reasons for nonadherence:
- Medication costs.
- Adverse side effects (e.g., dizziness, cough).
- Access to pharmacy.
- Patient-Centered Approach: Adopt a patient-centered approach by inquiring about challenges and concerns rather than labeling patients as noncompliant.
Electronic Medical Records (EMR) & Medication Reconciliation
- Comment Sections: Utilize comment sections in EMR systems (e.g., Northern Light EMR, EPIC) to document specific patient circumstances affecting medication adherence.
- Medication Reconciliation: Conduct medication reconciliation to gather information on:
- Last dose taken to prevent over or under-dosing.
- Reasons for missed doses to assess medication-related issues.
- Alternative Routes: Consider alternative medication routes (e.g., injections, dissolving tablets) if a patient vomits after taking an oral pill, on a case-by-case basis.
Nursing Process: Assessment
- Assessment: The first step in the nursing process is to assess the patient's condition thoroughly.
- Pain Assessment: For patients experiencing pain, assess the following:
- Pain level on a scale of 1 to 10.
- Location of the pain.
- Duration of the pain.
- Factors that alleviate or exacerbate the pain.
- Comfort Measures: Provide comfort measures while awaiting medication administration.