Hi everyone! I am at the end of my 2nd year Bachelor of Nursing and wondering why I didn't take up gardening instead!
I am needing some help with a case management study and any help would be much appreciated. My scenario is an elderly female client admitted after a fall, with late stage PD, AF, HT and RA.
For thes conditions she has been prescribed the following medicines:
- Levadopa (1.5 grams tds)
- Digoxin (62.5 mcg daily)
- Warfarin (4mg daily
- Enalapril (5mg bd)
- Ibuprofen (400mg tds)
Apart from these prescription drugs which have moderate interactions, she has additional poly pharmacy issues, as she is taking a large number of naturopathic medicies (unspecified).
Vital signs are normal apart from a BP of 153/89.
This woman in the scenario has small< 1cm bruises over her anterior and posterior torso, is unaware of any cause or length of time they have been there and most importantly, she doesn't know when is the last time she had an INR due to difficulties making appointments.
How do I do a nursing diagnosis for this poly pharmacy scenario?
So far I have come up with 'Ineffective Protection r/t anticoagulant drug therapy' and
'Therapeutic Regimen, Ineffective Management r/t knowledge deficit and social support deficits'
Any other thoughts? I can't find any nice simple NANDA diagnosis such as 'Ineffective medication management'. I do think Nursing Lecturers have long liquid lunches and dream up these scenarios just to torture students!
Hoping to be a regular contributor to this forum,
Warm regards, Annie