HNN215 Quality Use of Medicines
Assessment 1: Case study
Aim and Purpose of this assessment task
The assessment task will require students to show an understanding of legal/ethical medication administration, patient education, and a thorough knowledge of the use of the chosen drugs across the lifespan.
Unit learning outcomes and Deakin Graduate Learning Outcomes
ULO1, ULO2, ULO3, ULO4, ULO5
GLO1, GLO2, GLO3, GLO4, GLO5, GLO6
This assignment task is to be submitted into the designated assessment dropbox for this unit.
Due date: 4pm Monday 4th May, 2015
To ensure appropriate support is available should any technical issues arise, you are strongly advised to submit your assignment into the designated dropbox before 4pm on the due date.
You are responsible for ensuring that the correct version of your assessment task is properly uploaded into the correct assessment dropbox.
Student instructions for assessment task
Front page: to include student name and ID number, essay title and word count.
Spacing: double spacing, with the exception of reference list page which is to be single spaced. Font and size: 12 Arial or Calibri
Adhere to word limit requirements (within 10%). The word count does not include headings, references page, reference citations and direct quotes.
Margins should be set as follows: Left 4cm; Right, Top, and Bottom: 2cm
A reference list should be provided and on a separate page headed ‘References’ at the end of the assignment.
Table of contents: Do not include a table of contents unless instructed to do so.
Headings to be used in essays of >3000 words.
Provide page numbers on each page not including the title page.
Student number should be included in the header.
Your assignment should be converted to a PDF document prior to submission. Please check the document before submitting to the dropbox to ensure the formatting has not changed. Software for converting word documents to PDF is available to download from the Deakin software catalogue at no cost.
Answers to case study questions should normally be organized in paragraphs of approximately 100-150 words, with each paragraph focused on explanation of one idea. There should be a logical progression of ideas as demonstrated by linked arguments/points made in each paragraph. Each paragraph should commence with a topic sentence and end with a link to the next paragraph.
Communicate using academic writing:
Adhere to conventions of written English (word choice, professional language, grammar, use of appropriate sentence structure, punctuation and spelling)
Use of direct quotations: Unless really necessary, most assignments do not require the use of direct quotes, but rather the re-expression of others’ arguments into your own words (paraphrasing). If a direct quotation is used, the student must explain how it adds to the discussion.
The following website contains specific and helpful information on how to prepare for and write assignments: http://ww.deakin.edu.au/students/study/study-support/academic-resources
Acknowledge sources and adhere to referencing conventions as per Harvard Style www.deakin.edu.au/referencing
It is 0730 on May 1st and you have been allocated Ms Kristina Peate as one of your patients in the general medical unit. Ms Peate, 62 years old, was admitted 24 hours ago with a suspected chest infection. She has recently been on a cruise to South East Asia and on her return was experiencing fever, some shortness of breath and a non-productive cough.
Ms Peate has been commenced on intravenous antibiotic and antifungal (erythromycin and fluconazole) as broad spectrum coverage for the infection. Ms Peate has complained of nausea since admission and has subsequently been ‘off her food’ and ‘not drinking very much’.
Ms Peate has a history of atrial fibrillation, rheumatoid arthritis, migraine, and a past history of hepatitis A she contracted in her teens. She insists that the medical officer prescribes her St John’s wort, which she has taken over the past month, on the suggestion of a friend to assist with her mood.
When you assess Ms Peate you find that her observations are:
Temperature: 38.1 0C (tympanic)
Heart rate – 84 bpm (irregular)
Blood pressure – 115/65 mmHg
Respirations – 24 bpm
O₂ saturation – 96% on RA
Q1. Assess Ms Peate’s medication chart. Identify and explain three significant risks that may be associated with the use of the medicines (home or inpatient use) for Ms Peate. (Expect approximately 400 words) 30 marks
Q2. Describe the strategies a nurse may take to prevent/manage the specific risks you have identified in Question 1. Your answer should focus on Ms Peate’s needs rather than a discussion on the actual medicines. (Expect approximately 600 words)
Q3. Ms Peate experiences worsening nausea and associated vomiting. As you approach Ms Peate to administer the IV antibiotic she says “I’m not having that medication again. It’s making me very sick.” Briefly outline five procedural/ethical aspects that a nurse should consider in this situation. (Expect approximately 300 words) 10 marks
Q4. Prior to discharge Ms Peate is commenced on oral fluconazole for her infection. Briefly explain the patient education that the nurse would be required to provide for this patient prior to discharge. (Expect approximately 200 words) 10 marks