In your future role as a nurse or midwife you will be required to interpret and use contemporary drug therapy information and evidence to support patients or the pregnant woman in the quality use of medicines. You will interpret and use evidence to inform evidence based and responsive practice when managing a medication regimen.
Task: Case Study
Jolene is now 35 and still living in Dalby with Jack. The farm is not doing so well due to the drought. Jolene has had to help on the farm for the past 2 years. About 18-months ago she had a motorbike accident that resulted in a compound fractured tibia and fibula and a blunt force head trauma.
The fractures were surgically repaired with pins and plates. Jolene has recovered from the orthopaedic surgery and is now fully mobile but does experience leg pain and surgical site discomfort at times.
About 3-months after the surgery Jolene returned to the emergency department with extreme chest pain and dyspnoea. During that admission she was diagnosed with a pulmonary embolus and DVT. She remains on anticoagulant medication.
About 12-months ago Jack found Jolene disorientated on the veranda. He called the ambulance. While being transported to the emergency department Jolene had a tonic-clonic seizure lasting 3-minutes. The physician at the hospital diagnosed traumatic epilepsy related to the motorbike accident and prescribed medication to treat the condition.
Now Jolene is at the GP clinic for a follow-up appointment. Her protracted recovery has contributed to her feeling depressed. The GP had previously prescribed medication and other therapies for the depression. However, today’s visit from Jolene is because she believes she is pregnant. The GP has estimated that Jolene is in the first trimester of confinement.
You are the clinic nurse/midwife.
Review the medication regimen of Jolene.
Write an academic essay that includes discussion of the following points.
- Application of pathophysiological concepts
- Application of pharmacokinetics and pharmacodynamics to explain how medications work and interact with the human body.
- Relate the drug mechanism of action to main side-effects of the drug and, discuss benefits, risks and management of adverse reactions using person-centred approaches.
- Evidence-based argument and justification of decisions, coherent written expression and presentation
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