pharmacology drug case study on a patient. choose a client that can be interviewed.
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Case Study Requirement
See Case Study Document and Rubric
Assignment Guidelines:
1. Choose a client that can be interviewed (client must be cognitively aware
and willing to discuss how their medications are being used). Please do not
jeopardize your relationship with family or friends with this assignment. It
may be difficult for you and for the family member.
2. The client must be taking at least 4 medications.
3. Research the client’s medical condition(s) and the prescribed medications
the client is taking. Form questions that are not intrusive to interview the
client to collect comprehensive subjective & objective data.
4. Use various resources such as the Nurse’s Pocket Guide, Pharmacology
textbook chapters or the Drug Guide to identify at least 2 actual or potential
nursing diagnoses, plan goals, nursing interventions and evaluation of
response.
5. Use resources to develop a patient education/teaching plan for this client.
6. Case study is due on date scheduled.
PHARMACOLOGY
DRUG CASE STUDY
Student’s Name
Client’s Gender and Age
__________________________________________
__________________________________________
Use the rubric provided to understand the grading process
1. A-G) Discuss the medical condition(s) for which the client is receiving pharmacological
therapy. Contrast the medical condition with the reason the drugs are being used.
A) Identify the client’s medical condition(s):
B) List the medical condition(s) and discuss the causative factors:
C) List at least 4 textbook signs or symptoms for each medical condition. Attempt to list both
subjective and objective symptoms.
Cite resource(s) used to gather information in parts B and C.
D) List the name of at least 4 prescribed medications that this client is taking and state the
indication for use of each medication:
Name of medication (generic and trade)
Indication
1.
2.
3.
4.
E) Describe the drug action for each of the 4 medications the client is taking:
Name of medication
Drug action
1.
2.
3.
4.
F) State the therapeutic effect for each of the medications the client is taking:
Name of medication
1.
2.
3.
4.
Therapeutic effect
G) Discuss the non pharmacological treatment options available for the medical condition(s):
2.
Describe the subjective and objective data collected related to a medication the client is
prescribed. This will require interviewing the client. Make sure you understand the
difference between subjective and objective data and ask specific questions of the client
to gather this data.
A.
List (2) subjective signs or symptoms the client recalls having experienced before
drug therapy was initiated for the medical condition. If the client can’t recall any
details please list textbook subjective signs or symptoms typical for the identified
medical condition.
List subjective sign/symptom
prescribed
List medical condition
List medication
1.
2.
B.
List (2) subjective signs or symptoms the client has experienced after medication
therapy was initiated. These may be a therapeutic effect or side effect related to a
specific medication. If the client can’t state any subjective data then please list
textbook therapeutic effects or common adverse effects for the specific
medication prescribed.
List subjective sign/symptom
prescribed
1.
List medical condition
List medication
2.
C.
List (3) objective signs or symptoms related to the client’s medical condition(s)
and what specific drug is relevant for this data. The objective data may be from
before or after medication therapy was initiated. The objective data may be related
to a medications indication for use, therapeutic effect or side/adverse effect.
List objective sign/symptom
prescribed
List medical condition
List medication
1.
2.
3.
3. A-D) Identify at least 2 actual or potential nursing diagnoses. (1 nursing diagnosis must be
knowledge deficit for development of a detailed patient teaching plan). Develop goals,
nursing interventions and complete an evaluation of the goals.
NURSING DIAGNOSIS
PLANNING GOALS
IMPLEMENTATION
EVALUATION
List appropriate nursing
Realistic, specific,
diagnosis with R/T factor
measurable and timed.
and AEB data if applicable.
Include 3 relevant
interventions for each
goal listed.
State if the goal is met,
partially met or unmet
and list supportive data
1.
1a.
1.
1.
1b.
1c.
2.
2.
2a.
2b.
2c.
2.
List and describe at least 5 teaching components for this client. Be specific as to how the
teaching components relate to the specific patient or list the specific medication the teaching
component relates to.
Examples of things to include would be special Instructions regarding a medication such
as storage, dosing schedules, interactions, required laboratory testing, administration
instructions or techniques, common or toxic side/adverse effects, when to call the doctor
and identifying the preferred method of learning or barriers to learning for this client or
an involved family member. This is not an exhaustive list.
Case Study Requirement
See Case Study Document and Rubric
Assignment Guidelines:
1. Choose a client that can be interviewed (client must be cognitively aware and
willing to discuss how their medications are being used). Please do not jeopardize
your relationship with family or friends with this assignment. It may be difficult
for you and for the family member.
2.
The client must be taking at least 4 medications.
3.
Research the client’s medical condition(s) and the prescribed medications the client is taking. Form
questions that are not intrusive to interview the client to collect comprehensive subjective &
objective data.
4. Use various resources such as the Nurse’s Pocket Guide, Pharmacology textbook
chapters or the Drug Guide to identify at least 2 actual or potential nursing
diagnoses, plan goals, nursing interventions and evaluation of response.
5. Use resources to develop a patient education/teaching plan for this client.
6.
Case study is due on date scheduled.
Pharmacology
Name_______________________
Student
Assignment Due
Date___________________
Assignment – Drug Case Study Rubric *RETURN THIS COPY WITH
YOUR CASE STUDY
Successful completion of this assignment will meet the course competency: Provide for a patient’s need to
know by giving, translating, or transmitting information.
For this assignment select a client during your clinical experience that is receiving at least 4 medications. Review the
client’s medical history and medication profile. The drug case study will be evaluated using the criteria below. NO
PARTIAL POINTS WILL BE GIVEN for any of the objectives. This activity is worth 65 points.
1.
A, B and C.
points
8 pts Met
Includes the following
criteria: 1) identifies
client’s primary medical
condition(s).
Using a textbook for
reference:
2) discuss causative
factors
3) lists signs and
symptoms
4) cites resource(s) used
Identification of medical condition, causative factors and signs and symptoms: 0 – 8
6 pts Partially Met
Three out of the
four criteria are
addressed.
4 pts Needs
Improvement
Two out of the four
criteria are addressed.
2 pts Minimal
One out of the
four criteria is
addressed
0 pts Unmet
None of the criteria
are addressed.
1.
D, E and F. List the generic and trade names, indication for use, action and therapeutic effect for 4
different medications prescribed for this client. 0 – 10 pts
10 pts Met
8 pts Partially
6 pts Partially
4 pts Needs
2 pts
0 pts Unmet
Met
Met
Improvement
Minimal
Includes the
Four out of
Three out of
Two out of five
One out of
None of the
following criteria:
Five criteria are five criteria are criteria are
five criteria
criteria are
1) generic name for 4 addressed.
addressed.
addressed.
are
addressed.
drugs
addressed.
2) trade name for 4
drugs
3) indication for each
of 4 drugs
4) action for each of 4
drugs
5) therapeutic effect
for each of 4 drugs
1.
G. Discuss the non pharmacological treatment options available for the medical condition. 0-3 pts
3 pts Met
1 pts Partially Met
0 pts Unmet
Provides satisfactory detail
Minimally addresses non
No non pharmacological treatment
regarding non pharmacological
pharmacological treatment
options are discussed.
treatment options.
options.
2.
A. List subjective data for the patient’s primary medical condition that that the patient experienced premedication therapy. Also lists the medical condition and the medication prescribed to treat the condition. 0
– 6 points
6 pts Met
4 pts Partially Met
2 pts Minimal
0 pts Unmet
Includes the following criteria:
1)lists 2 subjective signs or
symptoms
2)lists medical condition for
each sign or symptom
3)lists medication prescribed for
each sign or symptom
Two out of three criteria
are addressed.
One out of three
criteria are addressed.
None of the criteria are
addressed.
B. List subjective data for the patient’s primary medical condition that that the patient experienced postmedication therapy. Also lists the medical condition and the medication prescribed to treat the condition. 0
– 6 points
6 pts Met
4 pts Partially Met
2 pts Minimal
0 pts Unmet
Includes the following criteria:
Two out of three criteria One out of three
None of the criteria are
1)lists 2 subjective signs or
are addressed.
criteria are addressed.
addressed.
symptoms
2)lists medical condition for
each sign or symptom
3)lists medication prescribed for
each sign or symptom
2.
2. C. List objective data for the patient’s primary medical condition. Also lists the medical condition and the
medication prescribed to treat the condition. 0 – 9 points
9 pts Met
6 pts Partially Met
3 pts Minimal
0 pts Unmet
Includes the following criteria:
Two out of three criteria
One out of three
None of the criteria
1)lists 3 objective signs or
are addressed.
criteria are addressed.
are addressed.
symptoms
2)lists medical condition for each
sign or symptom
3)lists medication prescribed for
each sign or symptom
3.A. Identifies 2 (appropriate) actual or potential nursing diagnoses regarding the patient’s use of a particular
medication or the patient’s drug regimen. One diagnosis must be Knowledge Deficit: 0 – 4 points
4 pts Met
3 pts Partially Met
2 pts Needs Improvement
0 pts Unmet
Identifies 2 appropriate
Identifies 2 nursing diagnoses Identifies only 1 nursing
No diagnosis
nursing diagnoses with
but only one is an appropriate diagnosis that is
identified or
the correct R/T factor
nursing diagnosis that
appropriate that includes
diagnoses incorrectly
and AEB data (if
includes the correct R/T
the correct R/T factor and
written or
appropriate)
factor and AEB data (if
AEB data (if appropriate)
inappropriate
appropriate)
selection(s)
3.B.
Planning Goals for the patient: 0 – 4 points
4 pts Met
3 pts Partially Met
Includes at least 2 goals that are realistic Includes 2 goals (1 for
and include written criteria for
each diagnosis – 1 may be
specificity, measurability and are timed.
unrealistic or incorrectly
(1 for each nursing diagnosis)
written)
2 pts Needs Improvement
Includes 2 goals (both are
unrealistic or incorrectly
written)
1 pt Minimal
Includes only 1goal (may
be unrealistic or incorrect
written)
3.C.
Implementation of interventions related to the goals: 0 – 6 points
6 pts Met
4 pts Partially Met
3 pts Needs Improvement
Includes at least 3 relevant
Includes at least 2 relevant
Includes at least 3 relevant
interventions for each of the 2 interventions for each of the 2 interventions total between the
goals (6 total)
goals (4 total)
2 goals
Evaluation of the patient goals: 0 – 4 points
4 pts Met
Includes one correct evaluative statement for each
of the 2 goals. Statements must indicate whether
the goal is met, unmet or partially met and the data
to support this.
2 pts Minimal
Includes at least 2 relevant
interventions total between
the 2 goals
A
in
be
3.D.
3 pts Partially Met
Includes 2 evaluative
statements with at least 1
statement written correctly
Teaching plan for the patient: 0 – 5 points
5 pts Met
4 pts Partially Met
Identifies and describes 5
Identifies and describes 4
different, relevant teaching
different, relevant teaching
components related to any
components related to any
medication(s). 1 pt each.
medication(s). 1 pt each.
2 pts Needs Improvement
Includes 1 evaluative
statement for 1 goal that is
written correctly
1 pt M
Evaluative
do not matc
4.
Drug Case Study Point Summary by Rubric Criteria:
#1 A, B and C
total:
#1 D, E and F
#1 G
#2 A, B and C
total:
#3 A, B, C and D
#4
___________
total: __________
total: ___________
___________
total: ___________
total: ___________
Student’s points:
___________
Possible points: ____65 ____
Grade percentage:
___________
3 pts Needs Improvement
Identifies and describes 3
different, relevant teaching
components related to any
medication(s). 1 pt each.
2 pts Minimal
Identifies and describes at least 2
different, relevant teaching
component related to any
medication(s). 1 pt each.
…
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