The three parts of this assignment are:
Conduct an interview of a client who is taking multiple medications (polypharmacy). You must prepare the client before the interview by explaining why you are conducting the interview. You can say “my assignment is to find out about the medications you are taking so I can determine if you need more information about what you are taking”. You must always get permission from the client to conduct the interview and you must tell the client how the information will be used. You can say, “I will not be using your name in the information I share and I will be submitting it to my instructor only for this student assignment”. If there is important information that needs to be communicated to you, your doctor, family, or nurse, my instructor will assist me in following up on this”. Tell the client you will take no more than 30-45 minutes for the interview.
There may be a family member or significant other present during the interview. That is fine. Be sure to identify who answered a question and if possible always have the client answer first. Always thank the client (and others) when you complete the interview.
Do not use recording equipment for this interview. Have a notepad and pencil or pen and explain that you will be taking notes. When the interview is over, go to a quiet place and take some time to fill in any information you did not jot down. If you wait, you will not remember.
When setting the environment for the interview, make sure the client (and others) is comfortable and you are comfortably seated facing the client. If possible, do the interview in a quiet place. Ask questions slowly giving the client time to answer. Pay attention to the client’s hearing and ability to respond to the questions. Be sure your non-verbal communication demonstrates you are calm and relaxed.
Use the following interview question guidelines when conducting the interview. Be aware that the client may not be able to answer each of the questions with detailed information. Collect as much information as the client is able and willing to give you. Remember you are the interviewer so you will be collecting information and not making any comments about the information shared by the client except to ask for further clarification if you are not sure what was said or need more detail if it is available.
INTERVIEW
What medications are you taking?
Tramadol, Tizanadine, Amitriplytine, Vitamin D, Ferrous Sulfate
Before the interview research each of the medications. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.
For the following questions, paraphrase the client’s answers for your written paper.
How long have you taken each these medications?
Tramadol and Tizanadine for about 2 years
Amitriplytine – 1 year
Vitamin D and Ferrous Sulfate – 3 years
Do you know why you are taking these medications? Yes.
Who told you about the medications and why you need to take them?
The Pain Management Dr. told me about each medication and what they were being used for before I started the medication.
Were you able to ask any questions about the medications and if so were they answered so you understood what was said? Yes, I asked a lot of questions such as were there any other medications besides the ones prescribed, what side effects come with the medication, are there other methods besides taking the medication to help reduce the pain? All of my questions and options were provided to me so it was up to me to determine if I wanted to use the medication or take the alternatives of therapy, etc.
How do you feel about taking these medications? Tramadol is one that I didn’t like only because I found out that it was a narcotic – opioid and that can be very addictive. I now only use Tramadol as needed.
Are you taking other medication purchased “over the counter” such as in a drug store? If so, what is it and why are you taking it. I take a multivitamin and also take a natural herbal supplement (seamoss gel) both of these medications are taken because I need a multivitamin to assist with the vitamins that I may not get enough of and also I am over 40. The seamoss gel is something I researched and found that it is good for immunity.
How and when do you take your medications? I take all the medications as needed except for the vitamin D and ferrous sulfate. Vitamin D is taken once a week and Ferrous sulfate is taken once a day on an empty stomach with orange juice.
Do you have any difficulty taking the medications? If so, what happens and how do you deal with any difficulties. Only the ferrous sulfate, it causes constipation so I either take an herbal tea and./or stool softener
Have you ever felt any uncomfortable feelings and/or body reactions to taking these medications? If so, what were they and how were they handled?
Yes, the tramadol gave me a really weird feeling of like the jitters and I couldn’t rest. It also gave me dry mouth no matter how much water I drank, which is why I stopped taking it daily when I was in severe pain. I asked the doctor if he could give me a lower dosage.
If you had the above reaction, did they take you off the medication and/or replace it with another medication? Were you told why this happened? I asked for a lower dose because I knew that something was wrong.
Do you have any reason not to take the medications? I can cope with the pain some days but other day the pain is just too unbearable
Have you ever not taken the medication? If so, what was the reason? Yes, I only take the medications as needed now instead of every time I had pain.
RESEARCH PAPER
Write a paper describing your research and findings about the medications being taken and the results of the interview. Report your findings in a 3-5 page written paper. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.
Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.
Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3 page teaching plan to include the following:
List one goal for this teaching plan
Describe two to three teaching resources that might be used
Identify two teaching strategies that can be used based on the client interviewed
List specific client instructions regarding the medications and what adverse reactions they should be aware of/and what to do
Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome
If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime
The post The three parts of this assignment are: Conduct an interview of a appeared first on PapersSpot.
