The Antonio's Case Study & Medication Chart & Medication Audit Template - Nursing Assignment Help

Assignment Task

Intensive 2, Practical D

Case Study: 69-year-old Antonio

Antonio is a 69-year-old man who has had Type 2 diabetes for 15 years. He is a retired librarian who lives with his wife and dog. He has two adult children who are living in different states. He has been overweight most of his life and is currently classified as obese with a BMI of 38. His father was a Type 2 diabetic and died from a stroke at the age of 70.

To manage his diabetes, Antonio’s GP has referred him to a Diabetes Education Centre to help manage his condition and to receive guidance from the multidisciplinary.

His GP has prescribed the following medications to help manage his diabetes:

• 500mg metformin BD
• 120mg SR gliclazide mane
• 50mg metoprolol BD

Antonio has been encouraged to take his BGLs twice daily, but he often forgets. He has found it difficult to manage his diabetes as he works long hours, often resulting in him eating lots of ‘fast food’. A month or so ago he noticed a wound on the base of his right foot. Today he has decided that he would go to his local Diabetes Education Centre to inform them about his wound.

Antonio had planned to visit the Diabetes Education Centre today, however at 0900 hours his wife called them to let them know that he had developed some abdominal discomfort, nausea and diarrhoea and would not be attending his session. Despite feeling unwell, Antonio still took his medications as prescribed (above). Antonio remained in bed for the rest of the morning. He could not take anything orally and was complaining to his wife of feeling lightheaded and unwell. At 1700 hours Antonio remained unwell with constant vomiting and diarrhoea. He was unable to communicate more than a few words and was drowsy. His wife immediately called an ambulance.

1730 hours: Antonio has arrived in the Emergency Department. He is confused, drowsy and has slurred speech. He wakes with stimulus, is pale, cold and clammy. His wife is present, and she is very distressed.

Learning objectives:
At the end of this session you will be able to:
Apply your understanding of endocrine physiology to explain the clinical manifestations observed with alterations in endocrine function
Apply the clinical reasoning cycle to provide person-centred and evidenced-informed care for individuals experiencing hypoglycaemia.
Demonstrate the elements of the Guidelines to treating Hypoglycemia (below) 
Demonstrate clinical skill acquisition of blood glucose level (BGL) monitoring & administration of intravenous medication.
Describe and demonstrate wound assessment and management techniques.
Describe and demonstrate the safe administration of endocrine specific medications in the prevention and management of hypoglycaemia

Preparation: You must complete the 6 sections below on MyLO prior to coming to the intensives. Tick the sections that you have completed: 
 2.3 Endocrine Nursing
 2.6 Type 2 Diabetes
 2.9 Clinical Nursing Skill: BGL monitoring
 2.10 Clinical Nursing Skill: Insulin administration
 2.11 Hypoglycaemia and hyperglycaemia 
 2.13 Diabetic Foot Ulcers

Medication audit:
During Practical D of Intensive 2, you will be caring for a patient experiencing complications of Type 2 diabetes. During your Practical you will be required to review the patients medication chart and use your clinical decision-making skills to determine which medications need to be administered based on your assessments of your patients.

Following this Practical, complete a medication audit. Choose two (2) diabetes specific medications from the Antonio's Medication Chart and complete the Medication Audit Template . Within the template you can write in prose and/or use dot points.

Part 2: Endocrine
Medication Audit 

• Consider the patient situation: Provide a brief overview of the patient presentation 
• Medications: Choose and list two (2) medications prescribed for your chosen patient. Explain the mechanism of action in relation to the client situation/context
• Identify: Consider potential indications, contraindications, and side effects of the prescribed medications (ensure that you relate this back to the client situation/context)  
• Goals: Consider the medication order in relation to medication administration principles (dose/frequency/nursing considerations) 
• Actions: Consider the administration of the medications in relation to the patient context (route/nursing considerations
• Evaluate: Describe how you will determine and evaluate the effectiveness/problems of the m