Delegation’ and what your responsibilities are when delegated the task of administering and monitoring medications
In the context of the aged care worker role, describe what you understand by the word ‘delegation’ and what your responsibilities are when delegated the task of administering and monitoring medications? Include in your answer who can delegate and when they can delegate.
When you are administering Daphane’s medication how would identify if the medications prescribed had any substance incompatibilities and if Daphne had any allergies?
In the context of the aged care worker role, what would be best practice when Daphne refused one of her medications? Who else might your supervisor who delegated the task of administering medications notify?
How should Daphne’s medications in her dose administration aid be managed whilst undertaking a medication round and how should it be stored until next medication round based on the schedule of drugs she is prescribed?
In the context of the aged care worker role, how would you administer Daphne’s prn medication, calculate the dose and monitor the response or outcomes? (must show dose calculation in your response)
In the context of the aged care worker role, detail four things you may and may not do in relation to any aspect of dealing with medication and duty of care?
How can you help a person to swallow their tablets if they don’t like the taste?
Case Scenario 2
Arati is a 79- year-old woman who, lives in a self-managed residential aged-care facility and whose health has declined over the last 15 years with a history of poorly controlled type 2 diabetes for which she takes metformin 500mg BD.
Arati has been admitted to the high dependence unit after a severe allergic reaction to a medication she had taken.
After taking a physical assessment you find out that Arati is overweight, history of DVTs, does not pay much attention to her blood sugar levels or her diet and leads a relatively sedentary lifestyle and mentioned that lately she notices dizziness or light headedness towards the end of the day.
You overhear the nurses and doctor discussing that Arati and has also developed elevated serum creatine levels indicating renal impairment.
After a visit by the medical practitioner (GP) it is noted that Arati’s blood pressure is elevated and she has protein and glucose in her urine. This leads to further investigations where she is diagnosed with chronic renal failure Grade 4.
The medical practitioner suggests that a new assessment be conducted to determine Arati’s level of care requirements within the residential aged care facility.
Read Case scenario 1 and provide a response to the following questions (Q10 -17)
What would be some of the major factors that can affect the action of drugs on Arati and her physical status?
You are requested to administer Arati with her evening medication as she is a bit drowsy, describe how you undertake the rights of medications to ensure quality use of medicines?
In the context of the aged care worker under the delegation of a RN you are asked to provide accurate information to Arati on her medication metformin. Using the table below provide responses to the following question regarding information that you could provide.
Medication Response to questions
How is this medication delivered to the client?
What are the indication for prescribing this medication?
Are there any contraindication for use of this medication?
Are there any adverse effects that you need to watch for?
What medication group does this belong?
What other form of medication is used to treat diabetes?
What would you do if you noticed Arati was suffering from a side effect of her metformin medication because it was contaminated and out of date?
What would you do if Arati experienced anaphylaxis to a new medicine she had been given for her renal condition?
Will Arati’s diagnosis of Chronic Renal failure affect the standard precautions previously used to manage infection control in Arati’s self-managed room?
How will the Disability Service Act and the Age Care Act assist people like Arati who has now been diagnosed with a chronic illness and will need additional healthcare services?
Arati has been place on bedrest until her renal condition is stabilised and due to her history of DVTs she has been recommenced on low dose of warfarin and requested to wear anti- embolic stockings. Should you be concerned that Arati has a box of aspirin, a small bottle of scotch whiskey and a menu of her meals which indicates lots of green leafy vegetables located in her bedside draw within easy access, if so why?
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