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Based on the case study, the patient is taking two drugs that are treating two different conditions, and I believe she does not have enough information about their side effects and other interactions that both the physician and the cardiologist were supposed to provide this led to a fall and make the patient afraid of taking the medication.

What considerations/actions should the nurse make regarding the client’s refusal to restart his blood pressure medication?

As nurses, we have different roles in our patients,s and the first action I will have done was to ask the patient questions regarding history, if she takes over-the-counter medications, supplements, smoking, or drinking alcohol, how often does she takes this blood pressure medication, I should teach her about the importance of both metoprolol and hydrochlorothiazide and their side effects which can lead to dizziness, hypotension that leads to a fall, and I will advocate his concerns to the physician.

What considerations/actions would have helped the healthcare team to prevent the client’s fall?

Team members should have coordinated care of this patient through communication. The physician, cardiologist, and nurses were involved to determine a better patient outcome( Pamela Baxter,2022). To ensure safety nurses were to educate them about the side effects of these medications such as dizziness and lightheadedness, unusual tiredness or weakness, and let him know that he should change positions slowly and have periods of rest (Mayo Clinic, 2022). Other things include removing rugs on the floor, ensuring adequate lighting, use of non-slip socks at home, and using assistive devices when needed.

 

 

Discussion post 2

What considerations/actions should the nurse make regarding the client’s refusal to restart his blood pressure medication? The nurse would want to listen to Mr. B’s reason for not wanting to restart the medication and respect the patients decision for refusing medications. “A serious fall can result in decreased functional independence and quality of life.”(Jin, 2018). Although the nurse would also want to evaluate the patients ability in understanding the risks involved with not taking the medications. The nurse should evaluate the patients ability to read the medication label. Counsel the patient on the importance of taking the medication as prescribed by the Dr. Encourage the patient to consider getting a revised dose or following up with another Dr. to get second opinion. The nurse should recognize that the two medication where prescribed by two different physicians leading to polypharmacy. which resulted in a low BP that caused dizziness that contributed to the patient falling. “Health care providers can educate patients to promote medication adherence by adequately explaining how to take a medicine, by raising and discussing with patients any reluctance to take medicines, and by discussing with patients their beliefs and knowledge about their health and associated treatments.”(Costa et al., 2015).
2, What considerations/actions would have helped the healthcare team to prevent the client’s fall? Teaching the patient about the affects that are expected with taking medications that affect heart rate and BP. For instance teaching the patient to take their time while getting out of bed or a chair. And if they feel dizzy to go back to a sitting or lying position. Teach Mr. B the importance of being well hydrated while taking the BP medications. Consider the patients diet, OTC meds, and prescription medications that may have and adverse affect while taking the metoprolol and Hydrochlorothiazide. Have the patient disclose all medications taken to his provider so they could catch adverse drug interactions. Given the patients age they could help him recognize contributing factors to fall risks, such as environment, throw rugs, dim lighting, staircases or physical factors feeling weak, dizzy and lightheaded.

 

Sample Answer

Compelling correspondence is essential to the achievement all things considered but since of the changing idea of the present working environments, successful correspondence turns out to be more troublesome, and because of the numerous impediments that will permit beneficiaries to acknowledge the plan of the sender It is restricted. Misguided judgments.In spite of the fact that correspondence inside the association is rarely completely open, numerous straightforward arrangements can be executed to advance the effect of these hindrances.

Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.

This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.

To be inviting and polite is indistinguishable, and politeness requires an insightful and amicable activity against others. Axioms are notable that gracious “pay of graciousness is the main thing to win everything”. Correspondence staff ought to consistently remember this. The accompanying standards may assist with improving courtesy:Preliminary considering correspondence with family All glad families have the mystery of progress. This achievement originates from a strong establishment of closeness and closeness. Indeed, through private correspondence these cozy family connections become all the more intently. Correspondence is the foundation of different affiliations, building solid partners of obedient devotion, improving family way of life, and assisting with accomplishing satisfaction (Gosche, p. 1). In any case, so as to keep up an amicable relationship, a few families experienced tumultuous encounters. Correspondence in the family is an intricate and alluring marvel. Correspondence between families isn’t restricted to single messages between families or verbal correspondence.

It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.

Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>

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