NUR 231 DRUG THERAPY; A CASE STUDY

In your future role as a nurse or midwife you will be required to interpret and use contemporary drug therapy information and evidence to support patients or the pregnant woman in the quality use of medicines. You will
interpret and use evidence to inform evidence based and responsive practice when managing a medication regimen.

Case study
Length 2000 words
Weighting 50%
Individual/Group Individual
Formative/Summative Summative
How will I be assessed 5-criterion grading scale using the rubric provided
Due Date: Friday of Week 12 (4 pm May 22, 2020)

Presentation
requirements

This assessment task must:
 Be a written academic case study containing headings
 Times New Roman, size 12, 1.5 line spacing
 Use of Harvard referencing mandatory
 Be submitted in an electronic format as a PDF document via
SafeAssign

What you need to do 1. Review the Task 3 clinical case study

2. Describe the pathophysiological concepts related to the case
3. Apply principles of pharmacokinetics and pharmacodynamics to
   explain how the medications work and interact with the human
   body.
4. Relate the drug mechanism of action to main side-effects of the
   drug and, discuss benefits, risks and management of adverse
   reactions using person-centred approaches.
5. Use an evidence-based argument and justification of decisions
   with coherent written expression and presentation.
6. Reference the writing using the style conforming to Harvard
   referencing style used at USC.

Suggested Format Introduction (100 words)

Briefly outline the main concepts identified in the case study
Describe the relevant pathophysiology evident from the case (500
words)
Use your understanding of the physiological processes to explain the
clinical presentation of the case study

Discuss the medications from the case and relate their mechanism of
action (600 words)
Using appropriate drug therapy references describe the effects of the
drug therapy on the person described in the case study.
Describe your prioritised interventions for the case (700 words)
Use your clinical reasoning to prioritise necessary person-centred
interventions. Relate the interventions to addressing clinical issues
related to the drug therapy regimen described in the case.
Use evidence from scholarly health literature to support and justify
your discussions and interventions. (Intext references are included in
the word counts. The reference list is not included in the word count. The
word count leniency is +/- 10%)
Conclusion: (100 words)
Briefly recount the key concepts discussed in the case study response.
Make a strong statement that reiterates the clinical reasoning of your
case study response. Avoid repeating the introduction in past tense.

Task 3 Case study
Jolene is now 35 and still living in Dalby with Jack. The farm is not doing so well due to the drought.
Jolene has had to help on the farm for the past 2 years. About 18-months ago she had a motorbike
accident that resulted in a compound fractured tibia and fibula and a blunt force head trauma.
The fractures were surgically repaired with pins and plates. Jolene has recovered from the
orthopaedic surgery and is now fully mobile but does experience leg pain and surgical site
discomfort at times.
About 3-months after the surgery Jolene returned to the emergency department with extreme chest
pain and dyspnoea. During that admission she was diagnosed with a pulmonary embolus and DVT.
She remains on anticoagulant medication.
About 12-months ago Jack found Jolene disorientated on the veranda. He called the ambulance.
While being transported to the emergency department Jolene had a tonic-clonic seizure lasting 3-
minutes. The physician at the hospital diagnosed traumatic epilepsy related to the motorbike
accident and prescribed medication to treat the condition.
Now Jolene is at the GP clinic for a follow-up appointment. Her protracted recovery has contributed
to her feeling depressed. The GP had previously prescribed medication and other therapies for the
depression. However, today’s visit from Jolene is because she believes she is pregnant. The GP has
estimated that Jolene is in the first trimester of confinement.
You are the clinic nurse/midwife.
Review the medication regimen of Jolene.
Write an academic essay that includes discussion of the following points.

1. Application of pathophysiological concepts
2. Application of pharmacokinetics and pharmacodynamics to explain how medications work
   and interact with the human body.
3. Relate the drug mechanism of action to main side-effects of the drug and, discuss benefits,
   risks and management of adverse reactions using person-centred approaches.
4. Evidence-based argument and justification of decisions, coherent written expression and
   presentation
5. Referencing style conforms to Harvard referencing style used at USC

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