Posted: May 13th, 2023

Nursing Case Study essay

Nursing Case Study
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Drugs overdose is a case mostly experienced in many hospital wards and at higher percentages is usually caused by nurses. Prednisolone is a drug prescribed to treat many conditions such as asthma, arthritis and allergic incidents. Prednisolone is categorized under corticosteroids, the drugs that came instead of steroids which the human being’s body always makes. Prednisolone has many side effects, for instance increasing the blood pressure of the patient using it, destructs the body to stop producing normal steroids when the patient stops using it, and lastly affects and stops the body immune system and stops its functioning. Prednisolone overdose is very dangerous to a patient’s body and thus Mrs. Betty Riordan experienced many complications. Mrs. Betty Riordan took the best step to report the incident other than keeping it.
The Incident Information Get research paper samples and course-specific study resources under   homework for you course hero writing service – Manage ment System (IIMS) is a high-value program that deals with the patients, clinicians hospitals staff’s safeguard and security in the medical institutions. The incident information management system also prevents the most hazard incidents that occur in hospitals just like Mrs. Betty Riordan case. The doctor never followed the appropriate procedure she or he was first supposed to report the incident to the poison control organization for them to provide a forward prescription so as to help Mrs. Betty Riordan overdose case. Prednisolone overdose error is a medical failure in treatment that causes harmful effects on the patient’s health. This medical error occurs mostly in cases when deciding which drug to be prescribed on the patient, the dosage and writing prescriptions. Possible factors that led to Mrs. Betty Riordan medication error include; lack of important information about the drug. This factor is knowledge-based. The nurse should be well informed about the drug, its administering, prescriptions and also the patient’s condition too. With all this is very important to evade the overdose incident on the patient (Pate, V, & T R., 2008 – Affordable Custom Essay Writing Service | Write My Essay from Pro Writers).
Another possible factor that also led to Mrs. Betty Riordan’s Prednisolone overdose error is also a misunderstanding or misinterpretation of the prescriptions written. For instance, maybe the nurse misinterpreted or misunderstood the written prescriptions of 70mg of Prednisolone daily rather than 10mg. The nurse maybe thought 1 was 7 depending on the doctor’s handwriting. In addition, also the nurse skills and knowledge may mislead the nurse. For example, the patient had the skills and knowledge about Prednisolone that states 70mg of Prednisolone must be administered to patients whose asthma condition has been after an exacerbation of her asthma secondary to a chest infection just like Mrs. Betty Riordan conditions.
The overdose error of Prednisolone also might have been likely to because by the nurse being very tired after working for a long period without resting or poorly managed security in the hospital, maybe there is no quality safeguard of the patient’s treatment environment. There is no one who monitors the hospital’s medical operations. Poor support also may have contributed to the overdose error. Lack of cooperation and clears understandings among the hospitals’ staff management may have also led to the Prednisolone overdose error. A nurse might be experiencing difficulties to deal with other doctors or is facing a lot of stress in the hospital the difficulties and stress creates a poor working condition of the nurse and this paves room for the error in medication on Mrs. Betty Riordan. Poor concentrations on the Prednisolone drug administering on Mrs. Betty Riordan also led to the overdose error. The nurse maybe wasn’t paying attention to the drug administering but rather thinking on his or her own personal stuff to deal with. This is also might have been a big contributing factor that might have led to the medication error.
• The legal and ethical acts and rules and regulations are set aside by the nursing state of boards. The legal and ethical breaches, in this case, are as follows;
• Nurse possible responses to the medication error of Mrs. Betty Riordan was supported and kept into considerations too because also nurses have ethical and legal rights to expression and to be listened to.
• To prevent other possible errors other than the medication error case on Mrs. Betty Riordan, changing the medical management in the hospitals may provide good working conditions for nurses. By doing this it will upgrade the Nurse’s well-being, decrease the chances of medications errors and lastly prevents the possible occurrence of medication errors in the hospital.
• Prednisolone is a harmful drug that must be taken under well-followed prescriptions; its overdose on a patient may lead to death. Doctors are urged to write and provide well understandable prescriptions to nurses to ease their tasks.
• Clinicians, nurses and managers must receive or acquire adequate training in the communications and relations among each other and with the patients too because unity is the strength.
• The legal and ethical breaches in this case also that nurses should have time to rest after work and not to be subjected to overtime job without resting because it will also lead to medications errors. Nurses should also be monitored and given adequate security so as to prevent the likelihood of medical errors. This will aid nurses to work under the given rules and regulations.
• The legal and ethical breaches in this case state that occurrence of an error in a human being is unavoidable because man is prompt to errors but the only way to lead with this is to search for appropriate ways of preventing the likelihood of medication errors just like the one that affected Mrs. Betty Riordan.
Professional nursing standards are the nurse’s fundamental guidance in their task operations. Nurses are given a responsibility to take care of patients wholeheartedly even though they face a lot of challenges in their profession. They are enhanced to be well conversant with the professional nursing standards and the importance of ethical decision making. The nurses must have adequate knowledge and be very sensitive to the ethical shortcomings and how to deal with and also do their best to come up with possible solutions in order to fulfil their moral responsibilities. For example, the medical error of Mrs. Betty Riornad the nurse was supposed to accept the mistake and provide quality care for her. Professional nursing standards also deal with administering the duties of drugs to the patient by the nurse. The ways in which a nurse should communicate with the hospital ethics committees on the ethical decision –making when they are caught in medical error. The National Code of Ethics for Nursing provides a guide for nurse operations and ethical obligations of their career (Hoover, 2004). The professional nursing standards that underpin this case include the following;
• Love and kindness.
• Good communications with their co-workers in the hospital such as managers, clinicians and patients/clients.
• Respect.
• Maintain and provide safety to the patient.
According to (Colley, 2003) nursing considerations that are important when administering the medications;
• Ensure the medication prescription is accurate and well understandable. It must contain the name of the drug, dose, time and procedure of administration.
• Prepare and give medications to individual patients at a time in order to pay much attention to the patient.
• Grunt a chance to a patient to communicate and express him or herself clearly without any hindrance. For instance, Mrs. Betty Riordan had an opportunity to tell the doctor about her Prednisolone overdose error.
• The must be aware that destructions and interruptions cause the act of forgetting while administering the drug to the patient. The nurse should do away with those all sorts of interruptions and destructions.
• Be aware of high alert and harmful drugs and keep many considerations while administering them just like the Prednisolone.
• Be well accurate while facing stressful situations for instance, when facing stress, sad or feeling exhausted. Ensure you deal with them or fight to realize them while administering drugs because these incidents among nurses always lead to hazardous impacts on the patient’s health.
Blood Glucose Level is checked by using and monitored by using blood glucose meter blood and glucose strips. BGL monitoring is ordered after reviewing in order to measure the amount of glucose or sugar in Mrs. Betty Riordan’s body. Blood Glucose Level was enhanced so as to reduce the rate of complications on Mrs. Betty Rionard’s body led by the Prednisolone overdose. Blood Glucose Level must be taken after clear and understandings of the instructions on the blood glucose meter or blood glucose strips. Glucose is the energy that the body utilizes as the root of energy provision to the body. Prednisolone, the drugs that came instead of steroids which the human being’s body always makes, while the Prednisolone drug when at overdose was induced in Mrs. Betty Riordan’s body, it increased blood sugar essay writing help levels increased and the liver was altered and began rejecting the pancreas-produced insulin (Wentholt, Vollebregt, Hart, Hoekstra, & DeVries, 2005). Mrs. Betty Riornad was recommended the documentation and reporting of BGL’s because;
• The Blood Glucose Level detects the daily adaptations in the medication treatment.
• Be aware if her sugar levels were dangerously high.
• Comprehend whether Prednisolone had a harmful impact on Mrs. Betty Riornad body.
Other considerations for BGL monitoring required includes, blood glucose meter blood and glucose strips must be stored at an easy access storage so as the nurse and the patient to be able to reach it when needed. Doing exercise also aids the patient’s blood glucose level to decrease. Blood glucose meter blood and glucose strips must not be shared among users, because during its operation it’s a chance to exposure of blood-borne viruses through contaminated equipment. Blood Glucose Level can be also performed by the patient or client just in case instructions are followed accurately. Overdose in hospitals might cause harmful patient results and is best comprehended from the bio psychosocial perspective. Its situation can lead to distressing feelings in nurses (Farmer, 2007).

References
Colley, S. (2003). Nursing theory: its importance to practice. Nursing Standard, 17(46), 33-37. doi:10.7748/ns2003.07.17.46.33.c3425
Farmer, A. W. (2007). Impact of self-monitoring of blood glucose in the management of patients with non-insulin treated diabetes: open parallel group randomized trial. BMJ, 335(7611), 132.
Hoover, C. (2004). Ethics in nursing: the caring relationship, 3rd Ed. By Verena Tschudin. Edinburgh: Butterworth Heinemann imprint of Elsevier Science Limited, 2003. 218 pages. Paperback. Journal of Midwifery & Women’s Health, 49(3), 269. doi:10.1016/s1526-9523(04)00094-7
Pate, J. Z., V, & T R. (2008 – Affordable Custom Essay Writing Service | Write My Essay from Pro Writers). “Medical error: Is the solution medical or cognitive”. Journal of the American Medical Bioinformatics Association, 6, 75-77.
Wentholt, I. M., Vollebregt, M. A., Hart, A. A., Hoekstra, J. B., & DeVries, J. H. (2005). Comparison of a Needle-Type and a Microdialysis Continuous Glucose Monitor in Type 1 Diabetic Patients. Diabetes Care, 28(12), 2871-2876. doi:10.2337/diacare.28.12.2871

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