Description
Always construct as an academic paper using APA 7th edition. Title page, level one heading on second page (title of your paper), body, conclusion. Reference page. (See APA 7th edition formatted paper in the APA folder). An 88-year-old Chinese-speaking woman is admitted for complaints of dizziness and s/p a syncopal episode while attending a local senior center program. She was brought to the emergency department. She lives with her son and his family in a two-family home, which she owns. She is independent in all activities of daily living (ADLs) and participates in a daily tai chi exercise group with her friends at the local park. She did not want to go to the emergency department, but instead wanted to go home and have some "herbal medicines." A medical workup reveals that she has aortic stenosis, atrial fibrillation, and hypertension. She is started on an antihypertensive, coumadin, and aspirin and discharged home with her family. One week later she is readmitted to the hospital with rectal bleeding and bleeding from her gums. She denies taking excessive amounts of coumadin or aspirin. When you ask her son to bring in her medications, only prescribed medications are present, and he reassures you that she is taking the medications according to the physician's orders. She reports that she has not altered her routine at all; she practices tai chi every morning and eats lots of fruits and vegetables. A colonoscopy reveals a polyp, which is removed, and she is transfused with 2 units of packed red blood cells. She is discharged home with her family 2 days later, and home health care is ordered. The home health care nurse visits her 1 day after discharge. A Chinese-speaking nurse visits her and learns that she is taking all of her prescribed medications as ordered. However, she is taking a supplement of a Chinese herb (gingko biloba) in tablet form twice per day to maintain her memory, and she is also consuming an oriental herbal tea (containing Chinese ginseng, ginger, and garlic) three to four times per day. She states, "I take my pills just like the doctor says, but it is this tea that is making me feel better. It is made of special herbs. It is better than all of those pills." The nurse suggests that the woman stop taking the supplement and drinking the tea until she can find out what herbs it is made of, but she is reluctant to do so because she believes it is the secret to longevity.
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| The key to this is how the herbs are effecting her | |
symptoms and how they interact with prescribed medications.
Explanation & Answer
Attached. Please let me know if you have any questions or need revisions.
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Chinese Woman Case Scenario
Student’s First Name, Middle Initial(s), Last Name
Institutional Affiliation
Course Title and Name
Tutor’s Name and Title
Assignment Due Date
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Chinese Woman Case Scenario
Introduction
There are significant challenges in enhancing better health care, particularly in the
context of the aging patients, which is more sensitive to their desires. That is the same case with
the Chinese woman, who, in as much as she values and adheres to her drug regimen, has
alternative drugs as well, which have been affecting her health adversely. Drawing from her
case, this paper discusses the best cause of action for a nurse to ensure the Chinese woman gets
enhanced care. There is also a need to provide valuable information—which the nurse should
add to her medication teaching plan—as well as focus on whether her regimen contributes to her
rectal and bleeding gums.
Actions for the home health nurse to take
More than any other group, nurses should be equipped with skills to ensure patients’
medication follows the proper channel. Accordingly, the home nurse in the Chinese woman’s
case scenario has to do the following. To begin with, the nurse should ensure the integrated
herbal medicine is of good quality and approved by the necessary authority. Besides, considering
that the Chinese woman values her herbal medicine, it is appropriate for the nurse to
countercheck the Chinese supplements to ensure they do not have the potential to cause harm.
Most significantly, the nurse should analyze the supplements to ensure they do not inhibit or
interfere with the medication drugs. However, doing so may prove hard owing to the reality that
she has already placed much value on the Chinese herb. As such, it might be difficult to convince
her against it and, therefore, the nurse should come up with evidence, if any is available, to
convince her of the need to adhere to medical drugs alone (Chung et al., 2020). The nurse must
also ensure the patient understands the importance of the approved drugs without appearing to be
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demanding, which is perhaps the only way to ensuring that the Chinese woman changes her
perception of the Chinese herb.
The information for the nurse to include in the medication teaching plan for the patient
Given the increasing number of deaths arising from errors associated with medication
teaching, the nurse must provide the best teaching possible. Firstly, the nurse should discuss the
quality of the drugs, their benefits, and their potential side effects with the Chinese woman.
Doing so is crucial, since it is clear from her argument that the Chinese woman knows less about
her medication, albeit having total faith in the Chinese supplement. Secondly, the nurse should
provide a written document to the patient’s knowledge level to ensure she has reference material
she can use anytime she doubts a specific procedure. Such information is essential, as it enables
the aging patients to value medication plans, since they can confirm their medical essence and
inquire about them as well (Ross, 2019). To that end, the nurse has the mandate of having
integrated health care skills, which would positively shape the Chinese woman’s perception of
her medication, as well as its potential benefits. Not mention, this is the only way that the
Chinese woman would consider doing away with the traditional herb, which can trigger regular
bleeding.
The Chinese woman regimen and is potential to cause her rectal bleeding and bleeding
gums
The Chinese medication regimen is the problem, as it is the root cause of her rectal and
gum bleeding. In their study, Booker (2017) explained that herbal drugs could cause harmful
effects and interfere with the prescribed medicine if not well assessed. Herbal drugs have to be
taken in the right amounts and doses, failure to which they can interfere with normal
physiological activities. The nurse has been keen on ensuring the patient gets the most
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appropriate drug care from her medication plan. Besi...
