Definition of Medication Reconciliation
Medication reconciliation is “the confirmation and communication of any patient’s medication regimen at details of changeover in patient care” (Murphy, Oxencis, Klauck, Meyer, & Zimmerman, 2009, p. 2126). The first step in guaranteeing medication reconciliation is during the health history after admission to a healthcare facility. Unfortunately precision is not always guaranteed during the initial evaluation. Many authorized nurses (RN’s) and advanced practice nurses (APN), felt “challenged and frustrated by their inability to acquire complete and appropriate medication information” (Riley-Lawless, 2008, p. 94). The inaccuracy in totally comprehending the patient’s medication background can result in unsuitable drug therapy during hospitalization and bring about “failure to identify drug-related problems that may have added to a patient’s hospitalization” (Murphy et al. , 2009, p. 2126) in the first place. In order for the health care and attention team to provide the best care for a client, a comprehensive evaluation of all medications must be done. Sadly, it is not always the client’s fault, but their lack of understanding and knowledge on the medication previously recommended which impedes the nurse from acquiring exact information and providing care.
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Paradigms
Person
Person identifies the individual as a whole, in mind, body and heart, whether it be “every individual man, female or child”(Chitty & Black colored, 2007, p. 294). Each patient who involves the hospital must be observed as an individual. Each patient has different beliefs, ideas and expectations in their own life. Most clients understand and know their limits, have their own definition of health, and prioritize their basic individual needs in different order from one another. In the care of the patient, it’s the nurse’s role to aid them in get together their basic needs. Medication reconciliation takes on an important part in re-establishing homeostasis in the patient’s health. The doctor prescribes medication that is vital in the recuperation of the client or often prophylaxis with their health.Medication Reconciliation in Health Setting
Throughout the health care given in a healthcare facility, many health care providers are dependable and held in charge of medication errors. Therefore it is very important to everyone involved to check the medication supervision record for discrepancies in order to provide safe and correct care. In a very hospital setting, the individual will be discharged where in fact the “physician reviews the medications and finalizes the release medications. The nurse then has responsibility for finalizing the instructions, including medications, and reviewing them with the patient”(Levick, Haldeman, & Beck, 2009, p. 19). It is the medical care team’s responsibility to be knowledgeable of the patient’s medical diagnosis and also to ensure that the medication being administered will promote health and well-being for the individual in the long run. The nurse must give information and coaching to the patient prior to release from the hospital, consequently providing continuation of treatment outside of the hospital. The individual, as the patient, is the key concentration in medication reconciliation, where an individualized plan of care must get in order to satisfy the patients need and help out with a prompt recovery.
Environment
Medication reconciliation reaches all models in the health care field, including vehicles of patients from one setting to some other. Regarding to Chitty and African american (2007), the surroundings “includes all the circumstances, affects, and conditions that surround and affect individuals, families and groups”. However, many patients who enter in the hospital setting do not always leave to come back to their home, but must be positioned in long-term care. During the transfer in one location to some other “adverse drug occasions attributed to medication changes (credited to variations in institutional and outpatient formularies) occurred in 20% of patients transferred from a hospital to a long-term good care facility”(Setter et al. , 2009, p. 2028). The adverse drug event could have been averted if the communication between your two institutions could have been increased.Medication Reconciliation in Health Setting
The patient’s wellbeing is jeopardized if medication reconciliation is not implemented thoroughly. Using facilities steps have been taken to enhance the communication between each team in a clinic where a computer system was made to assist the health health care team in medication reconciliation. This computer system allows clinicians to easily compare current inpatient medications, with home medications that were documented at admission and medications being organized for discharge. Corresponding to Levick et. al (2009), ” with this technique, the discharge nurse is alerted to any medication changes, even if indeed they happen at the last minute” (p. 19). This provides the discharge nurse with correct information and specific patient teaching even is changes are made out of the blue and unexpectedly. The improvements being made in technology affect the surroundings and the care that is directed at the patient. The client can reap the benefits of medication reconciliation within an environment that fosters communication between the personnel in the health care team.
Health
Health is described differently from individual to individual. One meaning of health is a “state of maximum functioning or well-being” (Taylor, Lillis, LeMone, & Lynn, 2008, p. G-10). It’s the patient’s own degree of health to where it is most beneficial to them. Anyone who has a chronic condition and is only confined to a foundation, might see themselves as healthy for simply being able to dress independently one morning hours, while an sportsman might visit a an injury with their ft. as an impairment to his or her own health. Someone’s view of health also changes daily about how their is responding to the surroundings and treatments being done currently. This is one of many factors that prompts the nurse to provide individualized good care to each patient under her care.
The patient’s health is greatly afflicted by medication reconciliation. The nurse must ensure that the correct medication and dose is being given to the patient to reach a therapeutic have an impact on and not to cause a detrimental reaction. If your client gets an overdose of any medication, medical care team will be presented accountable for possible injuries that the medication caused. Primarily, the medication is purchased to be given and to get rid of the condition or control the symptoms. If one is made across the chain of medication reconciliation, then your physical harm done to the body could be irreversible and even fatal if not found in plenty of time. Medication reconciliation is put in location to prevent such accidents from occurring in medical care setting. They have “been recognized as a system to promote patient safety and stop harm by lowering medication errors” (Riley-Lawless, 2008, p. 94). It is rather important for the nurse and everyone involved in the care of the individual to promote the health and well-being of your client. It is a crucial step in the procedure for the medical care team to ensure that medication reconciliation has been followed through in order to provide the best good care possible to the client who will come in a healthcare facility seeking help.Medication Reconciliation in Health Setting
Nurse
Medication reconciliation is of the nurse’s main role in presenting the patient good quality of good care. In order for the nurse to expect a full recovery or to deal with the patient’s health issues, careful attention must be paid to the medications being implemented. The nurse must check the doctor’s requests with a medication guidebook to ensure that the drug or drugs that’ll be administered will not cause an adverse response or cause further health deterioration to the individual. Medication reconciliation is a process that starts at the entrance interview. The nurse must acquire all the medication information in which the patient is currently taking, abide by it through with the care of the individual, and finally educate the patient about the medications that’ll be sent home with them. Since not absolutely all patients get discharged home plus some get relocated, communication between your two places must be established in order to avoid side effects and drug conversation. The nurse plays a major role in medication reconciliation in order to provide the patient with top quality treatment and must be sure that no harm will be caused by a medication problem.
Nursing Implications
Medication reconciliation is present to ensure that the individual who comes in seeking health care is given the perfect care free of mistakes by the healthcare team. It’s the nurse’s job to use the knowledge gained in college and experience at the job to guarantee the physician is purchasing the correct amount of medication for the patient and that the medication is going to be beneficial in the treatment of the medical medical diagnosis. It is very important for the nurse to be certain that everything about the drug will be totally explained to the patient in simple terms so that they have the ability to fully understand the right dosage, the reason for the medication and the way to properly self-administer the medication.
Medication reconciliation also occurs within the hospital, from device to device. It continues the movement of communication wide open with the other professional medical team members to provide appropriate treatment to your client. Medication administration comes after the patient as soon as of admission to the point where the individual is eventually discharged or used in another facility. It is very important that no medication given to the individual will harm the client and cause further deterioration to their health.Medication Reconciliation in Health Setting
Conclusion
In final result, medication reconciliation is vital to providing most effective care for the person in any health care setting up. Medication reconciliation employs the four paradigms in nursing and is essential in providing good quality care and attention to anyone who looks for medical attention. It opens up the field of communication between all systems in a healthcare facility that get excited about the client’s health care and maximizes the interaction of two facilities in case a patient gets relocated. Medication reconciliation also reduces the chances of giving the patient a wrong medication or medication dosage. All healthcare participants mixed up in client’s care should be aware of the medications included and must be check for errors to be able to ensure a healing cause the patient’s health.Medication Reconciliation in Health Setting
