Freeessaysample

Nursing question discussion essay

Nursing question discussion essay.

Nursing question discussion essay

Category: Medicine and Health

Assignment: Ethical and Legal Implications of Prescribing Drugs.

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

  • Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
  • Review the scenario assigned by your Instructor for this Assignment.
  • Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
  • Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

By Day 7 of Week 1

Write a 2- to 3-page paper that addresses the following:

  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.
***********Please I want to choose Schizophrenia and for the treatment – Zyprexa Zydis.

Requirements: 2 – 3 pages excluding the title and reference pages   |   .doc file

Hello Alert,

Sorry for the delay. I have been busy with work, just saw your email.

This is my case scenerio.

This case is a 20-year-old Latino male admitted to the mental health hospital through the court system with penal code 1370, which means the patient was found Incompetent to Stand Trial. According to Rosenthal and Burchum (2021), hallucination, delusion, and disorganized thought processes are three cardinal symptoms of Schizophrenia. The patient presented with auditory hallucination, delusional thoughts, disorganized thinking behaviors, blunt affect, agitation, echolalia, poor self-care, and appears messy and dirty. Past medical history includes:

  • Previous admission to a psychiatric hospital.
  • A history of smoking.
  • Mental illness from his mother’s family.

Current medical history includes constipation, hyperlipidemia, and Vitamin D deficiency. The patient could not engage in any meaningful conversation during the admission process, thus a poor historian. The diagnosis of Schizophrenia was made. Olanzapine 10 mg daily was prescribed, gradually titrated to Olanzapine 10 mg BID, then Olanzapine 10 mg PO TID; Lorazepam 1 mg PO TID, and Lactulose 20 gm solution PO BID for constipation.

Nursing question

Student Name

Institution

The schizophrenia spectrum can be identified as an experience involving an abnormality in the following dimensions: delusions, illusions, and disorganized speech or thinking. Possessing the above disorder contributes to significant social and occupational dysfunction in the victim, making the disorder one of the debilitating diagnoses in the medical history. Thus, the disorder is considered devastating since it affects the normal victim functionality and affects the individual functionality and quality of life. The paper aims to examine ethical and legal implications of prescription of schizophrenia disorder to a 20 years old Latino male admitted to a mental hospital through the court system penal code 1370.

Ethical obligations influence prescriptions of medicine by medical practitioners. Perspective medical regulations prevent the occurrence of medical errors, which has recently increased in health care provision. The surge in medical mistakes has resulted in a rise in the deaths of innocent patients; hence, it is appropriate to implement ethical and legal aspects in the health sector to curb medical errors committed by health care practitioners.

The ethical and legal implications of the schizophrenia disorder focus on the core principles of autonomy, and revealing the truth may at times cause a conflict with the principle of beneficence and non-maleficence. The prescriber is legally and ethically obliged to cause no harm to the patient. For instance, vibrant illustrations of these ethical and legal implications include revealing half-truths to the patient and guiding them to involve some of their family members in providing ongoing patient care (Yack, 2019). Despite that, the legal implications also involve the psychiatrist ascertaining whether the disorder victim can make rational decisions. Such tests are challenging and complex to the practitioners; hence, it is essential to outline the ethical principle involved in dealing with this disorder.

The prescriber’s legal and ethical implications encountered in the discloser and treatment of the disorder are foundational principles. For instance, relating to our case study, the prescriber has a duty to the patients with this disorder. They ought to be respected and regarded with the victim’s worth and dignity. Secondly, the ethics and legal implications focus on the individual self-governance and the responsibility to respond or act in the most appropriate manner that provides the most significant benefit to the victim.

The pharmacist is ethically and legally bound to non-documentation of the patient information. The pharmacist is lawfully and ethically bound to write down accurate prescriptions, fill, and pick prescriptive described legibly. Despite that, to reduce medical errors, it’s essential to include information on the name of the drug and its strengths to the patient (Sabatino et al., 2017). Legally the process of prescribing ought to be inclusive of consultation regarding the documentation treatment and drug administration

Moreover, the ethics and legal implications that focus on the patient’s family focus on fidelity, which involves being faithful and committed to the patient’s interest. The ethics as an outline on non-maleficence, which is devotion to do the patient no harm. The ethical and legal implications of the family members focus on adherence to outpatient care. Family members should resort to concealing the medications prescribed by the pharmacist in either drinks or food. The patient is expected to oblige by keeping of past behaviors such as smoking.

Nurses have a core duty to play in the disclosure and non-disclosure of information about patients. They are obliged by ethics to disclose the patient’s information for informed decision-making in their treatment.  Legally the California bill of ethics and legal implications advocate adequate disclosure to minimize doubt among patients (Hamilton, 2021).

From the above case study, I would use beneficence and autonomy of information disclosure principles to their peers in the medical field. I would sit with the patient and clearly outline the legal and ethical procedures applied in the scenario. Despite that, I would concede to the error I committed and disclose that the medical mistake would possibly harm him. Furthermore, since I committed the mistake, I would engage with the patient’s current medical practitioner, inform the proper medical procedure that I ought to have applied, and outline possible implications of using the process. Despite that, I would apologize for the medical error committed.

The process of drafting and writing prescriptions is very crucial in eliminating medical mistakes or errors. Therefore, medications for such a disorder of schizophrenia spectrum must be drafted and written by a qualified healthcare practitioner. It is important to note that the administration of the disease drugs is prescribed on specific conditions of medical personnel and certified health care practitioner. Writing prescriptions involve filling and selecting prospective medications in a clear and decipherable method. The format of prescriptions should include the name of the medicine or the drug being prescribed, the prescriber’s address, the date when the prescription was written, and the prescription’s strengths to the patient. It is also notably significant to label the administration guidelines on the frequency and quantity prescribed every day.

However, on medical error minimization, clear and precise information should be made available to the patients. Moreover, it is essential to outline medications warning side patient’s side effects and allergies likely to be experienced by the patient.  Medical information clarity ensures that the pharmacist administers the correct drug to the patient. Prescribers for the above scenario should follow the perspective guidelines and instructions that are outlined to provide and ensure safety on drugs administration and usage to minimize the abuse of the drug.

References

Roe, M. M., & Hamilton, P. M. (2021). Ethics, Laws, and Regulations for California Physical   Therapy.

Sabatino, J., Pruchnicki, M., Sevin, A., Barker, E., Green, C., & Porter, K. (2017). Improving prescribing practices. Journal Of The American Association Of Nurse Practitioners29(5), 248-254. https://doi.org/10.1002/2327-6924.12446

Yack, M. (2019). Book Review: Leaving It at the Office: A Guide to Psychotherapist Self-Care. The Canadian Journal Of Psychiatry, 070674371985296. https://doi.org/10.1177/0706743719852963

Browse more products here

Order Here

Leave a Comment

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.