Many people in the US, particularly
the elderly, take more than one prescribed medication. CDC (2014)
reported that between 2009 and 2012 nearly 48% of persons asked used at
least one prescription drug, 22% used three or more prescription drugs,
and nearly 11% used five or more.
In a recent study published by the Mayo Clinic, seven out of 10
Americans take at least one prescription drug. The most commonly
prescribed drug is antibiotics — taken by 17 percent of Americans —
followed by antidepressants and opioids — each taken by 13 percent of
Americans. In addition, findings showed that:
When people take multiple medications, there is a greater risk for
confusion about which medications are taken, when they are taken, and
what they are being taken for. There is also a higher risk for drug
interactions and increased side effects and adverse reactions.
Sometimes because of the sheer number of medications being
prescribed, they may be forgotten, become too much of a bother, or a
financial burden which can significantly impact client compliance and
lead to poor health outcomes.
In this written assignment, you will be conducting an interview of a
client who is taking multiple prescribed medications (three or more) and
submitting a written paper describing the findings from the interview.
You will then develop a Client Teaching Plan. Your instructor will
assist you in the selection of the client. You must achieve a “pass” in this assignment to satisfactorily fulfill the requirements for the Pharmacology course.
The three parts of this assignment are:
Conduct an interview of a client who is taking multiple medications
(polypharmacy). You must prepare the client before the interview by
explaining why you are conducting the interview. You can say “my
assignment is to find out about the medications you are taking so I can
determine if you need more information about what you are taking”. You
must always get permission from the client to conduct the interview and
you must tell the client how the information will be used. You can say,
“I will not be using your name in the information I share and I will be
submitting it to my instructor only for this student assignment”. If
there is important information that needs to be communicated to you,
your doctor, family, or nurse, my instructor will assist me in following
up on this”. Tell the client you will take no more than 30-45 minutes
for the interview.
There may be a family member or significant other present during the
interview. That is fine. Be sure to identify who answered a question and
if possible always have the client answer first. Always thank the
client (and others) when you complete the interview.
Do not use recording equipment for this interview. Have a notepad and
pencil or pen and explain that you will be taking notes. When the
interview is over, go to a quiet place and take some time to fill in any
information you did not jot down. If you wait, you will not remember.
When setting the environment for the interview, make sure the client
(and others) is comfortable and you are comfortably seated facing the
client. If possible, do the interview in a quiet place.
Ask questions slowly giving the client time to answer. Pay attention
to the client’s hearing and ability to respond to the questions. Be sure
your non-verbal communication demonstrates you are calm and relaxed.
Use the following interview question guidelines when conducting the
interview. Be aware that the client may not be able to answer each of
the questions with detailed information. Collect as much information as
the client is able and willing to give you. Remember you are the
interviewer so you will be collecting information and not making any
comments about the information shared by the client except to ask for
further clarification if you are not sure what was said or need more
detail if it is available.
For the following questions, paraphrase the client’s answers for your written paper.
Ask a final question about whether the client would like to tell you anything further about their medications.
Write a paper describing your research and findings about the medications being taken and the results of the interview.
Report your findings in a 3-5 page written paper. In your paper include
the reason for each medication, the drug classification, the route of
administration, the dose, and possible side effects/adverse reactions.
Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.
Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3 page teaching plan to include the following: