CASE STUDY: During your shift, you notice

CASE STUDY: During your shift, you notice that medication has been left on M’s bedside table. M suffers from schizophrenia and without his medication can become paranoid. M tells you that he cannot nor will not take it. M has varying levels of capacity but usually takes his medication. A year ago he was being given the medication by depot injection but he agreed with his doctor to take oral medication instead. He is not being treated under any legislation. How could this situation be dealt with safely, considering the role of the nurse in measuring and promoting quality care and the role of the nurse in prescribing medication? Case study assignment – how can l structure my assignment As a nurse, your first priority is to ensure the safety and well-being of the patient. In this situation, it is important to assess M’s capacity to make decisions about his medication. The fact that M has taken his medication in the past and that he agreed with his doctor to switch to oral medication suggests that he has the capacity to make informed decisions about his treatment. However, his refusal to take the medication at this time suggests that he may be experiencing a relapse of his illness. However, his refusal to take the medication at this time suggests that he may be experiencing a relapse of his illness. It is important to approach this situation with sensitivity and respect for M’s autonomy. The should try to engage in a conversation with M to explore his reasons for refusing the medication and to address any concerns or fears he may have. The nurse should also educate M about the benefits and risks of the medication, and the potential consequences of not taking it. If M still refuses to take the medication, the nurse should document this in his medical record and report it to the healthcare team. If the patient’s refusal poses a significant risk to his health or safety, the nurse may need to involve the healthcare team to explore other options for ensuring that M receives his medication. This could include seeking a second opinion from a doctor or psychiatrist, or involving M’s family or caregivers in the decision-making process.

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