Reference no: EM133304623

Case Study: Arati is a 79- year-old woman who, lives in a self-managed residential aged-care facility and whose health has declined over the last 15 years with a history of poorly controlled type 2 diabetes for which she takes metformin 500mg BD.

Arati has been admitted to the high dependence unit after a severe allergic reaction to a medication she had taken.

After taking a physical assessment you find out that Arati is overweight, history of DVTs, does not pay much attention to her blood sugar levels or her diet and leads a relatively sedentary lifestyle and mentioned that lately she notices dizziness or light headedness towards the end of the day.

You overhear the nurses and doctor discussing that Arati and has also developed elevated serum creatine levels indicating renal impairment.

After a visit by the medical practitioner (GP) it is noted that Arati's blood pressure is elevated and she has protein and glucose in her urine. This leads to further investigations where she is diagnosed with chronic renal failure Grade 4.

The medical practitioner suggests that a new assessment be conducted to determine Arati's level of care requirements within the residential aged care facility.

Question:

• In the context of the aged care worker role, describe what you understand by the word 'delegation' and what your responsibilities are when delegated the task of administering and monitoring medications? Include in your answer who can delegate and when they can delegate.
• When you are administering Daphane's medication how would identify if the medications prescribed had any substance incompatibilities and if Daphne had any allergies?
• In the context of the aged care worker role, what would be best practice when Daphne refused one of her medications? Who else might your supervisor who delegated the task of administering medications notify?
• How should Daphne's medications in her dose administration aid be managed whilst undertaking a medication round and how should it be stored until next medication round based on the schedule of drugs she is prescribed?
• In the context of the aged care worker role, how would you administer Daphne's prn medication, calculate the dose and monitor the response or outcomes?
• In the context of the aged care worker role, detail four things you may and may not do in relation to any aspect of dealing with medication and duty of care?
• How can you help a person to swallow their tablets if they don't like the taste?