| University | Waikato Institute of Technology (Wintec) |
| Subject | NURS753 Clinical Reasoning for Medication Management |
NURS753 Assessment Essay
In this essay, you must address the following questions and concepts:
1) Choose two of Aroha’s medications and analyse the pharmacokinetic and pharmacodynamic changes associated with the ageing process and implications for nursing practice.
2) Use a Māori model of health to analyse current interventions and provide cultural options that support Aroha’s cultural needs. You are expected to use a variety of relevant academic literature including up‐to‐date research with APA (7th edition) referencing format to support your discussion with a 1800‐word limit (10% +/‐).
Scenario
Aroha Rongi is a 73‐year‐old Maori lady who lives with her two daughters in Whatawhata. She complains of abdominal pain and nausea that have been getting worse over the past few weeks. Her daughter mentions that Aroha suffers from rheumatoid arthritis and diabetes, and regularly takes over‐the‐counter (OTC) ibuprofen and uses capsaicin (Zostrix) cream for her joint pain. She buys her analgesics from the supermarket as they are cheaper and easy to get than visiting her GP. Aroha visits her GP today because she has frequent dark and tar‐like bowel motions and a poor appetite. Her GP states that he is concerned about GI tract bleeding and asks Aroha to have an endoscopy done. Aroha declines to have an endoscopy and decides to continue with complimentary Mirimiri and Rongoā (Karamu, Kawakawa, and Kūmarahou).
Health history:
- Hypertension
- Rheumatoid Arthritis
- Diabetes
- Smokes 1 pack per day for more than 40 years
- Anaemia
Current Medication:
- Felodipine 10mg, 1 tab, OD
- Metformin Hydrochoride: 500mg, 2tab, BD
- Omeprazole 20mg, 1 tab, OD
- Ferro‐tab 200mg, 1 tab, OD
- Zostrix cream, PRN
- Ibuprofen 400mg (over‐the counter)
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