Role relationship pattern
Fluids other than water may cause interactions or alter gastric pH; the outcome depends on the particular drug. Some drugs are prescribed on basis of actual weight while others may be prescribed on the basis of dry weight.
Gold injections and bismuth can cause gray or gray-blue discoloration. Orally administered drugs will not dissolve as rapidly as expected unless given with an adequate amount of fluid. Drug therapy itself should be assessed as a possible stressor- the degree to which it produces stress on the person and the extent to which the person is able to handle this stress.
Estimates of creatinine clearance estimates are often used to estimate renal function and to serve as a basis for adjusting drug dosages if necessary. It may be helpful to ask the patient to describe his or her day in relation to taking medications, how they take their medications, eating meals, or other therapeutic interventions, and typical daily activities and events.
The adequacy of sleep is best judged by the client's perception of the adequacy of feeling rested rather than the hours of sleep. Growth factors as occur during adolescence, menopause, and aging may indicate the need for adjustments in dosage of certain medications such as insulin or vitamins.
Quinacrine can cause brown discoloration; yellow skin discoloration may indicate drug-induced jaundice e.
Coping stress tolerance pattern
Drugs, such as those with anticholinergic effects, cause drying of saliva which can affect the ability to swallow tablets or food; these drugs also delay gastric emptying which could increase the rate of absorption of acid drugs and delay the onset of action of alkaline drugs. Role-Relationship Client's pattern of role engagements and relationships. It provides insights into the beliefs of the client, current health practices that may affect drug therapy, and resources or lack of to enhance health. Persons with hypertension usually do not experience symptoms and do not see themselves as ill. Undiluted liquid KCL or ingestion of large amounts of diet foods containing sorbitol diet food syndrome can cause diarrhea by creating hyperosmolarity. This can be positive or negative effect, depending upon the situation and intent of the drug therapy. Sexuality-Reproductive Pattern: "patterns of satisfaction or dissatisfaction with sexuality; describes reproductive pattern. The most well known is that of diurnal variation in blood steroid levels. Thyroid drugs may increase or decrease the patient's general metabolic rate. Some individuals may wish to arrange to preserve their sperm, ova, or fertilized ova for their future use before initiating certain drug therapies. Some drugs cause changes in appearance that can affect the person's body image or self image. It may be helpful to ask the patient to describe his or her day in relation to taking medications, how they take their medications, eating meals, or other therapeutic interventions, and typical daily activities and events.
Taking a history of immunizations provides specific information about immunization status and also can provide clues about patient's degree of appropriate management of health status. Sexuality-Reproductive Pattern: "patterns of satisfaction or dissatisfaction with sexuality; describes reproductive pattern.
Effects of drug therapy on pattern Physical changes to body appearance as occurs from steroids, cancer chemotherapy, and Parkinsonian side effects and extrapyramidal effects of antipsychotic drugs can affect a person's body image and sense of self-worth.
Health perception and health management pattern examples
Beliefs about "yin and yang or the "hot and cold" basis of disease and the use of opposite treatments may mean that one particular type of medication may not be acceptable while another would be. Effects of Drug Therapy on Pattern: Many drugs can affect cognitive function in addition to CNS depressants, antidepressants, and psychotropics. Caffeine intake is important to assess- not only the caffeine in coffee or tea but also in cola and other beverages, as well as chocolate. Body comfort, body image, feeling state, attitudes about self, perception of abilities, objective data such as body posture, eye contact, voice tone. Cancer drugs cause loss of hair and changes in facial appearance. Assessment of the patient's home and living situation will show if the patient has family members or other caregivers who can help with management of the drug therapy if necessary. Psychotropic drugs cause many physical side effects e. Cigarette smoking may affect risk factors for complications of oral contraceptives; may be a contraindication. Diarrhea may be caused by superinfection of antibiotic therapy, as well as possibly indicating adverse effects of antibiotics such as pseudomembranous colitis. Gold injections and bismuth can cause gray or gray-blue discoloration. If sleep pattern disturbances are detected, careful assessment of environmental factors and of the patient's bedtime routine is necessary before recommending drug therapy. Drugs with CNS stimulating effects need to be given earlier if they are interfering with sleep e. This may have implications for the choice of a particular drug or the use of the particular dosing schedule.
Adrenergic blockers block the effects of the sympathetic nervous system on target tissues and therefore alter many of the physiological reactions to stress; this is the basis for their use in treating hypertension as well as stage fright.
based on 43 review