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Original Question

Case study Mr James Hodges is 83 years of age, admitted today from an aged care facility. You are working on the medical ward, and he is a patient who is delegated to you to care for. Mr Hodges has recently been discharged following an acute exacerbation of COPD and the residential care staff are concerned that he has been unable to eat because of dyspnoea and that he may not be responding to his medications. Mr Hodges is on continuous oxygen at 2 litres/minute via nasal prongs for at least 15 hours per day. Subjective data: Feeling anxious; tremor evident; dyspnoeic and fatigued. Objective data: Vital signs: Temperature: 38.6, pulse 104, blood pressure 140/90, respirations 28, SpO2 (oxygen saturation measured by pulse oximetry) 89% on 2 litres oxygen via the nasal prongs. Administer oxygen to maintain SpO2 at 88 to 92%. Application of the ACSQHC Medication Safety Standards and Quality Use of Medicines principles to inform safe medication practice in this case? 1. Quality of medicines “Improving people’s ability to solve problems related to medication, such as negative effects or managing multiple medications” 2. ACSQHC Medication Safety Standards Action 4.8 3. Any suggested

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