Group 6

1.

Bunga Nur Rahmawati

(131511133031)

2.

Fina Ainur Rohmah

(131511133032)

3.

Talia Puspita Adianti

(131511133118)

4.

Rian Priambodo

(131511133119)

5.

Najla Khairunnisa

(131511133120)

6.

Lili Putri Roesanti

(131511133122)

7.

Adilla Kusuma Dewi

(131511133124)

EXERCISE TOPIC 6
A client was planned to be discharged from hospital. He had no
clue on how to mix regular insulin and NPH insulin for his home
treatment.

DATA COLLECTION
Subjective data : he had no clue on how to mix regular insulin
and NPH for his home treatment.
Objective data : He looks confuse what he have to do

PROBLEM IDENTIFICATION
Problem : Health Promotion Diagnosis

STEP 1: LOOK AT THE NDX

BOOK
See page 66-78
Domain 1. Health Promotion
Class 2. Health Management
Code 0078: Ineffective health management

Definition:
Pattern of regulating and integrating into daily living a therapeutic
regimen for the treatment of illness and its sequelae that is
unsatisfactory for meeting specific health goals.
Definiting Characteristics:
Difficulty with prescribed regimen.
Related Factors :
Inadequate number of cues to action.

STEP 2: LOOK AT THE NOC BOOK

1. Content
Search in index : Management outcomes class 48-67t
Then in page NOC Taxonomy in Domain 1, level 2 classes we choose self-care (outcome that
describe an individuals ability to accomplish basic and instrumental activities of daily living).
After that in index we choose self-care parenteral medication(outcome),470b.
(code 0309)
2. Self-care: Parenteral Medication-contd
.Code: 030921
Use medication as prescribed
3. Outcome target rating
.Mantain at 1 increase to 5

STEP 3: LOOK AT THE NIC

BOOK

We search in index we choose Teaching : Prescribed medication (code 5616)

page 381.
Definition : preparing patient to safely take prescribed medications and
monitor for their effects.
Activities :
1.

Instruct the patient to recognize distinctive characteristics of the

medication(s), as appropriate

2.

Instruct the patient on the purpose and action of each Medication

3.

Instruct the patient on the dosage, route, and duration of each medication

4. Instruct the patient on the proper administration/application of each

medication
5. Acknowledge patients knowledge of medications
6. Evaluate the patients ability to self-administer medications
7. Inform the patient what to do if a dose of medication is missed
8. Instruct the patient on which criteria to use when deciding to alter the
medication dosage/schedule, as appropriate
9. Inform the patient of consequences of not taking or abruptly
discontinuing medication(s), as appropriate
10.

Instruct the patient on specific precautions to observe when taking

medication(s) (e.g., no driving/using power tools), as appropriate

11. Instruct the patient on possible adverse side effects of each medication
12. Instruct the patient how to relieve and/or prevent certain side effects, as
appropriate
13. Instruct the patient on appropriate actions to take if side effects occur
14. Instruct the patient on the signs and symptoms of overdosage/ underdosage
15. Inform the patient of possible drug/food interactions, as appropriate
16. Instruct the patient how to properly store the medication(s)
17. Instruct patients on proper disposal of needles and syringes at home, as
appropriate, and where to dispose of the sharps container in their community
18. Provide the patient with written information about the action, purpose, side
effects, etc. of medications

SUGGESTION
From the cases we can conclude that, as nurses
we have to do the planning before the patients go
home. The planning aims to assist patient and
families in order to do self-care to increase healthstatus optimally. After that we can check patients of
family which will have to get verbal or written
instructions
about
nursing
interventions,
medication and activities that can do at home. If
symptoms occur or unexpected condition should be
able to make contact with the health service.