Action to the client’s refusal to retake his admission will depend on the likely consequences for missing to retake his medication.
Action to the client’s refusal to retake his admission will depend on the likely consequences for missing to retake his medication. Since Mr. B is diagnosed with hypertension, which has fatal consequences if not controlled, he must take his medication as prescribed by the physician. As a nurse, it is crucial to assess the primary patient reason for medication refusal.
In Mr. B’s case, fall is the primary reason why he is not willing to retake the prescribed medication. It is significant to explain to Mr. B about the significance of these medications to his health, the possible side effects
and adverse effects, and the consequences of stopping taking the medication without a physician order.
According to Tinetti, Han, Lee, McAvay, Peduzzi, Gross, Lin (2014), antihypertensive medication seemed to be associated with an increased risk of serious fall injury compared with no antihypertensive use in this nationally representative cohort of older adults, particularly among participants with a previous fall injury. Based on this information, the nurse should assess the possible patient risk of falls and implement necessary interventions. For the elderly like Mr. B, a nurse should assess his physical heath, modify the home environment, provide mobile aid devices, and give anti-fall footwears.
Reference
Tinetti, M. E., Han, L., Lee, D. S., McAvay, G. J., Peduzzi, P., Gross, C. P., … Lin, H. (2014). Antihypertensive medications and serious fall injuries in a nationally representative sample of older adults. JAMA internal medicine, 174(4), 588–595. doi:10.1001/jamainternmed.2013.14764