Pharmacology Case 3: Danielle Young Bear
Guided Reflection Questions
Opening Questions
How did the simulated experience of Danielle Young Bear’s case make you feel? I
felt comfortable taking care of this patient and providing education.
Talk about what went well in the scenario. It was straight forward.
Did you have sufficient information to complete the scenario successfully? Yes
Reflecting on Danielle Young Bear’s case, were there any actions you would do
differently if you were to repeat this scenario? No
Scenario Analysis Questions1
PCC
What priority problem(s) did you identify for Danielle Young Bear?
Drug interactions, Pain management and Depression
S/EBP/PCC Provide medication reconciliation for this patient.
Danielle Young Bear’s prescribed medications include: Cyclobenzaprine 5
mg tablet, 3 times daily for back pain; Duloxetine 60 mg tablet,
1 time daily for depression; Hydrocodone 5 mg/acetaminophen
325 mg tablet 4 times daily for pain; Tramadol 50 mg tablet, 46 times daily for pain.
Over-the-Counter(OTC) medications include: Acetaminophen 500mg tablet,
4 times daily for pain; 3 tablespoons of Nyquil Cold and Flu
Nighttime Relief daily for cold this last week.
Danielle Young Bear’s herbal medications include: one cup of willow bark
tea for pain.
S/EBP/PCC What problems did you identify during the medication reconciliation?
There are multiple medications that include acetaminophen
(hydrocodone 5mg/acetaminophen mg 4 times daily,
acetaminophen 500mg tab 4 times daily, and Nyquil, 3
The Scenario Analysis Questions are correlated to the Quality and Safety Education for
Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration
(T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and
Informatics (I). Find more information at: http://qsen.org/
1
From vSim for Nursing | Pharmacology. © Wolters Kluwer.
tablespoons daily), which could lead to acetaminophen
overdose and liver failure.
S/EBP/PCC Provide patient education related to information found during the
medication reconciliation.
Advise the patient to consult her provider before starting any new OTC or
herbal medications, due to the potential for medication
interactions or overdose.
I
Explore evidence-based alternative pain management resources to
assist with pain control for Danielle Young Bear. Alternative Pain
Management Foundation
Concluding Questions
Describe how you would apply the knowledge and skills that you obtained in
Danielle Young Bear’s case to an actual patient care situation.
The importance of medication reconciliation and the synergistic effects of
medications.
From vSim for Nursing | Pharmacology. © Wolters Kluwer.