HSC 3047 Support use of medication in social care settings Assessment Activity Book Level 2 Name: Date: Assessor’s name: Assessor’s signature: Signature: 1 Assessment Activity One Complete the following table. HSC 3047: 1.1 Legislation which governs use of medication in community settings Key points of legislation 2 Assessment activity two Outline the legal classification system for medication Write the correct classification next to the medication: HSC 3047: 1.2 Medication Classification Amoxicillin 200mg x 28 Senna tablets x 20 Paracetamol 500mg x 16 tablets Canestan vaginal cream x 1 tube Fentanyl patch 25mg x 6 Chloramphenicol eye drops x 1 bottle Ibuprofen 200mg x 12 tablets Citalopram 10mg x 28 tablets E45 cream x I tube Levonelle 1500 x 1 tablet Assessment activity three Read the local medication policy Learner’s signature……………………………………….Date………………….. 3 Assessment Activity four Discuss with your assessor how and why policies and procedures or agreed ways of working must reflect and incorporate legislative requirements. HSC 3047 1.3 Assessor’s signature…………………………………… Date…………………. Assessment Activity five List 6 ‘types’ of medication which you currently administer. HSC 3047: 2.1,2.2 1. 2. 3. 4. 5. 6. 1. If someone has a chest infection what type of medicine would the GP prescribe? a. Antacid b. Antibiotic c. Anti-coagulant 2. If someone has arthritis, what medicine would you expect the doctor to prescribe? a. Laxative b. Decongestant c. Analgesic 3. What would an antihypertensive or ACE inhibitor medicine be prescribed for? a. Depression b. Epilepsy c. High blood pressure 4. What would anti-histamine medicine be prescribed for? a. Hayfever b. Oedema c. Shingles rash 5. If you were told that someone was to be given an anti-emetic, would you expect the person to have a. Diarrhoea b. Vomiting c. Bleeding 4 Assessment Activity six Fill in the following grid of medicines which are commonly used in community care. HSC 3047: 2.1, 2.2. Medicine What condition is it prescribed for? What are the common side effects of this medicine? Flucloxacillin Furosemide Gaviscon Temazepam Warfarin Chloramphenicol ointment Movicol Diazepam Co-codamol Ventolin Metformin 5 Medicine What condition is it prescribed for? What are the common side effects of this medication? Lactulose Glyceryl trinitrate Aspirin Cerumol drops Assessment Activity seven HSC 3047: 2.3 Which of the following signs might indicate that a person is having an anaphylactic reaction to antibiotics? Double vision Skin rash/hives Swollen tongue Nose bleed Pain and tingling in the feet Difficulty breathing Describe 3 things you would do if you suspected that a service user is having an anaphylactic reaction to antibiotics. 6 Assessment Activity eight HSC 3047: 2.3 An elderly woman you care for is about to receive her first dose of a strong diuretic. What advice would you give her about possible side effects? 1) 2) 3) Assessment Activity nine HSC 3047 3.1 Complete the table by listing the responsibilities of the prescriber and the dispenser. Identify 5 responsibilities for each person Prescriber Dispenser 7 Assessment Activity Ten HSC 3047: 3.1 a) Describe the process of ordering a repeat prescription for a specific client in the community b) Describe what you would do when an emergency antibiotic arrives from the pharmacy in a box or a bottle. Other medication is being administered from a dossette box. c) What would you do if a tablet from a compliance aid falls on the floor and cannot be reused? d) What would you do if you think a service user needs to have their medicine crushed or disguised? e) Describe how you would dispose of a packet of co-codamol tablets which are no longer needed f) Describe the action you would take if 2 people in the house have similar names and are both being helped with their medicine. g) Describe what you would do if you suddenly realise that you have given a large double dose of diazepam to a client in your care. 8 h) You have had to call an ambulance for a service user who is unwell. What would you do with the medication in their compliance aid? i) What would you do if a service user with full mental capacity refuses to take their medicine? j) What advice and information would you give to a service user who is starting a course of antibiotics? k) If a service user is taking warfarin, what signs and symptoms would you watch out for? l) What would you check before you give a sachet of Movicol? m) It is good practice to check that a person’s pulse is over 60 before giving Digoxin. Why is this? n) What should you do if the pulse is under 60? 9 Assessment Activity 11 HSC 3027: 3.2 Explain where your responsibilities lie in relation to use of ‘over the counter’ remedies and supplements? a) You assist Mrs Johnson to take her medicine from a dosette box twice a day because she has severe rheumatoid arthritis and has very limited movement in her hands. On one occasion you visit and she has a cold. She asks you to administer a dose of cold and flu remedy which her daughter has bought for her. What would you do? b) Mr Mohammed lives in a sheltered flat and is having assistance every morning to get washed and dressed but he manages his medicines himself. You notice that he has started taking several herbal remedies and vitamin tablets. What would you do about this? c) Violet Wade is fully mobile but she has dementia and is being given all her tablets from a compliance aid. You notice that there are packets of out of date medicine in Violet’s bathroom cabinet. What would you do about this? Assessment activity 12 HSC 3047: 4.1 Name 8 different routes by which medicine can be given 1. 2. 3. 4. 5. 10 6. 7. 8. Are there any routes which you will not be authorised to use? Assessment Activity 13 HSC 3047: 4.2 Describe 6 different forms of medicine. 1. 2. 3. 4. 5. 6. Some people have problems taking their medicine in its current formulation. Can you suggest a form of medicine which might be more suitable for the following people? a. Mr Gregory does not like taking his liquid medicine because it tastes horrible. b. Mrs Davis has difficulty swallowing her tablets because they are a large awkward shape. c. Mrs Omar gets heartburn after taking her medicine. d. Mr Smith does not like having to take his medicine 6 times a day 11 Assessment Activity 14 HSC 3047: 4.3 Thinking of the client group you work with, describe the materials and equipment you might use to assist in the administration of medicines. Assessment Activity 15 HSC 3047 6.1 Explain the importance of the following principles in the use of medication a. Consent b. Self medication or active participation 12 c. Dignity and privacy d. Confidentiality Assessment Activity 16 HSC 3047: 6.2 Why are risk assessments used for medication administration? A risk assessment has identified that Mrs Francis cannot see well enough to take the correct tablets from the bottles they have been sent in. Can you suggest how Mrs Francis might be able to continue managing her medicine independently? 13 Jacques Fayot can only use one hand and often drops his tablets when trying to remove them from the dosette box. How can he be helped to overcome this problem? Mary Selwyn understands that it is important to take her diabetic medication before her lunch and supper but sometimes she forgets and her blood sugar is now too high. How could Mary be helped to maintain her independence in this situation? Assessment Activity 17 HSC 3047: 6.3 Molly Bennett has dementia and sometimes gets very agitated. She is cared for by her devoted daughter with some help from a community care agency. You start to worry that Molly is more drowsy than usual and that her Diazepam tablets are being used up more quickly than usual. What would you do in this situation? 14 Barny Chiltern is low and depressed. He has stopped taking his tablets which include antidepressants, blood pressure tablets and diuretics, but asks you not to tell his doctor. What would you do? Describe 2 other ethical issues which you might encounter which relate to medication administration. What would you do about them? 1. 2. 15