Question

and strategies lol OPti . Advise patients abolul Io Nursing Interventions herbs ngage patients in the care-planning process; provide in- formation supportive of self-management and mutual goal setting; support patients and family choices. . Advise patients of potential side effects of herbal Counsel patients about symptoms that require porting to the health care provider . Consult a dietitian and other specialists as necessary e http Evaluation . Evaluate perceived effectiveness of herbal remedies fn Patient Teaching Use an individualized, culturally appropriate approach Evaluate when discussing the therapeutic regimen. Use open-ended questions. leviating symptoms . Evaluate adherence to the therapeutic regimen. Evaluate drug-herb interactions or side effects. Evaluate the patient's use of resources. . Due to inconsistencies in manufacturing, advise patients to continue with the same brand of herbal therapy, and ad- vise them to notify their health care provider if consider- ing changing brands or preparations. Pha Advise patients to first notify their health care provider be fore substituting any herbal product for a prescription or OTC medication CRITICAL THINKING CASE STUDY Ph R, a 55-year-old white male, is seen in follow- up after being further questioning, he states he just grabs a spoon from B diagnosed with type 2 diabetes. He was prescribed metformin drawer and uses his wife's baking cinnamon. 500 mg twice daily at his last visit. When talking to JR, he admits 1. What additional information is needed prior to developg he never filled his prescription but took his neighbor's advicemutually agreed upon plan of care? instead and began taking cinnamon. He states he Googled the 2. What information should JR be given concerning the spice and found that it is effective at lowering blood sugar. Upon cinnamon to treat diabetes? NCLEX STUDY QUESTIONS 1. What provisio ns of the Dietary Supplement Health and Edu- cation Act of 1994 are most important for the nurse to know related to patient health teaching? (Select all that apply.) a. Clarified marketing regulations 4. The nurse is reviewing a patients current medications. herbal products interfere with the action of antico (Select all that apply.) a. Astragalus

Answer 1

Answer 1: Following additional information is needed before developing a mutually agreed upon plan of care:

• Most importantly, need to ask that why the metformin prescription was not filled.
• Information regarding any other over-the-counter medications, herbs, and supplements that the patient is taking.
• Information regarding other prescribed drugs that patient may be taking.
• A brief discussion about beliefs about conventional drug therapy and herbal therapy.
• Information regarding size of spoon used to take cinnamon along with brand and label information.

Answer 2: - Following information should be given to the patient concerning the use of cinnamon to treat diabetes:

• Awareness about dosing restrictions i.e. 6 g/day for no longer than 6 weeks should be given.
• Advise to always use the same brand of cinnamon and to notify his health care provider if considering changing brands or preparations because of inconsistencies in manufacturing.
• Educate patient regarding information on side effects and when to call a health care provider about symptoms.