LESSON PLAN ON ORAL MEDICATION ADMINSTRATION

TEACHING
SPECIFIC A.V. AIDS -LEARNING
S.N. OBJECTIVES TIME CONTENT ACTIVITY

1. Introduction
about self & the 2 min SELF-INTRODUCTION:- I am M.Sc.Nursing 1styr
topic. student and my name is Kawaljit Kaur. Today’s topic for
demonstration is:--

TOPIC:-“ORAL MEDICATION”

INTRODUCTION

Psychiatric patients are different from the other patients as PowerPoint Presentation What is oral
the symptomatology differs. The patients have emotional, medication?
behavioral problems and personality problems along with
disturbed higher level mental functions. Moreover the
patients may or may not have insight. So it becomes very
important for a nurse to ensure that the patients are getting
medicines or not?

2. Define oral 2 min DEFINITION Define oral

medication medication.
Oral medication is defined as the administration of medicine
to the clients admitted in the psychiatry ward via mouth with
appropriate amount of fluid (60-100 ml).
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6. Enlist the 2 min INDICATION

indications for  All types of psychiatric disorders. E.g. PowerPoint Presentation List down the
oral medication. Schizophrenia, BPAD, depression, OCD, indications for
Dissociative disorders, mania etc. oral medication.
 Admitted patients in ward
 Patients on parole from ward.
 With medicines for other medical-surgical disorders.

7. Describe the 3 min GENERAL INSRUCTIONS / RESPONSIBILITIES OF Describe the

responsibilities of A NURSE responsibilities
nurse. of a nurse while
1. Assess the client’s medical history of allergies, any administering
other medication treatment going simultaneously, the oral
physical examination and laboratory data that may medicine to a
influence the prescription of medicine. psychiatric
2. Assess the client’s knowledge regarding health and patient.
medication use.
3. Check doctor’s order before preparing the medicine
from the instruction book & male & female
treatment.
4. Prepare the medicine tray with only needed
medicines at that time.
5. Medicines are always kept under lock and key and no
medicine is kept in bed-side lockers of the patient.
6. Glass of water is not kept in the tray, but patients are
themselves asked to take water during medicine.
7. Come from bed-side only after ensuring that patient
has swallowed.
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8. List down the 1 min ARTICLES REQUIRED: PowerPoint Presentation Name the articles
articles required A tray containing following articles: required for oral
 Medicine pouch medication.
 Paper bag for clean papers
 Paper bag for used paper bags.
 Medicine cards
 Glass of water (ask the patient to take
himself/herself)
9. Explain the steps 15 min PROCEDURE: What are the
of procedure of  Prepare the articles in the tray in the treatment room steps of procedure
oral medication only. for oral
medication.
 Wash your hands before taking out the medicines.
 Read the physician’s order & compare it with the
medicine card.
 Cross check the order from the instruction book and
treatment book (male & female) for any recent
change in the order.
 The nurse should know the action, effects, side-
effects and contraindications of the medicines the
patient is getting.
 Take out only needed medicines in the pouch to the
patient at that time only.
 Take the articles to bed-side of the patients.
 Greet the patient appropriately.
 Assist the patient in sitting or standing if required.
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Contd…  Explain the procedure to the patient. Discuss the need PowerPoint Presentation
for medication.
 Ask the patient to take glass of water himself/herself
as paranoid patients don’t trust others.
 Check the 7 R of giving medicines i.e. right patient,
right drug, right route, right time, right dose, right
technique and right documentation.
 Check the medicines for expiry date before keeping
medicines in pouch & before taking out to give to the
patient.
 Take out the medicine on the paper and give it to the
patient.
 Never stand with your back towards face of the
patient while taking out the medicines.
 Never leave medicines near bed-side or elsewhere in
the ward without supervision.
 Never turn in between while giving drugs as the
patient may hide the medicine.
 Always keep the medicines under lock and key in the
psychiatric ward.
 Ensure that patient swallows the medicine by
involving himself/herself in conversation by asking
the open ended questions.
 Or patient’s neck movements can be observed for
swallowing of medicines.
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 Stay with the patient for sometime after giving the
medicine, as the patient may hide the medicines in PowerPoint Presntation
mouth under the tongue or under the mattress. At last
if not clear you can ask the patient to open the mouth.
 Remove all the articles from the bed-side after
ensuring that the patient has swallowed the medicine.
 Documentation is done by putting the signatures on
medicine card and treatment chart.

10. Enumerate the 2 min AFTER CARE What will you do

steps for after in after care?
care.  Replace the articles in the treatment room.
 Discard the used papers & paper bags.
 Replace the medicine pouch in the medicine
cupboard.
 Replace the instruction book & male and female
treatment books.

CONTRAINDICATIONS
11. List down the 3 min What are the
contraindications contraindications
 Presence of gastro-intestinal alterations.
for oral for oral
medications  The inability of a client to swallow food or fluids medication?
 Nausea/vomiting.
 Altered sensorium.
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REFERENCES:-

 Stuart W.Gail; Laraia T Michele, principles of

psychiatry nursing, 8th edition, Mosby publications.
 Merry C. Townsend, psychiatry mental health
nursing, 5th edition, jaypee publications.
 Patricia A. Potter & Anne Griffin Perry,
Fundamentals of Nursing, edn 6th, Mosby publishers,
pg 845-855.

 Kozier & Erb’s, Fundamentals of Nursing, 8th

Edition, Pearson publication, year of publication-
2008,page no846-856

 Sr. Nancy, Principles and practice of Nursing,5th

edition, N. R. Publishing house,2005,343-379
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Name of the drug: -

3 To describe 1. Trade name
nomenclature 1min 2. Pharmacological / chemical name: -the name by
Drugs which a chemist knows the drug; describes the Do you know
constituents of the drug precisely nomenclature of
Flash Cards drugs?
Classification of drugs: -
4 2min Drugs can be classified according to there effect or
To classify the actions. How drugs/
drugs 1. Antipsychotics: - drugs which acts against psychotic medications are
symptoms. classified?
2. Anti depressants: - Drugs which reduces the
symptoms of depression.
3. Sedatives: - Drugs which induces sedation.
4. Antimanic: -Drugs which act against the mania. Flash cards

Effects of drug on body: -

5 Therapeutic effect: - desired effect What are the
To discuss effects 2min 1. Local and systemic effect: - when medication is effects of
of drug on body applied on local area medication on
2. Toxic effect: - Due to high levels of medication body?
3. Synergistic effects: - due to combination of
medications
4. Side effects: - are the undesired effect of drug

Dosage of drug: - the dosage of medication varies according

to the body weight, severity of the disease condition,
tolerance.
 LESSON PLAN ON ORAL MEDICATION ADMINISTRATION

Title of the Course : - B. Sc. Nursing, Post Basic B. Sc. Nursing

Unit :-
Topic : -Oral medication administration
Name of the Student Teacher : - Kawaljit kaur
Duration : - 35 Minutes
Date and Time : -13/10/09 at ________am
Place : - Psychiatry ward
Students : - Third year B. Sc. Nursing, Second year Post Basic B. Sc. Nursing students.
Method of Teaching : - Demonstration
Audio-Visual Aids : - PowerPoint Presentation, flash cards, demonstration.
Previous Background of Trainees : - Students Has Basic knowledge about basic anatomy and physiology, pharmacology
General Objective :- At the end of demonstration students will be able to re demonstrate the procedure of oral
medication administration

Specific objectives :-At the end of class the students will be to

1. Define oral medication
2. describe nomenclature Drugs
3. classify the drugs
4. discuss effects of drug on body
5. Enlist the indications for oral medication.
6. Describe the responsibilities of nurse.
7. List down the articles required
8. Explain the steps of procedure of oral medication
9. Enumerate the steps for after care.
10. List down the contraindications for oral medications