Posted: August 17th, 2024

Brochure for Nurses: Medication Teaching Plan for Tirzepatide

NR293 RUA Medication Teaching Plan

Brochure for Nurses: Medication Teaching Plan for Tirzepatide

Key/Relevant Drug Information

Drug Class:

Tirzepatide belongs to the class of glucose-dependent insulinotropic polypeptide (GIP) receptor and glucagon-like peptide-1 (GLP-1) receptor agonists.

Mechanism of Action:

Tirzepatide activates both GIP and GLP-1 receptors, enhancing glucose-dependent insulin secretion, reducing glucagon secretion, and slowing gastric emptying. This dual action improves glycemic control and promotes weight loss in patients with type 2 diabetes.

Drug Administration and Dosage:

Administered subcutaneously once weekly

Initial dose: 2.5 mg once weekly for 4 weeks

Dose escalation: Increase to 5 mg once weekly, then gradually increase to 10 mg and 15 mg at 4-week intervals as tolerated

Maximum recommended dose: 15 mg once weekly

Drug Interactions:

May increase the risk of hypoglycemia when used with sulfonylureas or insulin

May affect the absorption of oral medications due to delayed gastric emptying

Lab Effects/Interference:

Monitor HbA1c and fasting plasma glucose levels regularly

May cause a slight increase in heart rate and lipase levels

Patient Education Considerations

Nursing Management:

Assess patient’s understanding of diabetes management and injection technique

Monitor for signs of hypoglycemia, especially when used with other glucose-lowering medications

Evaluate for gastrointestinal side effects and provide supportive care as needed

Patient Education Considerations:

Geriatric Clients:

Emphasize the importance of proper hydration and monitoring for signs of dehydration

Discuss fall risk and strategies to prevent falls due to potential dizziness or hypoglycemia

Pediatric Clients:

Tirzepatide is not currently approved for use in pediatric patients

Stress the importance of lifestyle modifications for managing diabetes in children

Pregnant Clients:

Advise that tirzepatide should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus

Encourage discussion with healthcare provider about alternative diabetes management strategies during pregnancy

Patient Assessment:

Regular monitoring of blood glucose levels

Assess for gastrointestinal symptoms, particularly nausea and vomiting

Evaluate for signs of pancreatic inflammation or gallbladder disease

Side Effects/Adverse Effects/Toxicities:

Common side effects:

Nausea, vomiting, diarrhea, abdominal pain

Decreased appetite

Fatigue

Headache

Serious adverse effects (rare):

Pancreatitis

Gallbladder disease

Hypersensitivity reactions

Acute kidney injury

Visual Effects/Creativity:

[Note: The brochure would be designed with appropriate graphics, color scheme, and layout to enhance readability and visual appeal for nursing professionals. Key information would be presented in easily digestible formats such as bullet points, tables, and infographics.]

One-Page Paper

Name: [Your Name]

Date: [Current Date]

Class: NR293 Pharmacology for Nursing Practice

Intended Use of Brochure:

The tirzepatide medication teaching brochure is designed as a comprehensive educational tool for nursing professionals. Its primary purpose is to provide nurses with essential information about this newly introduced pharmacological agent for type 2 diabetes management. The brochure aims to enhance nurses’ understanding of tirzepatide’s mechanism of action, administration guidelines, and patient care considerations. By offering a concise yet thorough overview, this resource enables nurses to deliver safe and effective care to patients prescribed tirzepatide, as well as provide accurate patient education.

Adaptation for Low Health Literacy:

To adapt the brochure information for an audience with low health literacy, several modifications would be necessary:

Simplify language: Replace medical terminology with plain language equivalents. For example, “glucose-dependent insulinotropic polypeptide” could be simplified to “a hormone that helps control blood sugar.”

Use visual aids: Incorporate more illustrations and infographics to explain concepts like the medication’s mechanism of action and proper injection technique.

Emphasize key points: Utilize bullet points, larger font sizes, and bold text to highlight crucial information such as dosing instructions and common side effects.

Implement teach-back methods: Include prompts for healthcare providers to ask patients to repeat key information in their own words, ensuring comprehension.

Focus on action-oriented instructions: Provide clear, step-by-step guidelines for medication administration and side effect management.

Use culturally appropriate examples: Incorporate relatable analogies and examples that resonate with the target audience’s cultural background and daily experiences.

Include a glossary: Provide simple definitions for unavoidable medical terms used in the brochure.

In implementing these modifications, the brochure can effectively communicate essential information about tirzepatide to patients with varying levels of health literacy, promoting better medication adherence and patient outcomes.

References:

Grimes, T. C., & Guinan, E. M. (2023). Interprofessional education focused on medication safety: A systematic review. Journal of Interprofessional Care, 37(1), 131-149.

Hanshaw, S. L., & Dickerson, S. S. (2020). High fidelity simulation evaluation studies in nursing education: A review of the literature. Nurse Education in Practice, 46, 102818.

Hawes, E. M., & Sanders, K. A. (2023). Medication management and treatment adherence. In Chronic Illness Care: Principles and Practice (pp. 181-193). Cham: Springer International Publishing.

Li, C. N., Camargo Jr, C. A., Faridi, M., Espinola, J. A., Hayes, B. D., Porter, S., … & Samuels-Kalow, M. (2020). Medication education for dosing safety: a randomized controlled trial. Annals of emergency medicine, 76(5), 637-645.

Nickles, D., Dolansky, M., Marek, J., & Burke, K. (2020). Nursing students use of teach-back to improve patients’ knowledge and satisfaction: A quality improvement project. Journal of Professional Nursing, 36(2), 70-76.

Trivedi, S. P., Corderman, S., Berlinberg, E., Schoenthaler, A., & Horwitz, L. I. (2023). Assessment of patient education delivered at time of hospital discharge. JAMA internal medicine, 183(5), 417-423.

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NR293 RUA Medication Teaching Plan Guidelines
Purpose
The purpose of this assignment is for the student to synthesize pharmacological knowledge (i.e., core drug knowledge, core patient variables, and nursing implications) of pharmacotherapeutic agents into a useful teaching and learning tool for nurses and patients.
Course outcomes: This assignment enables the student to meet the following course outcomes:
CO1: Apply the concepts of pharmacotherapeutics, pharmacokinetics, pharmacodynamics, and pharmacogenomics to the use of specific medication classifications in specific health conditions and in consideration of medication side/adverse effects, nursing implications, and medication teaching. (POs 1, 2, and 3)
CO2: Apply principles of health promotion, as well as illness and injury prevention, to promote safety and effectiveness of commonly used pharmacologic therapy across the lifespan, taking into consideration sociocultural, genetic/genomic, developmental, and gender implications. (POs 3 and 8)
CO3: Utilize the nursing process in understanding the effects of drug therapy on health outcomes across the lifespan within the framework of a diverse population of individuals, families, and communities. (PO 4)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points
Preparing the assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1. Choose a pharmacological agent that has been on the market less than 5 years.
2. Research the literature and obtain two to three resources for current, evidence-based information related to the pharmacological agent.
3. Develop a teaching brochure and one page paper following these guidelines.
a. Brochure for nurses- Focus on nurses for literacy level
• Key/Relevant Drug Information (30 points/30%)
o Drug Class
o Mechanism of Action
o Drug Administration and Dosage
o Drug Interactions
o Lab effects/interference
• Patient Education Considerations (35 points/35%)
o Nursing Management
o Patient Education Considerations (special considerations)- provide examples specific to client age needs- geriatric, pediatric and pregnant clients
o Patient Assessment
o Side Effects/Adverse Effects/Toxicities
• Visual Effects/Creativity (10 points/10%)
o Developed per the required standard
o Appropriate for the intended audience (focus on nurses for literacy level)
o Graphics enhance the purpose of the brochure
o Brochure is visually appealing

b. One Page Paper (15 points/15%)
• Describes intended use of brochure (focus on nurses for literacy level)
• Includes:
o Name
o Date
o Class
o Reference page
• Describe how brochure information would be revised if intended brochure audience had a low health literacy level.
c. APA Format (5 points/5%)
• Includes no more than 3 unique errors with APA format (current ed.)
• At least two (2) scholarly, primary sources from the last 5 years, excluding the textbook, are provided
d. Writing and Mechanics (5 points/5%)
• Clearly written
• Includes no more than three unique errors of grammar
• Includes no more than three unique errors in writing mechanics
• Paper is one page, excluding references and title page
For writing assistance, visit the Writing Center.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.

Grading Rubric: Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.
Assignment Section and Required Criteria
(Points possible/% of total points available) Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of
Performance Section not present in
paper
Brochure: Relevant Drug Information
(30 points/30%) 30 points 26 points 23 points 22 points 0 points
Required criteria
1. Drug Class
2. Mechanism of Action
3. Drug Administration and Dosage
4. Drug Interactions
5. Lab effects/interference
6. Choose a pharmacological agent that has been on the market less than 5 years. Includes no fewer than 6 requirements for section. Includes no fewer than 5 requirements for section. Includes no fewer than 4 requirements for section. Includes 1-3 criteria for section. No requirements for this section present
Brochure: Patient Education Considerations
(35 points/35%) 35 points 28 points 26 points 23 points 0 points
Required criteria
1. Nursing Management
2. Patient Education Considerations (special considerations)- provide examples specific to client age needs – geriatric, pediatric and pregnant clients
3. Patient Assessment
4. Side Effects/Adverse Effects/Toxicities Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes 1 requirement for section. No requirements for this section present.
Brochure: Visual Effects/Creativity
(10 points/10%) 10 points 8 points 7 points 4 points 0 points
Required criteria
1. Developed per the required standard
2. Appropriate for the intended audience (focus on nurses for literacy level)
3. Graphics enhance the purpose of the brochure
4. Brochure is visually appealing

Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes 1 requirement for section. No requirements for this section present.
One Page Paper
(15 points/15%) 15 points 12 points 11 points 8 points 0 points
Required criteria
1. Describes intended use of brochure (focus on nurses for literacy level)
2. Includes: Includes no fewer than 6 requirements for section. Includes no fewer than 5 requirements for section. Includes no fewer than 4 requirements for section. Includes 1-3 criteria for section. No requirements for this section present.
o Name
o Date
o Class
o Reference page
3. Describe how brochure information would be
revised if intended brochure audience had a low
health literacy level.
APA Format
(5 points/5%) 5 points 2 points 0 points
Required criteria
1. Includes no more than 3 unique errors with APA format (current ed.)
2. At least two (2) scholarly, primary sources from the last 5 years, excluding the textbook, are provided Includes 2 requirements for section. Includes 1 requirement for section. No requirements for this section present.
Writing Mechanics
(5 points/5%) 5 points 4 points 2 points 0 points
Required criteria
1. Clearly written
2. Includes no more than three unique errors of grammar
3. Includes no more than three unique errors in writing mechanics
4. Paper is 1 page, excluding title and reference pages Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes 1-2 requirements for section. No requirements for this section present.
Total Points Possible = 100 points

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