Assignment Task:
Simulation Scenario: Medication Administration for a Client with Prader-Willi Syndrome, Behavioral Challenges, Sleep Apnea, and Food-Related Issues
A residential care facility where a DSW must administer medication to a 15-year-old client with Prader-Willi syndrome (PWS).
Setting:
You are caring for Jake, a 15-year-old client with Prader-Willi syndrome (PWS), who also has behavioral challenges, sleep apnea, and allergies to broccoli, chocolate, and strawberries. Due to his condition, Jake has an obsession with food and struggles with defiance, particularly regarding taking medication without food. He has learned that medications can sometimes be taken with food and has become defiant about taking his medication without a meal or snack. Jake also attempts to take more medication than prescribed, believing this will give him access to more food. Your goal is to safely administer the medication while managing his defiance, understanding of food rules, and preventing medication misuse. Need Assignment Help?
Client Profile:
Name: Jake Thompson
Age: 15 years old
Diagnosis: Prader-Willi syndrome (PWS), behavioral challenges, sleep apnea
Medications:
1. Sertraline 25 mg (oral, for anxiety and behavioral challenges)
2. Modafinil 100 mg (oral, for daytime sleepiness related to sleep apnea)
3. Vitamin D 1000 IU (oral, for bone health)
Allergies: Broccoli, chocolate, strawberries (severe)
DIet: Calorie-restricted diet due to hyperphagia (constant hunger due to PWS)
Behavioural Concerns: Defiant when asked to take medication without food, and tends to argue or try to negotiate for more food. Has attempted to manipulate doses to gain extra food.
Communication: Verbal, with a strong understanding of basic concepts but struggles with emotional regulation and food-related issues
Supports: Visual schedules, advance warning of the day and expectations, repetitive instructions, positive feedback, reward systems, simple instructions.
Preferred activities: these are helpful as positive behavioural interventions: taking out the garbage, washing dishes, organizing other residents for morning buses (lining up their bags and shoes according to who takes busses together), setting the dinner table, gardening
1. On a word document, you will provide the steps you will take to complete the medication administration process. Include: assessment of client, preparation of medications, administration of meds, documentation procedures