Handling Personal Questions from Patients
Q: The client says, "I want to tell you something but can you promise that you will keep this, a secret?" A therapeutic response of the nurse is:
Did You Know?
Medication reconciliation is the process of creating an accurate list of all medications a patient is taking and comparing it with current orders to avoid errors, omissions, duplications, or interactions during care transitions. Nurses perform reconciliation at admission, transfer, and discharge by: interviewing the patient/family; reviewing home medication lists; comparing with prescribed medications; resolving discrepancies with the prescriber; and educating the patient about any changes. Documentation includes the reconciled list and communication with providers. This process reduces adverse drug events, improves patient safety, and ensures continuity of care. Medication reconciliation is particularly important for elderly patients, those with multiple chronic conditions, and polypharmacy. Nurses play a key role in obtaining accurate medication histories and advocating for appropriate therapy.
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