Free Medication Care Plan Template

Medication Care Plan

Written by: [Your Name]

I. Patient Information

  • Name: Jackson Walker

  • Date of Birth: January 15, 2030

  • Medical Record Number: MRN123456

  • Date of Admission: April 25, 2050

  • Date of Discharge: May 2, 2050

II. Primary Caregiver Information

  • Name: Lily Walker

  • Relationship to Patient: Spouse

  • Contact Information: [Caregiver Contact Information]

III. Medication List

Medication

Dosage

Route of Administration

Purpose/Indication

Aspirin

1 tablet daily

Oral

Pain relief

Lisinopril

1 tablet twice daily

Oral

Blood pressure control

Metformin

1 tablet twice daily

Oral

Diabetes management


IV. Monitoring Parameters

  • Vital signs monitoring frequency: Daily blood pressure checks

  • Specific symptoms to watch for and report: Dizziness, weakness, increased thirst

  • Laboratory tests required post-discharge: Fasting blood glucose test in 2 weeks

V. Follow-Up Care

  • Instructions for follow-up appointments: Follow-up with primary care physician on May 10, 2050.

  • Contact information for primary care physician: Dr. Michael Johnson | [Primary Care Physician's Contact Information] | [PCP Contact Number]

  • Steps to take in case of medication-related issues or concerns: Contact primary care physician immediately.

VI. Patient Education

  • Explanation of each medication's purpose and side effects: Provided detailed leaflets with medication information.

  • Importance of medication adherence: Stress the importance of taking medications as prescribed for optimal health outcomes.

  • Strategies for managing medication regimen: Use a pill organizer to ensure timely medication intake.

VII. Emergency Contact Information

  • Hospital contact information: [Hospital Name] | [Hospital Contact Number]

  • Emergency services contact number: 911

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