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Essay from the year 2023 in the subject Nursing Science - Nursing Management, grade: 5.0, Aga Khan University, course: Masters of Science in Advanced Practice Nursing, language: English, abstract: During a hospital rotation in a geriatric ward, a notable incident highlighted the complexities of patient care, especially in the realm of pharmaceutical decision-making. A 90-year-old immobile patient's weight was absent from records, leading to a challenging situation when prescribing paracetamol. This absence of vital information introduced emotional and ethical dilemmas for the healthcare team, emphasizing the criticality of accurate patient records. Reflecting on this encounter, emotions of anxiety and concern were prominent, showcasing the profound responsibility healthcare professionals bear. Evaluating the incident revealed both strengths, like adaptability, and weaknesses, notably the healthcare system's sensitivity to information gaps. A subsequent SWOT analysis further delineated opportunities, such as enhancing interprofessional communication, and threats, like jeopardizing patient safety due to information deficiencies. This reflective process culminated in an action plan emphasizing the adoption of comprehensive patient information systems, bolstering communication among healthcare providers, and investing in professional development centered on ethical decision-making. Ultimately, this incident underscores the intricate nature of pharmaceutical practice and advocates for systemic improvements to ensure safer, patient-centered care.