Jessa Lorraine Andalan recently took care of a Cardiothoracic post-operative patient on her unit who was well known for issues with medication compliance/adherence from the physicians. Toward the end of the patient's admission, the surgeon asked Jessa to talk about the discharge medications with the patient. During the time that Jessa was taking care of this patient, she realized that he had communication/understanding issues. The patient expressed issues with reading and comprehension due to his level of education, and when all the numbers and names of the meds are put together, he just gets confused and overwhelmed. Jessa understood the patient's barrier and sympathized with him about how this could be a major issue. This is a very difficult barrier to overcome, especially when a critical care nurse completes all the other tasks throughout a normal day. Jessa was able to come up with and create a way to help the patient overcome the previously stated barrier to help her patient with adherence to their very important post-op cardiac bypass medications. Throughout the day, in between her other tasks and helping others on the unit with their patients, Jessa created a medication list/administration chart. The amount of time and thought she put into this chart is amazing and truly shows the compassionate and individualized care she provided to this patient. She remembered what the patient had stated regarding numbers so she didn't want to put that on this specific list, highlighted the very important cardiac medications to help the patient recognize those as the specific cardiac surgery indication medication he absolutely needed to be adherent to, and simplified the indication for the medication down to 1 or 2 words. She also drastically reduced the number of words by placing the number of tablets/capsules the patient was to take per administration time throughout the day before the medication name. The amount of time she put into this very important education, as non-compliance with these medications can lead to very serious/life threatening complications, I feel made a profound impact on this patient's care.