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5 Written questions

5 Matching questions

  1. Nursing Intervention and Precautions
  2. Self-Medication and Older Adults
    In an Institutional setting
  3. Factors that Increase risk for Medication-Related Problems
  4. Safe Drug Admin.
  5. Medications
  1. a Before administering a med, nurses s/have following info.:
    Therapeutic effects of med.
    Reasons this individual is receiving med
    Normal therapeutic dosage of med
    Normal route or routes of admin.
    Any special precautions related to admin.
    Common side effects or adverse effects of med.
  2. b 1. Delivery of adequate amounts of medication
    2. Safe storage of medications that will be kept at bedside
    3. Record-keeping of meds. taken
    4. Follow-up assessments of med effectiveness or side effects.
    Under OBRA legislation, residents of care facilities s/have option of self-medication if they are capable of doing so safely.
    Physician's order stating self-medication is permitted is usually required.
  3. c Could include use of safety devices, call signals, behavior monitoring, or any other specific precaution related to medications.
    Care plan s/indicate when it is necessary to check vital signs, monitor lab values, or make any other special observations.
    All parameters specified by physician s/be readily identified in care plan.
  4. d Can alter aging perons's ability to perform normal functions, can result in behavior changes, and can be life-threatening.
    Adverse reaction to meds common in older adults.
  5. e Drug-testing methodology
    Physiologic changes related to aging
    Use of multiple medications
    Cognitive and sensory changes
    Knowledge deficits
    Financial concerns

5 Multiple choice questions

  1. R resident
    R med
    R amount
    R dosage form
    R route
    R time
    R documentation
    R therapy (JACO)
  2. Lack of literacy skills needed to read labels an directions
    Inability to understand and comply w/directions
    Inability to make correct judgments about medications
    May not recognize that they have to take medication
  3. Practice is common and persits because many older adults are unaware of dangers
    All people must be aware that it is not safe to take a med. prescribed for someone else.
  4. Cognitive and sensory limitations
    Special precautions and complicated time schedules
    To reduce the risk for noncompliance, nurses s/encourage older adults to talk to physician and/or pharmacist to see whether there is any safe way to reduce the # of meds or simplify the medication schedule.
    Associating med schedules w/ regular daily events
    Explain importance of preparing med in a well-lit area
    Ensure that containers are properly labeled.
    Apply color codes, tape strips, pictures, or textures to help older adults recognize them.
    Modify containers for ease of use.
    Establish measures to distinguish and separate similar containers
    Teach to store medications properly.
  5. Directions provided may be very clear to a knowledgeable health care professional, but they are often misunderstood or misinterpreted by older adults.
    Even simple misunderstandings can lead to improper self-medication and result in serious consequences
    To reduce risks, older adults often require additional instruction.

5 True/False questions

  1. GeropharmacologyStudy of how older adults respond to medication is a new but growing area.
    The methodology used to test drugs and to establish therapeutic dosages does not take into account the unique characteristics of older adults.
    Because older adults normally have had some changes in body function and are more likely to suffer from at least one disease process, they are not physiologically the same as younger adults.

          

  2. PolypharmacyStudy of how older adults respond to medication is a new but growing area.
    The methodology used to test drugs and to establish therapeutic dosages does not take into account the unique characteristics of older adults.
    Because older adults normally have had some changes in body function and are more likely to suffer from at least one disease process, they are not physiologically the same as younger adults.

          

  3. OTC PREP.Many do not think of OTC meds. as real drugs, because no prescription is needed to purchase them.
    OTC meds. are capable of potentiating or interfering w/effects of prescription meds., possibly resulting in serious harm.
    Can also create or mask symptoms of disease

          

  4. Teaching Older Adults About MedicationsDirections provided may be very clear to a knowledgeable health care professional, but they are often misunderstood or misinterpreted by older adults.
    Even simple misunderstandings can lead to improper self-medication and result in serious consequences
    To reduce risks, older adults often require additional instruction.

          

  5. Alcoholpg. 121
    Aspirin-bleeding
    Lasixs-dehydration
    Digoxin-bottom out; bradycardia

          

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