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5 Written questions

5 Matching questions

  1. Polypharmacy
  2. Self-Medication and Older Adults
    In an Institutional setting
  3. Assessment
  4. Teaching Older Adults About Medications
  5. Table 7-2
  1. a Nurses must be sure to assess older residents thoroughly before administering any medications.
    After admin., nurses s/monitor older adults continually to determine whether med is having desired effect.
    Residents s/also be observed for any ontoward effects or significant changes in medical condition or behavior of older person.
    Nurses s/be particularly watchful for any signs of overdose or toxicity.
  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 The prescription, administration, or use of more medications than are clinically indicated, is a common problem in older adults.
  4. d Info to Include on Med Teaching Sheets. box 7-8 128

    Older adults and their families or significant others s/be given complete info about the prescribed meds and the proper method for taking them.
  5. e pg. 121
    Aspirin-bleeding
    Lasixs-dehydration
    Digoxin-bottom out; bradycardia

5 Multiple choice questions

  1. Right to know what medication they are receiving and why they are receiving it
    Right to refuse to take medication
    Right to privacy during injections or any other such procedures
    Use of psychotropic drugs as chemical restraints presents a risk to rights of older adults
  2. 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
  3. The responsibility of assessing medication-taking behaviors and teaching safe self-administration often falls to home health care nurse.
    Because meds are a significant part of the medical plan of care, older adults who live independently must learn to take them properly.
  4. 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.
  5. 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 True/False questions

  1. Cognitive ChangesLack 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

          

  2. Factors that Increase risk for Medication-Related ProblemsDrug-testing methodology
    Physiologic changes related to aging
    Use of multiple medications
    Cognitive and sensory changes
    Knowledge deficits
    Financial concerns

          

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

          

  4. GeropharmacologyThe prescription, administration, or use of more medications than are clinically indicated, is a common problem in older adults.

          

  5. Nursing Intervention and PrecautionsR resident
    R med
    R amount
    R dosage form
    R route
    R time
    R documentation
    R therapy (JACO)

          

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