5 Written questions
5 Matching questions
- Self-Medication and Older Adults
In an Institutional setting
- Teaching Older Adults About Medications
- Table 7-2
- 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.
- 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.
- c The prescription, administration, or use of more medications than are clinically indicated, is a common problem in older adults.
- 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.
- e pg. 121
Digoxin-bottom out; bradycardia
5 Multiple choice questions
- 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
- 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
- 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.
- 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.
- 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
Cognitive Changes → 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
Factors that Increase risk for Medication-Related Problems → Drug-testing methodology
Physiologic changes related to aging
Use of multiple medications
Cognitive and sensory changes
Alcohol → pg. 121
Digoxin-bottom out; bradycardia
Geropharmacology → The prescription, administration, or use of more medications than are clinically indicated, is a common problem in older adults.
Nursing Intervention and Precautions → R resident
R dosage form
R therapy (JACO)