5 Written questions
5 Matching questions
- Safety and Noncompliance
- Sharing Med w/friends or relatives
- Table 7-2
- Safe Drug Admin.
- 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.
- b 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.
- c The prescription, administration, or use of more medications than are clinically indicated, is a common problem in older adults.
- d 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.
- e pg. 121
Digoxin-bottom out; bradycardia
5 Multiple choice questions
- Vision changes may render an older person unable to read a medication label or to recognize the different sizes, shapes, or colors of various medications.
Adequately assessing person's ability to read labels accurately, by proper teaching, and by using special labesl or magnifying devices that facilitate safe administration.
- Study 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.
- Drug-testing methodology
Physiologic changes related to aging
Use of multiple medications
Cognitive and sensory changes
- 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
- 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 True/False questions
Prescription Medications → 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.
Self-Medication and Older Adults
In an Institutional setting → 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.
Nursing Interventions related to Med. Admins. → 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.
Assessment → pg. 121
Digoxin-bottom out; bradycardia
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