delay in seeking necessary medical care, malnutrition, dehydration, unexplained bruises, poor hygiene and grooming, urine odor, urine stained clothing/ linens, excoriation or abrasions of genitalia, inappropriate administration of meds, repeated infections, injuries, or preventable complications from existing diseases, evasiveness in describing condition, symptoms, problems, and home life, unsafe living environment, social isolation, anxiety, suspiciousness, and depression interventions: Assess those who are at greatest risk helping to avoid this condition, Treat underlying cause, recognize that infection, medications, fractures are the most common contributing factors, Early mobilization after surgery (e.g., walking, getting up in a chair), Assisting with eating, Round-the-clock acetaminophen for surgical pain (may lessen the need for stronger drugs), Minimizing bladder catheter use -foods that contain arachidonic acid should be cut to reduce pain and inflammtion (animal products, high fat dairy products, egg yolks, beef fat, safflower, corn, sunflower, soybean, and peanut oils, white flour, sugars, and junk foods.
-B-complex vitamin deficiency can contribute to pain caused by damaged or misfiring nerves. Should eat green leafy vegetables
-foods rich in omega 3 acid (salmon, tuna, etc.)(flaxseed, flaxseed oil, canola oils, walnuts, pumpkin seeds, and omega 3 enhanced eggs) reduce inflammation
-Sources of flavonoids (red/purple/blue fruits, black/ green tea, red wine, chocolate, and cocoa, fresh pineapple, garlic, ginger ,and tumeric
Digoxin (Lanoxin), Glyburide (Diabeta, Micronase) and chlorpropamide (Diabinese), AVOID Muscle Relaxants • Such as cyclobenzaprine (Flexeril), methocarbamol (Robaxin), carisoprodol (Soma), and similar medications, AVOID Certain Medications used for Anxiety and/or Insomnia • Benzodiazepines, such as diazepam (Valium), alprazolam (Xanax), and chlordiazepoxide (Librium) • Sleeping pills such as zaleplon (Sonata), zolpidem (Ambien), and eszopiclone (Lunesta), AVOID Certain Anticholinergic Drugs • Antidepressants amitriptyline (Elavil) and imipramine (Tofranil) • Anti-Parkinson drug trihexyphenidyl (Artane) • Irritable bowel syndrome drug dicyclomine (Bentyl), AVOID the Pain Reliever meperidine (Demerol), AVOID Certain Over-the-Counter (OTC) Products • AVOID products that contain the antihistamines diphenhydramine (Benadryl) and chlorpheniramine (AllerChlor, Chlor-Trimeton). These medications are often included in OTC remedies for coughs, colds, and allergies. • AVOID OTC sleep products, like Tylenol PM, which contain antihistamines such as diphenhydramine., If you are NOT being treated for psychosis, AVOID using Antipsychotics • Such as haloperidol (Haldol), risperidone (Risperdal), or quetiapine (Seroquel). These medications are commonly used to treat behavioral problems in older adults with dementia., AVOID Estrogen Pills and Patches • Typically prescribed for hot flashes and other menopause-related symptoms