QUESTIONS WITH DETAILED SOLUTIONS
◉elderly and medication safety. Answer: specical considerations:
-systems are not as efficient
-must be careful with knowledge of OTC meds (blood thinner vs
aspirin vs fish oils- combinations can be dangerous, doctor should
know about any OTC'S for this reason)
-everything should be taken as ordered
-polypharmacy- multiple pharmacies for medication pick up can
cause someone to be on too many or inappropriate medications
◉adherence and nonadherence to medications. Answer: -education
is the most important part of this
-elderly will only absorb so much info at a time, give them a little
info and add more at another time
-insurance and expense on medication is a major factor. even with
good insurances patients may be pending a lot of money on them
-does the patient have enough knowledge on the therapeutic effect
of their medication? (what is this medication supposed to do for
them?)
,◉special considerations in health teaching. Answer: -have patient's
senses be as sharp as possible (clean glasses, functional hearing aids
in place)
-speak in tones patient can hear (high pitches are harder for them to
hear)
-face patient when speaking
-treat patient with respect
-use large print and bright colors in teaching aids
-review all meds at each visit
-encourage a simple dosing schedule
-with onset of confusion of disorientation, suspect recently
prescribed medications
-encourage the patient to report if the new drug is not improving the
condition for which it was prescribed.
◉tips for dealing with caregiver stress. Answer: advise caregivers to:
-accept help from others
-join a support group or attend caregiver classes offered by
organizations such as American Red Cross or Alzheimer Association
local chapters
-use community resources such as respite care services or adult day
care
-commit to keeping healthy, set personal goals as well as see your
doctor for updates/screenings and immunizations
, -avoid feelings of guilt
-focus on what you are able to provide
-set realistic goals
-communicate with lawmakers and officials for information on
policies that relieve financial burdens
◉ethical and legal issues in nursing homes. Answer: -Nursing Home
Resident's Bill of Rights: federal law requiring all long term care
facilities to have a procedure in place whereby patients are informed
of their rights, participate in their own care, have the right to
complain, make independent choices, and have the right to privacy
and confidentiality
-autonomy, individual rights, and quality of life for residents of long
term care settings create ethical issues, because it is not easy to
balance individual patient's needs with those of an institution
◉autonomy. Answer: -personal freedom to direct one's own life as
long as it does not infringe on the rights of others
-older adults often fear loss of autonomy as this represents a loss of
personal independence
◉competency. Answer: a legal term that refers to the ability to fulfill
one's role ad handle one's own affairs in a responsible manner
-all competent individuals maintain the right to make their own
healthcare decisions. this can be a complicated issue for caregivers