A 63-year-old female patient is admitted for management of seizures. She has a history of a seizure disorder and has recently been diagnosed with early stage Alzheimer’s disease.

A 63-year-old female patient is admitted for management of seizures. She has a history of a seizure disorder and has recently been diagnosed with early stage Alzheimer’s disease. The student nurse prepares the medication under the supervision of the instructor and takes the medication to the bedside. The student further completes the Nine Rights by computer-checking the bar code on the patient’s wrist band. The patient refuses the medication, saying, “I have already had my medication this morning. You are giving me too much anyway. I only take it on Mondays and Thursdays at home.” What is the student’s best response?

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·Answer

The student should use short, direct sentences to help them accomplish the goal. For example, she could just hand them the pill and wait patiently for them to put it in their mouth, then say “Big drink of water.” Sometimes other things about taking medication can upset someone with Alzheimer's
Create a calm and quiet environment
Be alert to side effects or illness that make them feel sick or uncomfortable
Eliminate medications or supplements that aren’t absolutely necessary
Make medications easy to take
Use short sentences and don’t explain or reason
· Look for things that trigger distress
Be their medication buddy
Don’t force it, try again in 10-15 minutes
Find the right time of day
Stick to a daily routine
offer a treat

Nightingale answered 2 years ago

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