Elderly (11-15)
ASSISTING WITH MEDICATIONS
Definition of Medication
- Medication: A substance or preparation used in treating a disease; prescribed by a physician, dispensed by a pharmacist, and administered or given without client assistance by a nurse.
- All professionals involved are licensed by the state to perform their duties.
Types of Medications
- Prescription Drugs:
- These are drugs that are prescribed by a physician and cannot be purchased without a prescription.
- Over-the-Counter Drugs:
- These are medications that can be bought without a prescription.
10 Rights of Drug Administration
- Right patient: Confirm the identity of the patient before administration.
- Right medication: Ensure the correct drug is being given.
- Right dose: Verify the dosage administered is correct.
- Right route: Administer the medication via the correct route (e.g., oral, IV).
- Right time: Ensure medications are provided at the prescribed times.
- Right documentation: Keep accurate records of the administration.
- Right reason: Understand the purpose of the medication being administered.
- Right response: Monitor and assess the patient's reaction.
- Right education: Educate the patient about the medication they are receiving and its effects.
- Right to refuse: Acknowledge the patient's right to refuse medication.
Example Patient Information
- Name: Armando
- Address: West Rimbo, Makati City
- Age: 29
- Sex: Male
- Date: 12-03-90
- Medication Example:
- Medication Name: Amoxicillin
- Dosage: 1 cap 3x a day for 7 days.
Definitions of Cardiovascular Conditions
- Arteriosclerosis: A condition characterized by the thickening and hardening of arterial walls, often leading to restricted blood flow.
- Atherosclerosis: Refers specifically to the increased formation of plaques within blood vessel lumens, leading to narrowed arteries.
MEDICATION STORAGE
Role in Medication Management
- Do not change the placement of a client’s medication without their permission.
- Safety Protocols:
- Keep medications out of reach of children and clients who may be confused or forgetful.
- Store medications away from extreme heat, cold, or light pollution.
- Dispose of medications in a manner that does not harm the environment.
- It is essential to know the ten rights of medication management and the possible side effects of each client’s medication.
Reporting Observations
- Report immediately if any of the following occur:
- The client is not taking their medications as prescribed.
- The client is taking medications (over-the-counter or prescription) unknown to the supervisor.
- Any adverse symptoms (e.g., nausea, vomiting, diarrhea, rash) shortly after medication intake.
- Changes in orientation, concentration, memory, or mood after taking medication.
- The client is unclear about the purpose of their medications.
- Confusion regarding medication dosages or timing.
TYPES OF OXYGEN MASK
- Simple Face Mask: Used for general oxygen delivery.
- Partial Rebreather Mask: Suitable for patients requiring moderate oxygen concentrations.
- Non-Rebreather Mask: Designed for delivering the highest concentration of oxygen.
- Venturi Mask: Provides a precise oxygen concentration, adjustable for patient needs.
OXYGEN SAFETY GUIDELINES
Role in Oxygen Therapy
- Place a No Smoking sign in the client's room where oxygen is used.
- Report if the client is not using oxygen as prescribed.
- Use cotton bedclothes to reduce static electricity.
- Avoid using electric shavers or hair dryers when oxygen is administered.
- Prohibit candles or open flames near oxygen therapy areas.
- Avoid combing the client's hair during oxygen therapy due to explosion risks from static sparks.
- Seek precise instructions for oxygen equipment, including how to turn it on and off.
- Do not adjust settings on any oxygen devices without proper authorization.
INDWELLING URINARY CATHETERS
Definition and Purpose
- Urinary Catheter: A tube placed in the body to drain and collect urine from the bladder.
- Purpose:
- To relieve bladder distention.
- To instill medications into the bladder.
- To irrigate the bladder.
- To collect urine specimens and measure residual urine.
- To measure hourly urine output accurately.
- To maintain continence among incontinent clients.
- To promote healing of the genito-urinary structures postoperatively.
- To empty the bladder in preparation for diagnostic procedures and surgery.
Types of Catheters
- Indwelling Catheter:
- Also known as Foley catheter; remains in the bladder.
- Collects urine through a drainage bag with a valve.
- Inserted typically through the urethra, but can be inserted through the abdomen in specific cases.
- Features a small balloon that inflates to keep it in place and deflates for removal.
- Condom Catheter:
- Designed for men with incontinence; a condom-like device placed over the penis, connecting to a drainage bag.
- Requires daily changes.
- Intermittent Catheter:
- Inserted into the urethra to empty the bladder as needed and removed afterward.
- The frequency of use depends on individual needs.
Guidelines for Managing Indwelling Urinary Catheter
- Continuously monitor urine level and report any inconsistencies.
- Ensure catheter and tubing are free from obstruction.
- Ensure the client isn’t lying on the catheter or tubing to maintain urine flow.
- Keep tubing straight from the bed to the bag.
- Empty collection bag frequently from the correct port to prevent spillage.
- Ensure the tubing is free of contaminations (e.g., fecal matter, mucous).
- Cover exposed ends of tubing with sterile covers.
- Report any visible sediment or blood in the tubing or collection bag to a supervisor.
- Notify a supervisor if there are any leaks around the catheter.
- Maintain cleanliness of the client's urinary opening to prevent infection.
- Secure catheter to the client's inner thigh or abdomen, depending on gender.
- Clients with urinary drainage through a catheter should be monitored for intake and output measurements.