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In a situation where a dementia patient isn’t oriented x3 what do you do when they refuse their medication

Anonymous Answered question July 29, 2022
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Anonymous 0 Comments

Usually telling them the pills are vitamins or that the doctor wants them to take them works. You can also give them a few mins and re-approach or have another nurse try. If it’s a really important med, then crushed and hidden in pudding/ice cream/apple sauce, otherwise chart refusal of meds. Cant force anyone to take them, can only ask/suggest and educate then chart chart chart to cover your butt when they refuse.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

I’m not a nurse, I’m a paramedic in the U.K.

as far as we’re concerned if someone lacks capacity to make decisions then a healthcare professional should act in their best interest ie administration of medications

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

Only asking this because I’m genuinely curious as a new student nurse. I thought patients had the right to refuse medications and that we couldn’t force them by hiding in food? Not questioning these answers just wanting to find out if there’s exceptions etc? 🙂

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

I work with dementia patients and what we usually do is we crush it and hide it in food, like pudding, so they can’t tell. If they don’t take it, we just let them refuse and let the charge know and document.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

Leave the patient alone for 10 minutes, than let someone else go in with a different approach. Continue to do so until it works.
Or if it’s possible, call a family member to ask if they have had it before and what they did / give the patient the phone and let their family member tell them it’s ok to take the pills.

if that doesn’t work, crush the pills and put them on a sandwich with chocolate spread, if they’re so far gone, they won’t notice 🙃

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

Walk away and re-approach  in 10-15 minutes. Might try giving meds in applesauce. Ask another staff member to offer the meds.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

Is the med necessary for their wellbeing, will holding it be a detriment? If not, okay, we attempt tomorrow. Their still human beings. Do you want someone forcing meds down your lived ones throat against their will?

if its absolutely necessary then we try it on some pudding or with other food. And if that doesnt work we alert the MD.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

If the medication can be crushed, try crushing it. I like to make sure to put it in something sweet so the taste isn’t so bad, and try to only make it around 1 mouthful – if you make it up in to much food, there’s the risk of them only have a mouthful or 2 because they hate the taste, which is fair enough.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

By @manifestmaid

Explain what at least 1 medication is for and tell them the doctor prescribed it because they need it. If they still refuse, Don’t push. Shortly after, try again like it’s the first time. Likely, they won’t remember they previously refused and my cooperate. Always try to build report or nurse patient relationship BEFORE trying to administer meds, establishing trust is key 🔑

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

I was a med tech on a dementia unit for 3 years before becoming a nurse. Obviously, they always have the right to refuse. Many times, the best way was just to reapproach. Give them a few minutes and try again in a different way. With my residents, I knew who I could say “i have your meds” to and who I had to say “i have some vitamins for you” or “i have something for you.” Sometimes, the only option to get vital meds in was to put them with their favorite snack (no shame in bribing).

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

Chart it, let the provider know, and if possible see if there’s an alternate route. Maybe retry in an hour. Try to crush/ open put in food if needed.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

You can’t force the patient to take their medication.  They can refuse. The only thing is to re-educate and chart.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

Give them some time; distract for a bit and then try again.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

Include them in the administration process. Let them do as much as possible. With dementia comes trust issues. If they still don't take the medication, document and notify MD, if it's any cardiac medication, or med that is significant in their treatment. I wouldn't call for a vitamin or protonix type med.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

Notify MD, and reattempt at a later time.

Nursilium Changed status to publish July 29, 2022
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Anonymous 0 Comments

Let a supervisor know and re-attempt.

Nursilium Changed status to publish July 28, 2022
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Anonymous 0 Comments

There is never an obligation for them to take the medication but you can try to twist things around and explain that its for their good for example tell them its the medication they have always taken for hbp or its medication to help them sleep because you know how tired they are

Nursilium Changed status to publish July 28, 2022