March 5, 2019

DRUG USE ASSESSMENT AND

INTERVENTION
● written info provides
reinforcement and can be in the
form of graphics, info sheets,
prescription labels and booklets
● One must be careful not to
overload the individual with too
much info or input at one time
● Proper management of
medications by reducing the
number of meds and developing
a schedule
● If one meds duplicate the action
od another, consolidate

!. Dispensing procedures:
● a screw or flip-top container may
be requested especially for those
with arthritis
● Colored labels in prescriptions
are also available to warn about
taking meds with food or that it
can make one drowsy
● Braile labels for the blind and
visually impaired are also
available
● When using liquid preparations,
 the nurseʼs should ascertain the
use of an appropriate measure
● Crushing or emptying the
powder from capsule into fluid or
food should not be done unless
specified by the pharmaceutical
company
● Transdermal patches, which
provides for a more constant rate
of drug administration, and
eliminates concern for GI
absorption variation, GI
tolerance, and drug interaction
may be used

E. Outcomes
● reassessment of elders will
determine the outcomes of
medication use
● Observation of the aged client
should be an ongoing process to
determine if physical and/or
mental changes have occurred,
as well as whether therapeutic
goal or response has been
achieved
● The nurse should listen to elderly
when they try descrive how they
feel or change that they notice
after they have begun a new
 medication
● Periodic checking of blood levels
of such drugs that have a
cumulative effect or are
enhanced or diminished by
interaction with other meds,
such as warfarin, digitalis
preparation, quinidine,
theophylline, phenytoin,
carbamazepine and various
antibiotics should be done
● The nurseʼs advocacy role
includes education for the
patient and family or caregiver
● The nurse must determine
whether the side effects are
minimal and tolerable or serious
● Asking the patient produces
subjective data and observing
the patientʼs interaction,
behavior mood, emotional
response, and daily habits
provides objective data
● Medications occupy a central
place in the lives of many older
person: cost, acceptability,
interventions, untoward side
effects and the need to schedule
medications appropriately all
combine to create many
 difficulties

THE PSYCHOLOGICAL AND

COGNITIVE ASPECTS OF AGING
(Handout on iBooks)

Rowe & Khan model of successful

aging
N. Physical wellness
!. Psychological wellness
E. Remaining active

Altruism- Inuuna ang iba bago sarili

niya

5 personality traits of
older adults
OCEAN
N. Openness- a person becomes
eager to learn new things; wide
imagination; broad range of
interest; curious to everything
!. Conscientiousness- careful in
making decision; very thoughtful;
good impulse control; goal
directed; very organized; mindful
of all details; plan ahead; always
consider how your behavior/
 action would affect other
E. Extraversion- outgoing; very
positive outlook in life; excitable;
sociable; talkative; assertive;
high amounts of emotional
V. Agreeableness- trust; altruism;
kindness; affection and other
pro-social behaviors; assist
others who are in need of your
help;
W. Neuroticism- trait by sadness,
moodiness; emotional instability;
easily gets anxious; irritability;
have a lot of stress; worried
about many things (paranoia)