Adults Who Can't Swallow Pills - page 3

by Medic946RN

43,676 Views | 100 Comments

Where I work now we seem to have cornered the market on adults who can't swallow pills. I'm not referring to children or eldery people with dysphagia. I'm talking about gagging and crying like they were four or something. They... Read More


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    i can honestly say that the origional poster nor myself would ever have a problem w/ those who have health issues related to swallowing or health issues that have effected their swallowing....

    and you may think it is horribly cruel or non-nurse-like, i really don't care - but if you are coming to the ED for a problem and have no health issues and are demanding a med but want it only in a certain way - then my sympathy just ran out the door.
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    Originally posted by athomas91
    i can honestly say that the origional poster nor myself would ever have a problem w/ those who have health issues related to swallowing or health issues that have effected their swallowing....

    and you may think it is horribly cruel or non-nurse-like, i really don't care - but if you are coming to the ED for a problem and have no health issues and are demanding a med but want it only in a certain way - then my sympathy just ran out the door.
    PREACH IT FRIEND!!! I totally agree!
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    Originally posted by athomas91
    ummmm..... when she told me about the penis w/ the bumps on it that she had in her mouth - asking if those could have been herpes....i am not implying - i am stating that is likely where SHE got HERs from.........of course i am educated enough to know that there are many who do not get oral ulcerations in that manner....let's not be so touchy - i was speaking of a particular pt in a particular situation.....
    Thank you for the clarification. You left that out of your original post. I was not calling into question your education or your knowledge.

    It is a touchy subject to me. I can only imagine that people think I've "had something" in my mouth to have oral herpes. They are painful and ugly and very obvious. Your comment, without the additional info you have now provided, sounded flippant to me regarding the patients condition. So, reread your post, and then try not to be so "touchy." :stone
    Cherybaby likes this.
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    i am sorry you have had to live w/ implications such as those...my father and my sisters have always had horrible mouth ulcers (usually when sick) and i know they are both painful and unsightly....
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    Originally posted by athomas91
    i am sorry you have had to live w/ implications such as those...my father and my sisters have always had horrible mouth ulcers (usually when sick) and i know they are both painful and unsightly....
    Thank you. And ya know what? After I posted originally to you, I noticed one had erupted on my lip. Have taken my Valtrex...and was able to swallow that dang horse pill with the great advice on this thread.
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    I had to start taking medicine regularly when I was 10. I had a fear of swallowing the capsules; but naturally I got over that fear and now it's no big deal. I still hate those huge chalky tablets, so i just snap in half. I think that some ppl just have that fear and if they are an adult and have never taken pills that size on a regular basis, they may be scared. I dont blame em.

    Christine
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    Originally posted by Medic946RN
    Where I work now we seem to have cornered the market on adults who can't swallow pills. I'm not referring to children or eldery people with dysphagia. I'm talking about gagging and crying like they were four or something. They whine and beg you. "Please don"t make me take that pill. I can't swallow it, I never have been able to."
    I swear I see at least one a week. I've tried everything, even crushing pills in applesauce. They just can't swallow the med. Of course they don't want an injection or a suppository either.
    Anybody else run into this in the ED?
    well, i guess i'm just a bratt! unless there is some medical condition or the pt is just crazy (and i mean that in the nicest way) there is no reason why they can't take a pill. if they say please dont' make me take that pill, i say "okay, i will let the doctor know that you refused the med".

    i am tired of coddeling adults. they are adults and not babies. they have the right to refuse anything they want. i am not going to beg them to take pills, get tests, get needles, not to do drugs, not to abuse etoh and not to sign out ama (i will however ask them not to let the door hit them in the butt on the way out!)
    who are we as nurses to think that we can tell everyone how they should live?

    "please don't make me swallow that pill...." "kay' i won't"
    i also find it annoying when adults try to act like babies and they think they are being cute. swallow one horse pill? there was a time when i took all 10 of mine at once, every day.

    boooohooooo!

    :kiss

    cuss words removed!
    Last edit by MAGIK GIRL on Jan 13, '04
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    I like your style magik


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    Originally posted by MAGIK GIRL
    well, i guess i'm just a bi*#h! unless there is some medical condition or the pt is just crazy (and i mean that in the nicest way) there is no reason why they can't take a pill.............................................. ................"please don't make me swallow that pill...." "kay' i won't"
    i also find it annoying when adults try to act like babies and they think they are being cute. swallow one horse pill? there was a time when i took all 10 of mine at once, every day.

    boooohooooo!

    :kiss
  10. 0
    I am 34 yrs old and still can't swallow pills, and neither can my 61 yr old father. I can drink an entire glass of water and the pill just tucks up against the ridge on the roof of my mouth and sits there. I have had several dentists tell me I have an unusually shaped palate or torus, so this may contribute to my difficulty. Ive tried the chin down trick, the applesauce and crackers and everything else, and I also chew all my food to puree before attempting to swallow. I even have to chew up the time release enteric coated pills, even though I know better...its chew it or don't take it at all. Most pills taste really nasty, so Id much prefer to swallow them...I just can't. Its durn embarassing to ask for liquids, and a lot of meds don't come that way, or insurance wont cover a more expensive liquid when there is a generic pill available....please understand some patients may have a real problem with pills, and we are sick and tired of being told we just aren't trying...trust me, Id love to be able to take pills like everybody else, and so would most of your patients!


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