Gero Psych - page 2
:nurse: Geriatric Psych has got to be one of the most frustrating floors to work on sometimes. I love the geriatric population and seeing them get better but in the mean time its a challenge. Can anyone give me tips on how... Read More
- 0Nov 30, '11 by VinniesguyOne technique I used to use was to put extra nurse initiated meds in with the regular meds. Usually 2 panadol and 2 coloxyl and senna. I would then go to the patient and show them the tablets and tell them I had their medication. I would then say "there seems rather a lot - lets get rid of some" I would then take out the panadol and coloxyl and senna and say "there - that's better" and give them the rest of the pills - worked almost every time!
- 0Nov 30, '11 by onthemarkI was taught to mix the crushed meds in as little applesauce or ice cream as possible so that they can get it all in 1,2 or 3 bites. I usually only use about 1 to 1 1/2 teaspoons. I then offer a little water to wash it down if they want it.
When they ask what it is, I do the same as some others have said: I say it's for something like blood pressure or pain, or just say it's vitamins or antibiotics -- but I never say anything about psych meds. I also start by saying something like, "Hello Mrs. Smith. How are feeling today?....Well, I have some medicine that should help."
I personally enjoy the psych patients. I feel for them knowing how confusing everything must be for them, and it gives me a lift when they respond well to me because I realize how difficult relationships are for them. Good luck! It does take patience but I feel it's a meaningful place to be.
- 0Dec 1, '11 by VinniesguyI don't think we're restricted as to what food we mix crushed meds in but as far as I remember we're supposed to either do the mix in front of the patient or tell them that there is medication in what we're about to feed them - I might have just totally made that up though! The rules may be different in psych ger
- 0Dec 1, '11 by onthemarkI think vinniesguy is right in that we're not to present something as being food when it really has medicine in it. My facility is like psychnursewannabe's in that we're only able to mix meds into applesauce, pudding or ice cream, but even then, tell the patient there's medicine in it if they ask.
- 1Dec 1, '11 by LadyinScrubsI noted that a female AD pt was complaining that the food was awful and would not eat. Then I realized that the other nurses had been mixing her crushed meds in her food which made the food unacceptable to the patient. Another error I noted was a new nurse mixed the pt's crushed meds into the pudding--the entire cup instead of just a teaspoon. Of course, the pt ate one bite and would not eat the rest. Other nurses on the floor have learned that it is easier to get an AD pt to take one bite of choc pudding, ice cream (containing the meds) than eat the entire cup.