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- QUESTION
Dementia
Answer these questions about dementia
In your intial post, choose a stance either for or against in regard to prescribing medications in the treatment of dementia. Please respond to these questions:
What do you think is the most challenging aspect of prescribing medication for a patient with dementia? Why do you think this aspect is so challenging?
Verbalize your stance either for or against prescribing medications for the treatment of dementia. Explain your rationale for this stance.
Identify an article or guideline that supports your stance for or against prescribing medications for the treatment of dementia.
What considerations must you as a prescriber weigh when evaluating the potential benefits versus risks of prescribing medications for the treatment of dementia? Provide examples.
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Nursing |
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4 |
Style |
APA |
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Answer
Nursing
Treatment for Dementia
Many elderly patients with dementia are known to have at least encountered one improper prescription incident. Elderly patients with dementia often need family support since they regularly forget to take their medication appropriately or overdose themselves. This is challenging since many family members assist with medicines that are essential for optimal results. Dose-related obligations are identified to contribute to care burden and stress (Kerns, Winter, Boyd & Etz, 2018). Family care providers are obliged to assist the elderly with dementia regularly by ensuring that the patients follow the prescriptions provided.
Prescribing medication for the treatment of dementia is a task that needs trained and observant care providers. A study advocates that in these modern times, the number of mortalities resulting from overdose or wrong prescriptions increases, particularly in elders with dementia. Dr. Anna Renom of University Hospital Parc de Salut Mar in Brazil indicates that dementia patients aged 80 and above living in elderly care homes have increased risks of receiving more potentially inappropriate prescriptions (Janus, Van Manen, Van Til, Zuidema & IJzerman, 2017). Some medications are not typically prescribed to elderly patients because the prospective side effects prevail over medicinal advantages. Inappropriate medicines are associated with increased chances of falls, resulting in injury or hospitalization.
As a prescriber, it is essential to consider the side effects of different medications and inform care providers in advance. Furthermore, prescribers should appropriately guide and advise the care providers about the measures they can implement to ensure that patients do not miss their medications or overdose. For instance, care providers can create a prescription chart to avoid confusion, overdose, and medication skipping.
References
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Janus, S. I., van Manen, J. G., Van Til, J. A., Zuidema, S. U., & IJzerman, M. J. (2017). Pharmacological and non-pharmacological treatment preferences of healthcare professionals and proxies for challenging behaviors in patients with dementia. International psychogeriatrics, 29(8), 1377.
Kerns, J. W., Winter, J. D., Winter, K. M., Boyd, T., & Etz, R. S. (2018). Primary care physician perspectives about antipsychotics and other medications for symptoms of dementia. The Journal of the American Board of Family Medicine, 31(1), 9-21.
Appendix
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Appendix A:
Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year
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