A nurse is working with an elderly patient who takes multiple medications for various ailments and illnesses. What interventions could the nurse implement to help promote compliance by this elderly patient? (Select all that apply.)
a. Ensure that the number of drugs and doses per day is as small as possible.
b. Explain the treatment plan in clear, concise instructions.
c. Choose an appropriate dosing form, such as liquid versus pill form.
d. Have the patient administer medication patches every week to cut down on pills.
e. Enlist the assistance of a neighbor or friend to help with administration of medications.
f. Use multiple containers clearly labeled with the medications.
ANS: A, B, C, E
Compliance may be promoted by ensuring that the number of drugs and doses per day is as small as possible; explaining the treatment plan in clear, concise language; choosing an appropriate dosing form (ie, if the patient has difficulty swallowing pills, have a liquid ordered); and enlisting the assistance of a neighbor or friend to help with reminders or administration of medications.
Having the patient administer patches may be dangerous, because toxicity may develop if the patient forgets to take one off as prescribed.
Using multiple containers for medications may result in double dosing and confuse the patient.
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