An older adult client is being discharged with multiple new prescriptions. Which strategies could the home health nurse employ to encourage adherence?

1. Communicate the purpose the new medications serve toward treatment of the condition.
2. Ensure the medication is dispensed in containers that are easily opened.
3. Make sure all drugs are clearly labeled with instructions.
4. Place daily follow-up phone calls to high-risk older clients.
5. Simplify the regimen to twice-a-day dosing and reduce the number of medications the older client must take.


Correct Answer: 1,2,3
Rationale 1: It is important that older clients understand the purpose of medications and their importance to the treatment plan.
Rationale 2: It is important for older clients to be able to easily access the medication.
Rationale 3: Clearly labeled instructions may encourage the client to take the medication as directed.
Rationale 4: Follow-up phone calls to high-risk older clients are important, but the frequency will depend on the client.
Rationale 5: Reducing the number of medications and frequency of dosing will decrease risk for nonadherence, but twice-a-day dosing may not be possible.
Global Rationale: It is important older clients understand the purpose of medications and their importance to the treatment plan. It is important for older clients to be able to easily access the medication. Clearly labeled instructions may encourage the client to take the medication as directed. Follow-up phone calls to high-risk older clients are important, but the frequency will depend on the client. Reducing the number of medications and frequency of dosing will decrease risk for nonadherence, but twice-a-day dosing may not be possible.

Nursing

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