The patient's prescription and over-the-counter drugs should be reviewed.
The nurse's best approach to an older adult client with significant cognitive impairment has been hospitalized for surgery to assess for pain postoperatively is by reviewing the patient's prescription and over-the-counter drugs.
- Think about any that might be causing cognitive problems.
- Consider whether anticholinergics, antihistamines, opioids, sedatives, and benzodiazepines are still necessary.
- To prevent undertreatment and overdosing, consider whether the patient takes their meds as directed, if a pill organizer is being utilized, and if a caregiver monitors medication intake.
- Be aware that pharmacological treatment results are often modest and may be accompanied by negative side effects.
- Analyze any behavioral issues.
- Check to see if a more controlled environment or other non-pharmacological methods could take the place of or postpone the use of antipsychotic drugs.
- Any off-label use of antipsychotic drugs in dementia patients should be done with extreme caution, and effectiveness and safety should be constantly monitored.
- If new medication is prescribed, schedule a follow-up session within a set duration (for example, 4 to 6 weeks). Since diminished self-awareness of cognitive decline is prevalent and reliable information transfer is more likely with the presence of a care partner, ask the patient to bring a family member or friend to every appointment who may serve as a care partner.
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Answer: The options are not complete, they are;
A) Risk for infection
B) Increased healthcare costs
C) Need to be transferred if overnight stay is required
D) Increased disruption of family functioning.
The correct answer to the question is option C
NEED TO BE TRANSFERED IF OVERNIGHT STAY IS REQUIRED.
Explanation: tympanostomy tube placement is a surgical procedure that done by inserting a grommet or a tympanostomy( a tube of less than 2mm in diameter) into the ear drum of a patient/client.the indication or purpose is to maintain an aerated middle ear over a prolonged period of time,this will as well prevent fluid from accumulating in the middle ear.
Incase of complications of tympanostomy tube placement like bleeding or persistent draining of fluid, scarring and weakening of the ear drum or the tube falling out too early, the child might need to be kept in the hospital facility for proper monitoring and this will necessitate the transfer of the child to another hospital facility for good and proper monitoring and management since the tube placement was done in a freestanding out-patient surgery center where there is no provision for admission of patient or overnight stay.
Answer:
Vitamin D is dangerous when you take large amounts in short periods, or too much even in long periods.
