Top tips for medications management with individuals with dementia
First of all, it is very difficult to manage behaviors in people with dementia. In short, what can you do to prevent the problem. From a programmable medication reminder with alarm to making pill taking a fun activity , can help. For example, many caregivers are asking the doctors, “How are we supposed to manage prescription meds for people exhibiting “difficult dementia behaviors”.
Here are the Tips from Med-Q
Programmable Medication Reminder with alarm
- First, don’t always resort to pills. For example, certain meds may have negative side effects. Hence, it’s truly essential to identify what is triggering the worsening behavior. A smart medication reminder with alarm filled with pills is not always the answer. Furthermore, it’s icritical to try non-drug approaches,. For example walks and other kinds of exercise.
- First of all, be on the lookout for possible pain. In short, these are often overlooked in men and women suffering from dementia. Geriatricians o will prescribe 2-3 daily doses of acetaminophen. However, people with dementia cannot explain the levels of their pain. Again, the same applies with titrate laxatives. First, given every couple of days. To illustrator, they will soften bowel movement .
Medications management with individuals with dementia challenges.
Medications management with individuals with dementia challenges. To date, No kind of prescription has been shown to improve behavior in people with dementia. If you load the pill reminder with medication for this purpose, be prepared to do some trial-and-error work. Furthermore, it is critical to be carefully monitoring how well the different medication are working. In addition, trak the side-effects that often will happen.
Many people with dementia rely on Antipsychotics and benzodiazepines. In short, these two meds work fairly well. In addition they work quickly. However, most of the time they are working through mental edation as well as kinds of physical chemical restraint. Finally, these will often cloud further thinking. Henceforth, the lowest possible dosages of all prescription medications.
Benzodiazepines have been known to increase the risks of falls in people with dementia. First, the risk is higher than the risk with antipsychotics. The down side, they are habit forming. In addition, these are not as helpful in controlling hallucinations, delusions, and paranoias. If this applies, a faster-acting medication will be needed. To sum up, geriatricians usually prescribe antipsychotics to benzodiazepines for dementia sufferers.
Antidepressants take a while to work. It is important to take them at the correct times. Hence, the need for
Programmable Medication Reminder with alarm rm . However, these are usually well-tolerated. Geriatricians will prescribe escitalopram or citalopram for many men and women suffering with dementia.
For many, it is worth trying a dementia some type of medication, For For example, cholinesterase inhibitor or memantine. Furthermore, these drugs have been shown to be well tolerated.
Med-Q Medication Management System admits that although studies find that non-drug methods are effective in improving dementia behaviors,
Studies find that non-drug methods are effective in improving dementia behaviors,
This being said, it’s often challenging to implement these behavioral changes. To illustrate, people with dementia living at home. In short, family caregivers or paid helpers will have limited time and energy. Hence , the ability to learn and practice behavior management techniques will be limited. Despite the risks involved with taking antipsychotics, family members crave the needed relief .
As for residential facilities for people with dementias, they will vary greatly in how well their staff is trained in using non-drug approaches.
What you can do about medications and difficult dementia behaviors
In case where there is No medications being taken consider these tips:
- First, keep a journal . The goal of a journal, learn to identify triggers of difficult behaviors. In short, one must observe the person carefully. Again, the jornal will be useful if you start medications. To sum up, this will help you monitor for the benefit and side-effects of the new meds.
- Learn the best ways to redirect as well as trying to de-escalate difficult dementia behaviors. The local Alzheimer’s Association chapter is a good resource. Find the Area Agency on Aging . They will also offer up ideas as well as support you.
- Ask the health care professional for assistance in assessing pain. Again, the same applies for constipation. First, try a scheduled acetaminophen regiment.
- Again, look into the possibility of the sufferer developing depression. If you think this is the case, consider a trial of escitalopram or a related antidepressant. However, the drugs will take 14-20 days for any effects to appear.
- What to do if a person is often very agitated. Another example, if the individual is aggressive or exhibiting degrees of paranoid, In addition, watch for otherwise the behavioral symptoms are leading to distress. Furthermore,e many caregivers will recommend an antipsychotic.
- First, alway be sure to talk about the elevated risk of stroke and death with the healthcare provider. Best done with family members. To sum up, this can be a reasonable risk to accept. However, all must be well informed before proceeding.
- Med-Q Programmable Medication Reminder with alarm recommend that you start with the lowest dose possible.
- Be on the lookout for “visual hallucinations”. In addition, other signs of possible Lewy-Body dementia, . Finally, the research has shown quetiapine to be the safestintital treatment drug.
- For all medications for dementia behaviors:
- Use a Medication Reminder to make sure the meds are taken properly
- Watch carefully for evidence of improvement. In addition keep track of side-effects. To sum up, use a journal.
- Doses ought to be raised a little bit over time.
- For example, with antipsychotics, the goal is to find the minimum necessary dose and still keeping the behavior manageable.
If currently taking medications for behaviors, then you will have to consider at least the following 2 problems
First, problem number one. The question, is the behavior currently manageable. If behavior is still often difficult, then it’s vital to explore what will trigger the behavior. Again, try different behavioral management approaches until you find ones that work better..
Ongoing agitation or difficult behaviors may also be a sign that the medication isn’t working well. This being said, talk to the doctor about a change in the prescribed medication. As always, work closely with the doctor or PA. Take advantage of dementia behavior experts as well as social workers. Fiannaly, geriatric care managers are very good with helping with dementia behaviors.
Make sure you are aware of any risks or side-effects that the current medications may be causing.
There are side-effects. For example, people with dementia might experience are excess tiredness, confusion as well as falls. These are usually caused by excessively high doses of antipsychotics as well as benzodiazepines. In such cases, t reduce the dosages somewhat and monitor the changes. Addressing any other anticholinergic or brain-dampening medications will help.
Should you try to get your patient completely off antipsychotics?
Question, will not taking pills reduce mortality risk, improve alertness and thinking. For example, no pills in the programmable medication reminder with alarm and timer mean no more fall risk?
Med-Q Medication Management System has found that quitting antipsychotics is possible. However, it is a very labor-intensive process. Furthermore, the most recently released reports states, ” a percentage of people with dementia “ will relapse” after antipsychotics have been discontinued”. Another very interesting 2017 study of antipsychotic was released. The study reviewed nursing homes. Subsequently, the study uncovered that stopping antipsychotics tended to make behavior worse. This could be prevented by implemented “social types of intervention.”
In other words, stopping antipsychotic medications completely will involve effort. However, stopping may be followed by worse behavior. In fact, it is less likely to succeed if you cannot concurrently provide an increase in beneficial social contact. The same applies with physical exercise.
There are No easy solutions but improvement is usually possible
Behavior problems are going to happen on the dementia journey. This being said, there is usually no easy way to fix them.
Fact, men and women suffering with Alzheimer’s and other dementias are being medicated for the problems with their behavior.
Med-Q Medication Compliance System hopes that this information will help you to make more informed decisions. Consequently, one is now able to ensure that any medications are needed. used thoughtfully, in the lowest doses necessary, and in combination with non-drug dementia behavior management approaches.
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To learn about non-drug management approaches, Med-Q Programmable Medication Reminder with alarm recommends this article: 7 Steps to Managing Difficult Dementia Behaviors (Safely & Without Medications