Caregiving in practice

What is medication management?

Medication management in dementia means making sure the right drugs are taken at the right time, by someone other than the person with dementia.

By Emmanuel Akyeam · Updated

Forgetting doses and taking them twice are both common and both dangerous. Pill organisers, blister packs from a pharmacy, alarms and locked storage all help at different stages.

Non-medical caregivers may usually only remind and prompt, not administer; the rules vary by state.

Why it matters

Medication errors are a leading cause of avoidable hospital admissions in older adults.

Questions people ask

What is medication management?

Medication management is making sure every medicine is taken correctly: the right drug, dose and time, with interactions and side effects watched. For people with dementia, the Alzheimer's Association recommends a plan that includes telling every doctor about all prescriptions, over-the-counter drugs and supplements, asking about interactions, keeping a written medication list, and never changing a dose without consulting the prescribing doctor.

How do you get someone with dementia to take medication?

Use simple, clear instructions and a steady routine, and if the person refuses, stop and try again later. The Alzheimer's Association suggests saying exactly what the pill is for, such as 'Here's the pill for your high blood pressure,' and tying medicines to meals or bedtime. If swallowing is hard, ask the doctor or pharmacist about a liquid form, and never crush a pill without asking first.

Do pill organizers help dementia patients?

Yes, a pill organizer can help, especially in the early stages. The National Institute on Aging suggests a weekly pill organizer to keep track of medicines, plus phone alerts, a chart, a calendar or a timer as reminders, and a reminder call if the person lives alone. The Alzheimer's Association adds a daily list to check off each dose, and keeping the supply in a locked drawer or cabinet.

What are medication management tips for the elderly?

Keep one list of every prescription, over-the-counter drug, vitamin, supplement and herbal remedy, with the dose, time and reason for each. The National Institute on Aging notes that older adults often take many medicines, and that taking them the wrong way or mixing some drugs and supplements can be dangerous. Use a weekly pill organizer, report uncomfortable side effects, and check before stopping anything.

Can you stop taking dementia medication?

Not without talking to the doctor first. The National Institute on Aging says a person with Alzheimer's should not stop taking any medication without checking with their health care provider, and the Alzheimer's Association warns never to change doses without consulting the prescriber. If side effects or cost are a problem, tell the doctor, who may be able to prescribe a different medicine or help manage the side effects.

Sources

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