Jack has dementia and becomes combative with staff every time they try to assist him with his shower. They are requesting that he be started on an antipsychotic medication. What is the next step the team should take?Call his provider and ask for an order for a low dose of antipsychotic medication.Ask Jack or his representative if they would be agreeable to the medication.Talk to Jack and his representative about his preferences for bathing such as time, frequency, and method.Tell staff to talk to Jack about the importance of being clean and keep trying to give him showers.
Question
Jack has dementia and becomes combative with staff every time they try to assist him with his shower. They are requesting that he be started on an antipsychotic medication. What is the next step the team should take?Call his provider and ask for an order for a low dose of antipsychotic medication.Ask Jack or his representative if they would be agreeable to the medication.Talk to Jack and his representative about his preferences for bathing such as time, frequency, and method.Tell staff to talk to Jack about the importance of being clean and keep trying to give him showers.
Solution
The next step the team should take is to talk to Jack and his representative about his preferences for bathing such as time, frequency, and method. Understanding his preferences might help reduce his combativeness. It's important to prioritize patient's comfort and autonomy as much as possible before considering medication. If this approach doesn't work, then they should ask Jack or his representative if they would be agreeable to the medication. It's crucial to involve the patient or their representative in decisions about their care. If they agree, then the team can call his provider and ask for an order for a low dose of antipsychotic medication.
Similar Questions
25. A young patient with schizophrenia is standing in his pajamas next to the shower. The GP observes that he seems dazed and indecisive. The most helpful intervention would be to say:*1 pointA. “It’s time for you to take your shower.”B. “Take off your pajamas and step into the shower.”C. “Is something wrong?”D. “Why are you waiting to get into the shower?”
How can you help a person with early-stage Alzheimer's disease with their activities of daily living?Rush the person through the taskDo the task for themFocus on their senses during the taskGive verbal cues to wash their hair
Which is an important tip to follow when toileting a person with Alzheimer's disease?Keeping the door to the bathroom closedLimiting daily fluid intakeProviding easy-to-remove clothingStanding over them while toileting
An individual with dementia displays expressions or indications of distress. As part of the evaluation when considering the use of an antipsychotic medication, what should the team do?Wait to include the individual and/or their representative in discussions until a decision is made.Refer the individual to a psychiatrist for a full mental health workup.Assess for causes or triggers for the symptoms and address these if possible.Ensure a diagnosis of a serious mental illness is received from the provider.
Mary is receiving antipsychotic medication for dementia-related psychosis because she was combative with other individuals despite other interventions tried by staff. After the last dose reduction, her behavioral symptoms returned. The team has decided that another reduction is clinically contraindicated. What should they do next?Get the provider to diagnose Mary with a mental illness.Stop using nonpharmacological interventions.Discontinue monitoring for adverse drug effects.Document the reason that a reduction would be harmful.
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.