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Asked by ProfessorFalcon2943

 A 68-year-old male is a new resident of a long-term care facility in the Alzheimer’s Unit. His family recently took him for evaluation in the Emergency Department after he was found to be confused, physically aggressive with family members, threatening to burn the house down, and paranoid that someone was trying to kill him. The medical workup in the ED was unremarkable. He was discharged from the ED, and since arriving at the facility, he has been verbally aggressive with staff, depressed,  throwing food, wandering around, and trying to leave. He does not answer most questions when asked by staff and appears agitated. Psychiatry is consulted for the management of his behavioral and psychological symptoms.

 

In your SOAP note, design a treatment plan that includes PRN medications if the patient continues to be agitated.

Answer the questions listed below:

What medications would you prescribe? Why?
What doses?
Would you have these listed as standing orders for the nursing home staff, or would you want to be notified before they are given to verify and determine the need?
Would you want to visually see the patient before having the medications given?
What monitoring would need to be provided after the medication is given?
What documentation would need to be provided, and how often for the medication be continued?
Would the medication be considered chemical restraints? Why or Why not?
SCIENCE
HEALTH SCIENCE
NURSING

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