Medicine Management – Medicines and Behaviours

 

Residents requiring residential aged care often have a variety of medical conditions that result in impaired cognition as well as a variety of behaviour management needs. Sometimes this requires specific medicines to be administered as part of their ongoing care and clinical management. These medicines can include antipsychotic drugs and benzodiazepine medicines, all of which necessitate close observation and monitoring of the resident as well as specialised clinical management. This workshop not only explores the needs of the resident who has impaired cognition but also the specific medicines, clinical care and required management practices in relation to this area of nursing care.
A medicine validation activity is used in this area of the workshop to explore specifically the use of antipsychotic (risperidone) and benzodiazepine (temazepam) medicines. The activity consists of reviewing current medication administration practices to best practice recommendations for each of these medicine groups. This provides nurses with insight in relation to the correct administration practices and also clinical points regarding ongoing monitoring and evaluation of care for the residents taking these medications. Other clinical area that are included in these discussions are behaviour management, chemical restraint, falls prevention and assessment practices.

Key topics include:
– The Registered Nurse and Enrolled Nurses role and responsibilities related to medicines
– Medication legislation, regulatory requirements and professional guidelines, including exploring recent changes.
– Understanding of medication management, supervision and delegation.
A focus on behaviour medicines, in particular:
– Different types of behaviour medicines – antipsychotic drugs and benzodiazepine medicines
– PRN medications, short term drugs, and variable drug doses used in the management of behaviour and related medical conditions
– Monitoring and evaluation of medicine outcomes.
– Medicine administration practices for different behaviour medicine forms.
– Specific needs of the resident with cognitive impairment.
– Management of issues and contingencies that arise during medication administration.
Competency Assessment:
– Completion of a written learning review workbook.
– Practical competency assessment of specific medicine administration practices.
– Completion of related case studies and related scenarios.