How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Valarie Your Own Question

Valarie
Valarie, Nurse (RN)
Category: Health
Satisfied Customers: 1228
Experience:  36+ yrs exprience medical, surgical, wound/skin care, nutrition, geriatrics, rehab, management
16698619
Type Your Health Question Here...
Valarie is online now
A new question is answered every 9 seconds

Any suggestions on how to get a patient in a hospital to take

Resolved Question:

Any suggestions on how to get a patient in a hospital to take her medication. Sometimes...When my mom 88 y.o. get too little sleep or or just before night the night she goes bilergerant and defensive to her sons and nurses who are try to help her get better. Today she was scheduled to take Gastro intestinal testing procedure....which requires no food for 12 hours. Before the procedure starts, she needs to take a pill or 2. Unfortunatley her bilergerant "get away from me" kinipshun fit side appears. She only gets this way when medication is flowing through her viens introveniously and not at all common when she is well and at home. The question is..... How do you convince a patient she needs to take the pill and do the procedure to get well...or at least take the pill so the procedure can take place.
Submitted: 3 years ago.
Category: Health
Expert:  Valarie replied 3 years ago.

Hello. Thank you for coming to JustAnswer with your question, and welcome.

 

As I think you understand, this is very difficult to do. Realistically, you need to approach the her when she is "in the mood" to take medications. It sounds like she has a bit of dementia, or at least a delirium caused by her illness and being in the hospital. You will not be able to reason with her when she is in this state.

 

If she is not in the right state of mind to take her meds willingly, the only way to get them in would be to force them on her (which is unethical in most cases). You can try to entice her with some ice cream or apple sauce with the medications hidden in it, however if she realizes what you are doing it could make the situation worse, and create a situation where she is even more distrustful of you and/or medical personnel. Unfortunately, the more tricky you get, the more stubborn and paranoid the patient gets.

 

The best thing to do is to let the physician know that the prep cannot be completed as she is refusing to take any pills by mouth. There may be another option (a liquid perhaps you could mix into something). Other options might be a different type of test, or even rescheduling the test so you can try again another time.

 

 

Valarie, Nurse (RN)
Category: Health
Satisfied Customers: 1228
Experience: 36+ yrs exprience medical, surgical, wound/skin care, nutrition, geriatrics, rehab, management
Valarie and 5 other Health Specialists are ready to help you
Customer: replied 3 years ago.
not just the meds....she does not want her sons. she is saying "you are not my son" . She does not want to eat or have the nurses touch her and want to call the police, even thoughshe can not lift her hands or feet off the bed. It's the bacteria, germs in her bloodstream that make her and all others ack this way. Antibiotics and sedatives is what may work. Your answer of waiting and reschedule test for another time is well accepted. Thanks
Expert:  Valarie replied 3 years ago.

Your description of her symptoms and behavior is classic. Her cognitive and emotional state has been negatively influenced by her illness, change of people around her, change of environment, along with all the "procedures" that are being done to her and around her---none of which she able to understand. So, this creates fear and paranoia. Any time she responds to something (anything) with such behavior, the best thing to do is to back off. Reassure her. Let her relax for awhile. Then re-approach later.

 

Hopefully the hospital staff can complete her treatment as soon as possible so that she can return to more familiar surroundings and routines. This will help a great deal.

 

The other thing to consider might be the actual importance of the test. Ask yourself if any findings are going to change her treatment plan to improve her life. If not, maybe it really doesn't need to be done. Just a thought.

 

At this point, the primary goal (I would think) would be her comfort, be that physical, emotional, or cognitively.

 

Good luck to you. And best wishes for your Mom's recovery.

 

You're welcome, and thank you.

 

(note: I must post this as an answer, but do not feel obligated to accept again).

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Valarie
Valarie
RN
1212 Satisfied Customers
36+ yrs exprience medical, surgical, wound/skin care, nutrition, geriatrics, rehab, management