Medical Forum / Diseases and Disorders / Alzheimer's / November 2005
Taking Meds
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Octavia - 09 Nov 2005 16:17 GMT How do you handle it when they don't want to take all their medication?
Tumbleweed - 09 Nov 2005 16:27 GMT > How do you handle it when they don't want to take all their medication? put it in something they wont notice ..crushed up in a drink if it will dissolve, or in mashed banana or their dinner, etc.
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email replies not necessary but to contact use; tumbleweednews at hotmail dot com
Evelyn Ruut - 10 Nov 2005 00:53 GMT >> How do you handle it when they don't want to take all their medication? > > put it in something they wont notice ..crushed up in a drink if it will > dissolve, or in mashed banana or their dinner, etc. Tumbleweed, you always say the right thing in the most concise way :-)
 Signature Best Regards, Evelyn
(to reply to me personally, remove 'sox')
Anthony Shipley - 10 Nov 2005 05:10 GMT >Tumbleweed, you always say the right thing in the most concise way :-) It's a male thing!
gd&r
-- 2 + 2 = 5 for sufficiently large values of 2.
Octavia - 10 Nov 2005 15:59 GMT Uh, oh, it will be hard if I have to resort to that. She has a problem with not completely finishing whatever it is she is consumeing. I'd be afraid she didn't get all the medicine. Still, I may have to give this a try with one or two pills & see if it works.
>> How do you handle it when they don't want to take all their medication? > > put it in something they wont notice ..crushed up in a drink if it will > dissolve, or in mashed banana or their dinner, etc. Lesanne - 10 Nov 2005 18:02 GMT Start with the pill doctored food. I make Moms fruit first in the morning and give her the two banana slices right up front. Don't crush them unless they are large, and be careful not to crush anything long acting. Slices of banana work well, they are often swallowed without a lot of chewing, everything gets slippery and banana flavored, and if the pill is not crushed any nasty taste is hidden.
 Signature Lesanne
> Uh, oh, it will be hard if I have to resort to that. She has a problem > with not completely finishing whatever it is she is consumeing. I'd be [quoted text clipped - 5 lines] >> put it in something they wont notice ..crushed up in a drink if it will >> dissolve, or in mashed banana or their dinner, etc. ncgen - 10 Nov 2005 19:53 GMT With any med, check with the pharmacist to see if it can be crushed before doing it though. There are a good number of pills which can not be crushed.
augustwestern - 09 Nov 2005 19:27 GMT > How do you handle it when they don't want to take all their medication? Wait 10 minutes and then act like these are their first meds of the new day. Every minute is a new day.
Karen - 10 Nov 2005 00:12 GMT > > How do you handle it when they don't want to take all their medication? > > Wait 10 minutes and then act like these are their first meds of the new day. > Every minute is a new day. That's the method they use at my MIL's place and sometimes they change what they give them to take it with -- cranberry, orange or grape juice instead of water.
Sometimes they bury the pill in a spoonful of jelly or applesauce and ask the resident to taste it to see if they got the "recipe" right.
Karen
Octavia - 10 Nov 2005 16:16 GMT Ah, I haven't thought to give the pills to her with juice instead of water. Thanks.
>> > How do you handle it when they don't want to take all their medication? >> [quoted text clipped - 11 lines] > > Karen augustwestern - 10 Nov 2005 06:09 GMT > > How do you handle it when they don't want to take all their medication? > > Wait 10 minutes and then act like these are their first meds of the new day. > Every minute is a new day. Another trick is to remind them that this requested activity (taking meds, eating, drinking, sleeping, whatever) is what they do normally every day at this time. This seems to reassure them that they are doing what they are supposed to be doing and at the correct time. Creating this feeling of order can be very comforting to someone who has lost their sense of time and balance.
Another trick - If they say they don't take any pills. Agree with them that that used to be true. Then remind them that at their most recent Dr visit that the Dr insisted that the LO take this or that med. Give a brief explanation if necessary as to why they need the pills but let the Dr carry the blame for any decision that makes taking pills necessary. Agree that taking pills is no fun. Creative fibbing can be essential because arguing simply create hostility and hostility is a no win situation for both of you.
Octavia - 10 Nov 2005 16:23 GMT >> > How do you handle it when they don't want to take all their medication? >> [quoted text clipped - 21 lines] > simply create hostility and hostility is a no win situation for both of > you. I've done the thing with remind her it's the same pills she takes at that time every day. Sometimes that does work.
Telling her we just saw her doctors & those are the pills they said to take doesn't always work with her.... I have also sometimes showed her my pile of pills that I have to take, to let her know she isn't the only one that has to take pills.... I've even showed her the pills the dogs take, saying even they have to take pills:)
I've also sometimes gone over the fact the pills must be working because she hasn't had a heart attack or another stroke since we've been here so all those pills are very important. Sometimes that works.
Amazing with this awful disease how sometimes the most simple task suddenly is no longer simple.
Octavia - 10 Nov 2005 16:02 GMT Excellent! I tried that yesterday afternoon & it worked. She put her last pill on her table & was refusing to take it. I sat down for about 5 minutes then got back up, talked about how she needs to take *all* her meds, that she can't pick & choose because one of them might be her heart med or something like that. She took it. But I think it was waiting those few minutes that did the trick.... Sigh. Not only a new zoo every day, but sometimes just within a few minutes.
>> How do you handle it when they don't want to take all their medication? > > Wait 10 minutes and then act like these are their first meds of the new > day. > Every minute is a new day. Tumbleweed - 10 Nov 2005 16:17 GMT That is true and excellent advice, I had forgotten (LOL) that you can wait a few minutes and try again (with almost anything not just meds).
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> Excellent! I tried that yesterday afternoon & it worked. She put her last > pill on her table & was refusing to take it. I sat down for about 5 [quoted text clipped - 9 lines] >> day. >> Every minute is a new day. Evelyn Ruut - 10 Nov 2005 00:52 GMT > How do you handle it when they don't want to take all their medication? In our case, my mother in law would occasionally question her daily meds.
I would explain what each pill was, and what it was for. For some strange reason she trusted me. I told her early on that I would not deceive her and that I would take care of her, and I could see in her eyes and with what she replied, that she believed and trusted me. I believe that somehow she sensed my honesty and good will for her.
In my husbands case, he would just tell her she had to take them and to just do it. Usually she obeyed, because he was her only child and he was a man, and she was used to listening to men.
Between the both of us, and our different approaches, she took the meds, and was better off for it for the years she lived with us, and then when she went into the nursing home, and until she ultimately passed away last spring.
***
OK, so that was our experience, but your circumstances may be different. I would say that it was important for the person to take their "vitamins" or whatever excuse or story you could possibly use to get the person to take their meds.
You are the one with an intact brain, and you have to do the thinking for the person who has the illness.
In this newsgroup, we have a name for it..... "Loving deception." Sometimes you have to do what you have to do in order to look after your loved one.
I would say that anything you needed to do or say was fair, unless it made the person fearful or upset or afraid.
 Signature Best Regards, Evelyn
(to reply to me personally, remove 'sox')
Just Me - 10 Nov 2005 03:49 GMT I'm having the same problem with my mother. I don't live with her, but my father will not give her her thyroid meds because she is adamant that she doesn't want to take it. He tries to keep the peace and he goes along with whatever she wants. I tried putting it in her cannoli last week and he put it in her decaf coffee, but I understand it's not a good idea to put in hot beverage. My mother is very obstinate and strong willed, and my father is weak and gives in to her.
> > How do you handle it when they don't want to take all their medication? > [quoted text clipped - 31 lines] > I would say that anything you needed to do or say was fair, unless it made > the person fearful or upset or afraid. Anthony Shipley - 10 Nov 2005 05:13 GMT >I'm having the same problem with my mother. I don't live with her, but my >father will not give her her thyroid meds because she is adamant that she [quoted text clipped - 3 lines] >beverage. My mother is very obstinate and strong willed, and my father is >weak and gives in to her. Certainly, I don't think you should dissolve capsules rather than have the patient swallow it whole.
-- 2 + 2 = 5 for sufficiently large values of 2.
Evelyn Ruut - 10 Nov 2005 12:40 GMT > I'm having the same problem with my mother. I don't live with her, but my > father will not give her her thyroid meds because she is adamant that she [quoted text clipped - 5 lines] > beverage. My mother is very obstinate and strong willed, and my father is > weak and gives in to her. Why does she refuse?
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Best Regards, Evelyn
(to reply to me personally, remove 'sox')
Evelyn Ruut - 10 Nov 2005 15:14 GMT >> I'm having the same problem with my mother. I don't live with her, but >> my [quoted text clipped - 10 lines] > > Why does she refuse? The reason I asked that, is because thyroid medication is really important. Thyroid deficiency is known to cause dementia like symptoms, and it was one of the first tests they did with my mother in law. Also people who suffer from low thyroid feel exhausted all the time, tend to put on weight, feel chilly all the time, and have dry itchy skin, among other unpleasant symptoms. Surely it should be possible to convince her of the importance of taking that medication?
 Signature Best Regards, Evelyn
(to reply to me personally, remove 'sox')
Lesanne - 10 Nov 2005 17:59 GMT Give him the little news flash that it will most likely cause her to become extremely constipated if she does not continue to take them. This is one of the most charming effects of hypothyroid.
Hello Gloves.
I put Mom's in a little piece of banana. They don't have much taste in and of themselves so it goes easily.
 Signature Lesanne
> I'm having the same problem with my mother. I don't live with her, but my > father will not give her her thyroid meds because she is adamant that she [quoted text clipped - 5 lines] > beverage. My mother is very obstinate and strong willed, and my father is > weak and gives in to her. Octavia - 12 Nov 2005 23:18 GMT Wow, that is really serious if she doesn't take her thyroid med. The thyroid can cause so many different problems. It's bad for him to give into her. Just like a child, if he gives in once, she will continue to expect it.
To all, when she has given me trouble the last couple of days I've mostly tried just waiting a few minutes & then going at it again. It worked:) I also tried one batch with juice instead of water & they seemed to go down the hatch just fine.
> I'm having the same problem with my mother. I don't live with her, but my > father will not give her her thyroid meds because she is adamant that she [quoted text clipped - 50 lines] >> made >> the person fearful or upset or afraid. Octavia - 12 Nov 2005 23:15 GMT Evelyn, you are right. I've also explained some of the pills to her. Don't know if she ever remembers but I don't like to her about them. Sometimes that does the trick. One time she told me I didn't know what it was. I replied she was right, I didn't. (My SIL puts the meds togehter in the box.) But I got the papers on the meds & read off the ones she was taking at that time of day & briefly explained what each one helped, ie allergy, heart, memory or whatever. It seemed to appease her.
This is truly such a new zoo every day. Sometimes even during the day.
Oh, & what you say about the man is also the same here. When Hubby does it, she seems a bit less resistant.
>> How do you handle it when they don't want to take all their medication? > [quoted text clipped - 31 lines] > I would say that anything you needed to do or say was fair, unless it made > the person fearful or upset or afraid. Ronny TX - 10 Nov 2005 15:16 GMT Taking Meds Group: alt.support.alzheimers Date: Wed, Nov 9, 2005, 10:17am From: akiross58XXX@XXXyahoo.com (Octavia) How do you handle it when they don't want to take all their medication?
Ronny: Most times Mom will take hers;but if she absolutely refuses to and is upset,then I wait 10 to 20 minutes or so and try again. Usually by then,all goes well. If not,then I just wait another 5,10 minutes or so and try again;but usually the 2nd try works. And for a good long while I told her she was taking her vitamens which of course,are good for her. Or sometimes I say your doctor ordered these and said you needed this;but that last one doesn't always word because Mom will sometimes say the doctors doesn't know what he's talking about,etc! LoL
ncgen - 10 Nov 2005 19:39 GMT I've done various things. Liquid meds into a small amount of juice (you do have to be aware of potential side effects with some fruits though) worked at times. Crushing pills to add to liquid, pudding, ice cream etc worked also. I've also given liquids with a syringe. There were times we'd ask the dr to reorder the med as a liquid or if possible a dissolvable one. Luckily more of them are being made that way.
I had one patient that would not take anything at all by mouth unless it was given at meals. She would not accept medicine in any form. Her stroke related dementia compounded with a long history of mental illness, she thought people were poisoning her. Hers had to be crushed and added to a scrambled egg every morning before serving her.
One of the strangest though was a woman with a mild dementia as well as severe mental illness. She thought medicine was being given to her to "kill her sex". She used to put her husband at risk also by constantly harping on him not to take his b/c she said it was killing him. We had a time getting meds in that one.
Another one would go through periods where she thought she was pregnant. She would demand that her baby be checked first to be sure it was alive before and after she took her meds. More often than not she'd refuse to take them at all saying it would hurt her baby.
Having dementia or mental illness is bad enough, but combine dementia with a history of schizophrenia or another severe mental illness is horrible. Administering meds can be a challenge. Luckily with my in-laws giving meds was rarely a problem.
Just Me - 11 Nov 2005 00:26 GMT I dropped mom's thyroid pill in decaf coffee but didn't grind it up as I'm assuming it just dissolves on its own. Since I don't live with her, I told my dad to make sure she gets the pill everyday. She cries a lot and asks for her mommy who died 25 years ago. It has been recommended to me to get her doctor to prescribe low dose anti-depressant for the crying and halllucinations. She won't go to the doctor so my dad went last week but we need to get her in there to get blood work done. Doctor said she has a male assistant who will make a home visit, but I'm not sure how she'll do with a male assistant.
> I've done various things. Liquid meds into a small amount of juice > (you do have to be aware of potential side effects with some fruits [quoted text clipped - 25 lines] > horrible. Administering meds can be a challenge. > Luckily with my in-laws giving meds was rarely a problem. Karen - 11 Nov 2005 01:29 GMT If the male assistant wears a white coat, she'll probably assume he's a doc (my MIL does). With ALZ, knowing what stereotypes to play to can be a handy shortcut.
Karen
> I dropped mom's thyroid pill in decaf coffee but didn't grind it up as I'm > assuming it just dissolves on its own. Since I don't live with her, I told [quoted text clipped - 5 lines] > assistant who will make a home visit, but I'm not sure how she'll do with a > male assistant. Genghis Khan's Wife - 13 Nov 2005 19:50 GMT I used the pills in the juice. She figured out the banana thing and would not eat them. She was positive I was trying to poison her. 'so Juice rules, for me.
> How do you handle it when they don't want to take all their medication?
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