See RUC ROM OUR eat cayMedication Problem A.C.T.1.O.N. Plan ON Mee Me Bau eel ied What A.C.T.O.N. means: A Assess/observe the situation © contact your supensor Tate tofamiy member if present 1 arty nos you can hap © open the chart and document. Nite to town The purpose of the resource guide isto provide direction when yau have identified possible medication-related problems. Each section of the screening tool and the resource guide is colour coded. fa problem i identified on the screening tool, go to the corresponding colour section of the resource guide and follow the A.C.TLON, plan woes 3Table of Contents 1 SECTIONA Problems taking medication correctly (5 rights) 1 SECTION B Physical or cognitive problems . . SECTION C Barriers and other problems @ SECTION D Change in client condition lB SECTION E Change in client medication ....m PROBLEMS TAKING MEDICATION CORRECTLY (5 RIGHTS) Any problems... Have you noticed any of the following behaviours that might suggest that the client has not taken his/her medication correctly? Right Patient s Clients taking medication prescribed for someone ase Right Medication: f= Client took the wrong medication Right Dose: ‘= Client took the wrong dose (e.g, 00 lttlatoo much medication or no ‘medication taken) Right Time: ‘= Client took the medication at the wrong time Right Rout ‘= Client used the wrong method/way to take medication® * An example of wrong method/way: Client did not take wrapping off the suppository before inserting it 7 Stop here CONTACT your supervisor SECTION Am PHYSICAL OR COGNITIVE PROBLEMS Client has difficulty seeing ‘ASSESS/OBSERVE ‘the situation | '= Does the client have eye glasses, contact lenses for use a magnifying glass? = |s the room too dark? yo CONTACT your IDENTIFY how you can help supervisor and inform = Bring eye olasses, contact lenses himiher that the cliont Is ‘or magnitying ajass to the cient hhaving difficulty seeing ‘= Open the curtains and/or turn on the lights = Ifthe client i stil having dificuty seeing, contact your supervisor y TALK to family member OPEN the chart and If present document what you have done v NOTE to follow-up next visit to see if lent is still having problems SECTION BSECTION B m PHYSICAL OR COGNITIVE PROBLEMS Client has difficulty hearing ‘ASSESS/OBSERVE ‘the situation ! = Does the client have a hearing aid? = | the hearing aid not working properly? fas CONTACT your supervisor IDENTIFY how you can help and inform him/her that the ‘= If the hearing ald is not dlient is having difficulty working properly, check to see hearing if ft needs batteries ‘= If itis stil not working, contact your supervisor y ‘OPEN the chart and document what you have done TALK to family member it present NOTE to follow-up noxt visit to see if cent is still having problemsm PHYSICAL OR COGNITIVE PROBLEMS Client has difficulty taking or preparing medication ‘ASSESS/OBSERVE ‘the situation Is the client unable to swallow or having dificlty swallowing? 's the clent having dificult cutting tablets, Using inhalers, glving injections, measuring medications, etc? a CONTACT your supervisor and inform hhinvher that the client is having difficulty CONTACT your supervisor immediately ‘and inform hinmher that ‘the client is having diff. culty swallowing: open the chart and document \what you have done taking or preparing medications ‘ TALK to family member if present ‘ IDENTIFY how you can help ‘= Ask the cient why he/she thinks he/she is having trouble 1» Ifthe pills are too large o the client has a cry mouth, giv the client a drink of water — OPEN the chart and document what you have done ‘ NOTE to follow-up next visit to see if client is still having problems SECTION BSECTION B m PHYSICAL OR COGNITIVE PROBLEMS Client has difficulty opening medication bottles ‘ASSESS/OBSERVE the situation f ‘= Is the client having difficulty with stiffness, painful hands, or shakiness? = Is this difficulty related to clumsiness or weakness? ‘= Is there another problem that is preventing the cent from ‘opening his/her medication bottles? CONTACT your supervisor and inform himfher that the clint is, having difficulty opening medication bottles, } ‘TALK to family member if present j IDENTIFY how you can help = Follow agency policy on medication procedures | ‘OPEN the chart and document what you have done \ NOTE to follow-up next visit to see if client is still having problemsm PHYSICAL OR COGNITIVE PROBLEMS Client has difficulty remembering ‘ASSESS/OBSERVE ‘the situation I ‘= Is the client confused or having memory problems? ‘= Have you noticed your cent forgetting to take hisher medication? min y CONTACT your supervisor and inform hin/her that the client is, having dificlty remembering y TALK to family member if present y IDENTIFY how you can help '= Follow agency policy on medication procedures y ‘OPEN the chart and document what you have done ' NOTE to follow-up next visit to see if client is stil having problems SECTION BSECTION B m PHYSICAL OR COGNITIVE PROBLEMS Client does not understand ‘= the purpose of medication ‘= what medication to take ‘= how/when to take medication ASSESS/OBSERVE the situation ' ‘= Has anyone explained the purpose of the medication to the client? ‘= Has anyone ever explained to the client what medication to take ‘andor how and when to take medication? CONTACT your supervisor and inform hinvher that the client does not Lnderstand something about hisher medication or he/she has forgotten | i TALK to family member if present t IDENTIFY how you can help '= Follow agency policy on medication procedures 1 ‘OPEN the chart and document what you have done ¥ NOTE to follow-up next visit to see if cllent i sul having problemsm BARRIERS AND OTHER PROBLEMS Client unwilling to take medication as prescribed ‘ASSESS/OBSERVE the situation } ‘= Ask the dent why heishe is not wiling to take medication ‘= Why does the client feel this way? ee ‘CONTACT your supervisor and inform hintvher that ‘the client is unwilling to take medication y ‘TALK to family member if present y IDENTIFY how you can help ‘= Follow agency policy on medication procedures Y OPEN the chart and dacument what you have done Y NOTE to follow-up next visit to see if clients stil having problems SECTION CSECTION C m= BARRIERS AND OTHER PROBLEMS Client has financial difficulty paying for prescriptions ‘ASSESS/OBSERVE the situation ! ‘= Are there any medications that the client has not purchased because of financial difficulties? y CONTACT your supendsor and inform hinvher that the client may not be filing prescriptions because of financial difficulties y ‘TALK to family member if present IDENTIFY how you can help | OPEN the chart and document what you have done y NOTE to follow-up next visit to see if client is still having problemsm BARRIERS AND OTHER PROBLEMS Client physically unable to leave home or has no transportation ‘ASSESS/OBSERVE the situation y ‘= Ask the cont what is making it difficult for hinvher to leave the home ‘= Does this affect the dents abiliy to recelve medical cate and/or get prescriptions? CONTACT your supervisor and inform hiwher that the lent is having dificult either leaving home and/or hhas no tvansportation Y ‘TALK to family member if present y IDENTIFY how you can help OPEN the chart and document what you have done NOTE to follow-up next visit to see if dient is sull having problems SECTION CSECTION C m= BARRIERS AND OTHER PROBLEMS Client needs more caregiver support with medication ASSESS/OBSERVE. the situation ‘= Dos the client have a ‘= Was there a previous reliable caregiver to help ‘caregiver who is no longer with medications? Involved? =~ CONTACT your supervisor and inform hinvher that ‘the client does not have a reliable caregiver to help with medications ‘ ‘TALK to family member if present y IDENTIFY how you can help 1 OPEN the chart and document what you have done 1 NOTE to follow-up next visit to see if clients stil having problems