Care Plan for Managing Psychotropic Medication
Care Plan for Managing Psychotropic Medication
Category / Primary Body System
- Psychosocial and Mental Health
Problem
- Resident is receiving psychotropic medication.
Goals
- Resident will have no side effects from the given medication.
- Resident will have no falls for the next 90 days.
- Resident will be maintained on and tolerate the lowest effective medication dose for the next 90 days.
Plan/Approach
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Monitoring and Assessment
- Assess and document mood and behavior regularly to monitor the effectiveness of the medication and identify any changes.
- Monitor for side effects of psychotropic medications, including dizziness, drowsiness, orthostasis, nausea/vomiting, dry mouth, constipation, anorexia, and increased confusion.
- Notify the attending physician and psych team if any limiting side effects are observed.
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Medication Administration
- Administer medications as ordered and monitor their effectiveness. Notify the physician if symptoms do not improve or abate.
- Engage the psych team for medication monitoring and therapy as needed.
- Pharmacy consultant to review medications as needed to ensure optimal dosing and minimize side effects.
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Patient and Family Involvement
- Involve the resident and their family in all appointments, tests, and testing results to ensure they are informed and involved in the care plan.
- Provide frequent reassurance and intervene per the behavior care plan for any signs of anger, aggression, or depression.
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Fall Prevention
- Check on the resident frequently to decrease anxiety and prevent falls, ensuring not to intrude on their privacy.
- Respect resident privacy and dignity, always addressing them as an adult.
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Appetite and Nutritional Monitoring
- Monitor for possible effects of medications on appetite and adjust dietary plans as needed.
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Behavior Tracking
- Track and document behavior using a behavioral monitoring record to identify any patterns or concerns.
- Reassure and intervene per behavior care plan for any anger, aggression, and depression.
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Monitoring for Extrapyramidal Symptoms (EPS)
- Monitor for signs of EPS, such as restlessness, muscle rigidity, tremor, and excessive salivation. Notify the MD if these symptoms are noted.
Rationale
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Monitoring and Assessment
- Regular monitoring helps detect early signs of side effects or medication ineffectiveness, allowing for prompt intervention.
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Medication Administration
- Ensuring medications are given as prescribed and monitored for effectiveness and side effects maintains therapeutic efficacy and minimizes adverse effects.
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Patient and Family Involvement
- Involving the patient and family in the care plan promotes understanding, compliance, and emotional support.
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Fall Prevention
- Frequent checks and respect for privacy help prevent falls while maintaining the resident’s dignity.
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Appetite and Nutritional Monitoring
- Monitoring appetite helps ensure the resident maintains proper nutrition, which can be affected by psychotropic medications.
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Behavior Tracking
- Documenting behavior provides data to adjust the care plan as needed and address any emerging issues promptly.
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Monitoring for Extrapyramidal Symptoms (EPS)
- Early detection of EPS allows for timely intervention to prevent severe complications.
Actions
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Monitoring and Assessment
- Document mood and behavior regularly, noting any changes or side effects.
- Notify the physician of any limiting side effects promptly.
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Medication Administration
- Administer medications as prescribed, observing for side effects and effectiveness.
- Engage the psych team for ongoing monitoring and adjustment of the medication regimen.
- Consult the pharmacy as needed for medication reviews.
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Patient and Family Involvement
- Communicate with the resident and family about appointments, tests, and results.
- Reassure the resident frequently and provide interventions as per the behavior care plan.
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Fall Prevention
- Check on the resident regularly while respecting their privacy and dignity.
-
Appetite and Nutritional Monitoring
- Monitor the resident’s appetite and adjust dietary plans as needed.
-
Behavior Tracking
- Document behaviors using a monitoring record, noting any patterns or changes.
-
Monitoring for Extrapyramidal Symptoms (EPS)
- Observe for signs of EPS and report any findings to the MD promptly.
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