| AL1008 |
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| Self-Administration of Medications, Evaluation of Resident's Ability |
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| Guide appropriate community and/or pharmacy staff in assessing a resident's ability to self-administer his/her medication safely. |
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| Features: |
- This two-sided form allows the review of up to 12 of the resident's medications.
- The review includes resident's ability to correctly name medication, understand the purpose and correct dose, and the correct administration procedure.
- A scoring system for each medication serves as a guide in determining whether the resident may require instruction to facilitate safe self-administration or if self-administration is not recommended.
- A negotiated risk area is provided in the event the resident/family decides to self-administer against community recommendation.
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| Specifications: |
| 8-1/2 x 11, handwritten, 100 per pad |
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