... is in assisted living. I know he does not always use inhaler properly and has no schedule to use it. He is probably overusing it. He also takes 2 brovana treatments daily. Any suggestions or comments on the inhaler situation?
Some assisted living have personell to oversee med usage, some don't. I would talk to the staff and find out if they can be involved. Many people who are getting confused and use inhalers use them incorrectly so they use them frequently. If you find this is happening and you feel he needs the meds, maybe the dr can recommend something that isn't an inhaler. Its often hard for people who aren't a bit confused to use inhalers correctly, so when they get a little confused its really difficult. The other thing is perhaps the dr could have a visiting nurse go in for a visit or two to assess his use of it. Unfortunately medicare won't pay for a visiting nurse to go give him meds, but they will for a few visits for assessment.
I live in the UK so I am unsure of the concept of assisted living. Your father will need assistance with taking is medication. There are two options that can make this easier for him to do; as effective technique is vital to the effectiveness of the treatment. One is called a spacer a clear plastic tube. You connect the inhaler at one end of the device and the patients inhales the drug at the other. Or a nebulizer. It would require his COPD drugs to be represcribed as liquids. The nebulizer converts the liquid drug into aerosol droplets that can be inhalation via a facemask or mouthpiece. Nebulizers are not as effective as the spacer and they cost a lot more too.
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