The resident gets up during the night & crawls on her hand & knees. Thinks the lady in bed next to her is her baby. They both are 91, but, this lady is bed ridden. Hits, talks back, etc.
Oh, joy! Dont you love those nights? It makes you wonder what you will be like at 91 (personally I dont think I'll make 91 but you never know)! Ativan can be used, I think (unless things have changed drastically. I know they dont like benzos too much but in some cases, what are you going to do?) Sometimes offering a pain medication (Tylenol or whatever they have ordered) can help in these restless ones. I used to try that first and if that didnt settle them down, then we'd give them an anti-anxiety med. Sometimes it is just pain that causes the roaming. They hurt but they dont really know how to express it so they roam and get restless and agitated. So sometimes just Tylenol helps. Otherwise, talk to the medical director and see what can be ordered. Ativan was our gold standard but that has been a few years ago.
One of the reasons I no longer work in a nursing home. This is something so difficult to deal with. Risperadol was always the drug of choice. When you get to that age tho, you run the risk of oversedation and they have to be watched. Any kind of chemical restraint has to have excellent documentation these days.
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