In teaching an older adult patient who is not cognitively impaired and was recently diagnosed with hypertension about prescribed antihypertensive medication, which of the following is the best approach for the nurse to use to encourage medication compliance?
a. The nurse looks the patient right in the eye and tells how medicines control the disease. The nurse then says “It is important that you take your BP pill every day.” Do you understand this?
b. The nurse talks to the patient about medication management for hypertension. The nurse then gives the patient a grid to record the time each day the BP pill is taken. The nurse then takes out a pencil and says “It’s 9:00 a.m. right after you took your BP pill with breakfast, show me how you will write it on this form that you will take to your next doctor’s appointment.” How do you see this working for you?
c. After talking about the new BP medicine, the nurse asks the patient “Do you have a relative or friend who can call you everyday to remind you to take your BP pill? It is really important that you take it and as you get older it is harder to remember things.” Who do you think can help you with this?
d. After the nurse talks about the new BP pill the patient will take home, the nurse says, “If you don’t take this pill you will probably have a heart attack or a stroke, so you better figure a way that you don’t forget to take it everyday.”
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