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Janet, No it would not necessarily stop the education but it probably is not good practice or legal. Records must be kept for each medication and the time it is given. I think that we could be responsible for getting the exact time for a single dose and telling the nurse when she came into the room but I think there would be too much fear of liability if more than one med was given to take and something happened if the patient misdosed themselves. Charlie At 11:45 PM 7/9/01 -0400, you wrote: >hi all > >ditto on the amen! charlie and mary ann! > >this sounds like a great beginning >to a PD awareness program! > >i wonder if it might be possible (assuming the patient is >conscious and cognizant) for the parky's physician to set up a >"self-medication" protocol so that pd patients can take their >pd meds on their own without bothering the nursing/medical >staff at all? or would this undercut the awareness value of >the education/discussion efforts? > > >janet > > >At 21:00 2001/07/09 -0500, Charles T. Meyer, M.D. wrote: > >AMEN; > > > >If the patient is able to take his/her own Meds perhaps one > >dose of Sinemet and other vital meds can be placed on the > >bedside table an hour prior to when the next dose is due to > >be taken with nurses checking at their leisure that it has > >been taken. That way the time pressure is less for the nursing > >staff and the PWP-patient. We know when it is time to take our > >meds and most of us are usually quite reliable in taking them. > >The nurse should always check to be sure it has been taken but > >doesn't have to drop everything that she is doing and give the > >meds out for a PWP. > > > >PWP are rare enough as inpatients in most hospitals that nursing > >needs to be educated about optimal med timing for PD patients. > >Ask the head nurse to meet with her staff and discuss the potential > >problem, since in general nursing 2:00 PM often can mean anything > >from 1-3 PM . The nursing staff will often see the PWP as demanding > >and we will see the nursing staff as uncaring and incompetent . > > > >I hope pose this idea and ask the RN out there if it passes federal > >and state rules it might be adopted by some institutions in order to > >make life easier for nursing and hospitals as well as PWP who are > >served by them. > > > >Charlie > > > >At 11:16 AM 7/9/01 -0400, Mary Ann wrote: > >>The hospital care horror stories of PD patients comes up rather > >>frequently on this list. Inevitably, the comment is made that > >>hospital personnel should certainly be prepared to take care of > >>the complicated medical regimen that PD folks depend upon to > >>function. I've commented on this problem before, and it's time > >>to review the reality of the response of hospital personnel to PD. > >> > >>1. PD patients are *infrequently* hospitalized. Those that are > >>admitted usually have an acute problem unrelated to PD. > >>2. The PD patients most seen on medical units *do not have > >>complicated medical regimens.* Yesterday, for instance, I cared > >>for a man with PD who was obviously under-medicated (and barely > >>functional as a consequence). He was receiving Sinemet 3 x day > >>before meals - that was it. > >>3. When a person with a complicated medical regimen is admitted > >>to the hospital it is *critical* that the medication schedule used > >>at home be somewhere at the patient's bed side as well as in the > >>patient's chart and at the nurses station. The bigger the font type > >>used for such a schedule, the better. Believe me.......all medical > >>staff in a general medical surgical hospital need to be appraised > >>over and over again about the importance of timely medication > >>administration for PD patients - such patients are *rare*, therefore > >>personnel need to be educated by family members about the importance > >>of timely med administration. Having a loved one staying with the > >>patient is not a bad idea. > >> > >>The reality of hospital care today is that we are suffering a > >>terrible nursing shortage in the midst of ever increasing acute > >>medical cases appearing on general med-surg units. The person having > >>the coronary is going to be getting more attention than the PD patient > >>down the hall ... it is an unfortunate situation that isn't going to > >be resolved any time soon. > >>------- > >>God bless > >>Mary Ann Ryan R.N. > >janet paterson: an akinetic rigid subtype, albeit perky, parky . >pd: 54/41/37 cd: 54/44/43 tel: 613 256 8340 email: [log in to unmask] . >snail mail: 375 Country Street, Apt 301, Almonte, Ontario, Canada, K0A 1A0 . >a new voice: the nnnewsletter: http://groups.yahoo.com/group/janet313/ . >a new voice: the wwweb site: http://www.geocities.com/janet313/ . > >---------------------------------------------------------------------- >To sign-off Parkinsn send a message to: mailto:[log in to unmask] >In the body of the message put: signoff parkinsn Charles T. Meyer, M.D. Middleton, WI PD DX 12 years (at age 44) Age 56 ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn