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When your mom appears to be argumentative or accusatory about the meds, she's not. She's confused and really thinks you're mistaken. But you can't physically force her to take her meds. That's why I suggested that you call her doctor. They need to know what's going on for 2 reasons. 1) Her missed doses can be corrected 2) You don't get blamed for not seeing to it that she's taking her meds.
You will need to take control of the inhaler and monitor its use more closely.
Oh you'll have a discussion about it.... ;) no doubt. But if she's over-medicating; it needs to be stopped.
I made notes on my mom's medication chart for times she refused to take pills. That way - if a 911 call was necessary; I could give them accurate information.
I have her pills in the box, but she is accusatory, as if I am trying to trick her. I can tell she has missed her inhalers, because they have a number on them for each time they are used. I just found the site where I could print out her medication. It's kind of acheck list. I am having mom initial when she takes her meds, so if she questions it, it is marked with her writing. I just started this yesterday after making my post. She already wanted me to initial it for her. I said no, it wouldn't help for me to initial it. She will feel better if she see's it in her handwriting that she took it. I am crossing my fingers.
My mom (dementia) would refuse to take her pills, saying 'I already took them' when she (as stated above) had obviously not taken them as they were still in the box/dish. I spoke to her doctor about this and was told that if it only happened once in a while - there was no real threat. She was on Coumadin (blood thinner) and a few others for BP, A-Fib, etc. Coumadin is averaged out over a few days, so if a dose is 'missed'; adjust the doses over the next couple of days to make up for it.
Different meds have different operating principles. If your patient skips more than 1 day - call the physician to ask about the appropriate way to make up missed doses.
So don't wait until there's an emergency -- get something set up where someone without dementia is making sure she's taking her meds on a daily basis.
I have totally taken over the administration of her pills. I take them out of the pill minder and put them in a small bowl. She takes them, but has to argue first.
My mom had 19 meds she was on when I took over her care. They were so mixed up Lord only knows what she actually had in her. In her apartment, we added the med nurse service to setup pillbox once a week.
I visited her once to find pills all over the floor. She got mad at the pillbox and threw it at the wall. If anybody ever moves that fridge, they're going to find some $50 pills.
Then we added on the lockbox service with twice daily administration. The nurse would put her pills in a paper cup, set on a big yellow target. Mom still had to independently take them and swallow them. She got to where she wouldn't do it while the nurse was there, and then was not doing it at all.
That was one factor that disqualified her from independent living. She needed more help than you get in that unit. Other things happened, and mom ended up in the 24/7 skilled nursing care unit where she had to take her meds. It was much better for her when she had the right meds at the same time everyday - like it or not.
I think of how nice it would be if she didn't have these health problems -- hypertension and diabetes -- that can't be ignored. This is one of the reasons my mother can't live by herself.