When patients must take self-administered medications at home, it is important to assess whether they are able to understand the meds, side effects, and times of administration. The patient must also be cognitively aware and not confused (ex. Alzheimer's patients need supervision usually). The physical ability to administer a medication is also important. For example, it may be impossible for a 300 pound patient to apply topical medication to a foot infection, or a person with a burn to the mid-back cannot reach the area. As well, if administration requires a "nursing skill", the patient would need taught proper administration before taking over the administration. Some meds (Lovenox injections into the abdomen; or heparin to an IV port) can only be done by a skilled nurse.
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