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ACCIDENTAL INGESTION OF MEDICATION IN CHILDREN

ACCIDENTAL INGESTION OF MEDICATION IN CHILDREN. Presented By: Mallory Olson, Debby Boyle, Diedre Bringold, Stacie Brown and Koren May. Summary of Analysis. Problem Statement.

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ACCIDENTAL INGESTION OF MEDICATION IN CHILDREN

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  1. ACCIDENTAL INGESTION OF MEDICATION IN CHILDREN Presented By: Mallory Olson, Debby Boyle, Diedre Bringold, Stacie Brown and Koren May

  2. Summary of Analysis

  3. Problem Statement Unintentional ingestion of medication by children under the age of five as evidenced by increasing incidence in statistical data of children who live in Kent County, Michigan.

  4. Risk Factors • Multigenerational Housing • Improper Storage of Medications • Look-a-like Medications • Language Barriers • Polypharmacy

  5. COMMUNITY CHANGE PROJECT

  6. Change Committee • Public Health Direct Contact Nurse • Public Health Nurse Manager • Pharmacist From the Community • Community Member This committee will meet twice monthly for 2 hours.

  7. Plan • Determine at risk homes • Development assessment criteria/questions • Solicit donations of lock boxes for medications • Provide education to parents and grandparents • Provide educational and distribute educational materials (i.e. brochures).

  8. At Risk Homes Definition - A home where a child 5 years or under lives and has one or more of the following risk factors; multigenerational housing, improper storage of medications, language barriers, and polypharmacy.

  9. Goals • Raise awareness of the problem • Increase in availability of education • Decrease rate of incidence of accidental ingestion over a two year period • Save lives

  10. Interventions

  11. Interventions • Make safe storage suggestions • Giving clients lock boxes/cabinet locks • Present educational materials in clients first language through use of medical interpreter or translator for written materials • Provide poison control number stickers for home telephones • Educate the community on rates and prevention through the distribution of brochures to schools, pharmacies, and physician offices

  12. “Physicians have an important opportunity to assist in preventing pediatric pharmaceutical exposures by instructing parents and grandparents on how to better limit children’s access to medications as an essential component to enhance child safety” (Carraccio & McFee, 2006, p. 405).

  13. Educational Materials • Brochures • Focus is on prevention • Remove potential poisons/medications from the sight and reach of children • Be sure to properly close child-resistant containers • Keep hazardous substances in their original packaging • Properly dispose of unused medications • Do not describe medicine as candy

  14. LOOK ALIKE MEDICATIONS: Make a display of available pills. Find candies that look like pills and hot glue on poster board & place in a clear plastic box frame. Let the client guess which are pills and which are candy. Relate this to a child’s perspective. White Tylenol caplets and Good N Plenty Red round Sudafed and Red Hot Candies Colored gelcaps (any kind) and jellybeans Pastel round flat antacids and SweeTarts Round coated Advil and tropical M&M’s Brown round pyridium and M&M’s

  15. Evaluation

  16. Evaluation • Re-assess the same homes January-March 2013 using random appointments • Check accidental ingestion rates after 2 years • Committee will meet to analyze incidence rates and assess whether there was improvement or not • Committee will address problems or improve-ments to plan/interventions

  17. References • Caraccio, T. R., & McFee, R. B. (2006). Hang up your pocketbook- an easy intervention for the granny syndrome: Grandparents as risk factors in unintentional pediatric exposures to pharmaceuticals. Journal of American Osteopathic Association, 106(71), 405-411. Retrieved from https://fsuvista.ferris.edu:443/webct/urw/lc3282806426071.tp3311107390041/RelativeResourceManager/sfsid/3637652669081 • (Harvard Medical School 200406 Syrup of ipecac)The Harvard Medical School. (2004, June). Syrup of ipecac. Retrieved from http://www.health.harvard.edu/fhg/updates/update0604a.html • (Pender N Murdaugh C Parsons M A 2011)Pender, N., Murdaugh, C., & Parsons, M. A. (2011). In Health promotion in nursing practice (6th ed., p. ). Upper Saddle River, NJ: Pearson.

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