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Diocese of Matches Maladministration of Medication Permission for child×youth to carry and×or use emergency medication for potentially life-threatening condition Child's×Youths Name: DOB: Parish:

How to fill out selfadministration of medication

How to fill out self-administration of medication:

Gather all necessary information:

1. Ensure you have the correct medication prescribed by your healthcare provider.
2. Make sure you have a clear understanding of the prescribed dosage and frequency of medication intake.
3. Check if any additional instructions or precautions are mentioned on the prescription or medication label.

Organize your medications:

1. Sort and label your medications, keeping them in separate containers if needed.
2. Keep track of expiration dates and discard any expired medications.
3. If using a pill organizer, make sure to fill the compartments correctly and according to the prescribed schedule.

Create a medication schedule:

1. Use a calendar or a medication tracker to establish a routine for when to take each medication.
2. Include specific times of the day for each medicine, considering any instructions such as before or after meals.
3. Use alarms or reminders on your phone to help you remember to take your medication on time.

Understanding dosage:

1. If your medication requires measuring, use the appropriate measuring tools like a syringe, dropper, or measuring spoon.
2. Read and follow the instructions provided with the medication for accurate dosage measurement.
3. Consult your healthcare provider or pharmacist if you have any doubts regarding dosage or medication administration.

Administering the medication:

1. Wash your hands thoroughly before handling any medication.
2. Take the prescribed dosage as directed, either with water or as instructed by your healthcare provider.
3. If you experience any difficulties swallowing pills, consult your healthcare provider for possible alternatives such as liquid or crushed form.

Who needs self-administration of medication:

Patients with chronic conditions:

1. Individuals with chronic diseases like diabetes, hypertension, asthma, or autoimmune disorders often need long-term medication management.
2. Self-administration allows them to monitor and control their medication intake according to their healthcare provider's guidelines.

Individuals with disabilities or limited mobility:

1. People with physical disabilities or limited mobility may require assistance in daily living activities, including medication administration.
2. Self-administration allows them to take medications independently and promotes self-sufficiency.

Those practicing self-care:

1. Some individuals prefer to take charge of their own healthcare and medication management.
2. Self-administration gives them the flexibility to adhere to their prescribed medication regimen without relying on others.

Patients transitioning from hospital to home:

1. Patients who have been discharged from the hospital may be asked to continue self-administering their medications.
2. This ensures continuity of care and reduces the need for frequent medical visits.

Remember, it is crucial to consult your healthcare provider or pharmacist for specific guidance and instructions related to your medication and self-administration process.

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