title: Medication compliance protocol for pediatric patients with severe intellectual and behavioral disabilities.
abstract: Pediatric nurses are well aware of patient medication refusal. For a variety of reasons, many pediatric patients are noncompliant with their medication regimen. Medication administration is even more difficult when the population has severe intellectual and behavioral disabilities. An inpatient unit composed of children with these diagnoses presented a unique challenge. To address this issue, the unit RNs devised a medication compliance protocol. Initial implementation resulted in a success rate of 83.3% for six patients, after 4 weeks. Despite the small sample size, the RNs experienced a positive outcome with medication administration through consistent application of a medication compliance protocol.
authors.affiliation: Pediatric registered nurse on the Neurobehavioral Unit at Kennedy Krieger Institute, Baltimore, MD.
authors.forename: Christina
authors.initials: C
authors.lastname: Epitropakis
authors.affiliation: Clinical nurse specialist at Kennedy Krieger Institute, Baltimore, MD. Electronic address: dipietroe@kennedykrieger.org.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: DiPietro
mesh_terms: D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000188:drug therapy*; D002675:Child, Preschool; D019988:Children with Disabilities / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007297:Inpatients; D008607:Intellectual Disability / Q000175:diagnosis / Q000188:drug therapy*; D008297:Male; D020380:Needs Assessment; D010371:Pediatric Nursing / Q000379:methods*; D010372:Pediatrics; D004364:Pharmaceutical Preparations / Q000008:administration & dosage*; D012720:Severity of Illness Index; D014481:United States; D016903:Drug Monitoring
chemical_list: D004364:Pharmaceutical Preparations
keywords: Administration; Autism; Compliance; Medication; Refusal