Medication Administration PT 2- Non-Medication Interventions

A large part of psychiatric medication administration is attempting non-medication interventions prior to the medication to see if the behavior/symptoms go away on their own. I currently have a google doc called “Ryan’s Non-Medication Interventions.” An intervention can be anything from having a snack or (non-alcoholic) beverage, going for a walk, or listening to music. In long term care, the EMAR (electronic medication administration record) will often require caregivers to attempt at least three non-medication interventions prior to administering psychiatric PRN’s (“pro-re-nata”-as needed medications). 

In long term care- memory care in particular, these interventions may be a bit different, and are often related to unmet base physical needs. These can include checking for pain, toileting, providing an activity, or redirection to a quiet environment. Many times, these interventions will work, but sometimes they don’t, and that is when med techs will choose to administer a medication to someone who needs it. 

Here are some ideas for non-medication interventions, if you are looking to implement them:

1. Going for a walk outside/exercise
2. Drinking a non-alcoholic drink
3. Getting a snack
4. Listening to music
5. Playing a musical instrument
6. Watching TV
7. Going to a quiet environment
8. Calling a friend
9. Petting an animal
10. Reading a book
11. Cooking
12. showering/bathing
13. Taking a nap
14. Going outside

Having the right medication and dose is important, however, having good interventions in place when you are struggling is just as important. If you need to take a psychiatric PRN, take it, but try some interventions first! You may find that through these interventions that you may not need to take your PRN’s as often.