Free Medication Checklist for Seniors Template

Seniors Medical Checklist

Name:

[your name]

Company Name:

[your company name]

Company Address:

[your company address]

Medication Inventory

  • Have you listed all medications by name?

  • Have you recorded the exact dosages as prescribed?

  • Is the timing and frequency of each medication accurately tracked?

  • Are there clear special instructions noted for each medication?

  • Have you checked for potential interactions between medications?

Health & Safety Checks

  • Have you evaluated any adverse effects from the medications?

  • Are the medications stored in a safe and appropriate environment?

  • Is the exact prescribed dosage being administered without error?

  • Is there regular monitoring of blood pressure and heart rate?

  • Are there any signs of allergic reactions or side effects?

Risk Reduction

  • Are all medications taken as per the prescribed schedule?

  • Have you verified that all prescriptions are current and not expired?

  • Is there a system in place to avoid missed doses or doubling up?

  • Is there regular consultation with a pharmacist for drug interactions?

  • Have you checked for contraindications with over-the-counter medications?

Elder Care Assistance

  • Does the senior have adequate assistance in managing their medications?

  • Does the senior understand the importance and purpose of each medication?

  • Is there an automatic medication dispenser in use for ease?

  • Are there regular doctor visits and scheduled check-ups?

  • Is there a system in place for emergency medical situations?

Additional Considerations

  • Is there an updated list of emergency contacts available?

  • Have you confirmed the senior's health insurance details?

  • Is there a contingency plan for medication management during travel?

  • Have you assessed the need for dietary adjustments due to medications?

  • Is there a record of the senior’s medical history and previous reactions to medications?

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