Ensuring Safety at Home: Managing Cancer Medications with Dementia Care

The oral medication for cancer is safe?

Hello, doctor! Our elder at home is suspected to have dementia.
He has been receiving medical treatment and medication for dementia, but the effects are minimal.
He forgets to wash his hands after taking his chemotherapy medication and often rummages through the house, displacing items that family members have organized, making it difficult for us to find things.
Currently, the doctor has prescribed him one oral medication for cancer treatment daily.
I would like to ask if our home environment could negatively impact the health of young children in the household? We are concerned about the possibility of trace amounts of medication on surfaces in the home affecting family members.
Besides ensuring that children do not directly touch the medication, is there anything else we can do? Thank you for taking the time to answer.

Jiaxin Binggan, 40~49 year old female. Ask Date: 2017/08/16

Dr. Lai Yicheng reply Oncology

Hello, Ms.
Sandwich Cookie.
Regarding the safety of oral medications for cancer treatment, it is advisable to consult your hospital's pharmacist for a more secure recommendation.
Thank you for reaching out.
Best regards, Dr.
Lai Yi-Cheng, Department of Radiation Oncology, Changhua Hospital.

Reply Date: 2017/08/16

More Info

Managing cancer medications in a household where an elderly family member has dementia presents unique challenges, particularly concerning safety and the well-being of other family members, including young children. The situation you described raises valid concerns about the potential for medication mismanagement and the risk of exposure to harmful substances.

Firstly, it is important to understand that cancer medications, such as the one your elder is taking (癌得星), can have specific handling and storage requirements. While these medications are generally safe when taken as prescribed, improper handling or accidental exposure can pose risks, especially to young children. Here are some strategies to ensure safety at home:
1. Secure Storage: Medications should be stored in a locked cabinet or a high shelf that is out of reach of children. This prevents accidental ingestion or contact with the medication.

2. Clear Communication: Since your elder has dementia, it is crucial to establish a routine for medication administration. Use visual aids, such as charts or reminders, to help them remember when to take their medication and the importance of washing their hands afterward. This can help mitigate the risk of transferring any medication residue to surfaces.

3. Medication Management: Consider using a pill organizer that can help in managing dosages. This can reduce the chances of the elder forgetting whether they have taken their medication and minimize the need for them to handle the medication frequently.

4. Regular Monitoring: Family members should regularly check on the elder's medication adherence and ensure that the medication is being taken correctly. This can also help in identifying any potential issues early on.

5. Hygiene Practices: After the elder takes their medication, ensure that they wash their hands thoroughly. You might also want to clean the surfaces where the medication is handled to remove any potential residue. Using disinfectant wipes can be an effective way to maintain cleanliness.

6. Educate Family Members: Make sure that all family members, especially those who interact with the elder, are aware of the medication and its potential risks. This includes educating them about the importance of not touching the medication or any surfaces that may have come into contact with it.

7. Consult Healthcare Professionals: It is advisable to discuss your concerns with the prescribing physician or a pharmacist. They can provide specific guidance on the medication's safety, handling, and any potential risks associated with exposure.

8. Emergency Plan: Have a plan in place in case of accidental exposure or ingestion. This includes knowing who to contact (e.g., poison control, emergency services) and having necessary information readily available.

In conclusion, while managing cancer medications in a home with an elderly individual suffering from dementia can be challenging, implementing these strategies can significantly enhance safety for both the elder and other family members, particularly children. Maintaining open communication with healthcare providers and ensuring that all family members are informed and vigilant will help create a safer home environment.

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