One of the major problems in elderly care is the issue of medication non-compliance and the time and cost of dispensing it, not only for those with Dysphagia but also with Dementia patients.
The incidence of non-compliance in elderly care is estimated to be 70%; and higher in Dementia care. The patients’ cognitive ability deteriorates in the latter part of the day, particularly from approximately 4pm. As a result, nurses are spending several hours, especially in the evening, trying to encourage patients to take their medication. For patients with Dementia, this is a growing problem.
Taking medication during the mentioned time, or prior to it, can assist reduce confused states where patients experience increased anxiety and sometimes display psychotic behaviors. The later the medication is given, the more difficult it becomes to manage these symptoms. This results to patients being less compliant in taking their medication.
Giving medications prior to the onset of the symptoms mentioned could, of course, reduce the likelihood of the patient displaying it.
Another complication is that often patients suffering from dementia have difficulty remaining hydrated. If dehydration occurs, many physical symptoms and psychiatric symptoms can occur including urinary tract infections, confused states, constipation and a general deterioration of cognition.
Dementia and medication non-compliance in a clinical setting is an illustration of a real life problem which led to developing a means to liquefy solid dose medication.