TeamTalk

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TeamTalk Session Guide 

Session No. 401 

Medication Safety – Resident Appears Over-Sedated 

Set the scene 

This scenario shows a resident who appears more drowsy and less responsive than usual. Staff first notice the change, then see what could happen if it is not acted on, and finally what good practice looks like. 

Pause 1 discussion 

What could be happening here? 

Suggested answers 

• A clear change from normal 

• Possible illness or medication effect 

• The resident may be unwell 

What are the risks if nothing is done? 

Suggested answers 

• Deterioration 

• Choking 

• Falls 

• Delay in getting help 

Pause 2 discussion 

What risks does this situation present? 

Suggested answers 

• Choking 

• Falls 

• Becoming more unwell 

• Missing early warning signs 

Has anything similar happened in your setting? 

Suggested answers 

• Staff may recognise early warning signs 

• Small changes can be important 

Final discussion 

What should staff do when they notice a change? 

Suggested answers 

• Take the change seriously 

• Report promptly 

• Monitor the resident 

• Record observations clearly 

• Follow local procedures 

Why is it important to act early? 

Suggested answers 

• Prevents harm 

• Allows quicker support 

• Small changes can indicate serious issues 

Key learning points 

• A clear change from normal should always be taken seriously 

• Staff often recognise when something is not right 

• Ignoring concerns can lead to harm 

• Early reporting, monitoring, and recording are essential 

• Staff do not need to know the cause before raising a concern 

Reflective question 

What signs of change in a resident would make you stop and report a concern? 

Further support 

• NICE: Managing medicines in care homes 

• CQC: Medicines management 

• NHS: Medicines and falls