RESEARCH QUESTIONNAIRE

TITLE: BARRIERS AND STRATEGIES TO ORAL MEDICATION ADMINISTRATION IN

TODDLER CLIENTS AS VIEWED BY BARANGAY HEALTH CENTER NURSES IN
VALENCIA CITY BUKIDNON

Part I. Socio-demographic

Name (Optional) _______________________ Age: _____ Gender: ___

Civil Status:   Single __ Length of work   < 2 __

  Married __ experience   2-3 __
as a Barangay
  Widow __ Health Center   3-5 __
  Widower __ Nurse ( in years)   > 5 __
  Separated __
  Others, please specify _________________

Part II. Difficulties experienced when administering oral medication to toddler patients
(Please check if you have experienced the following difficulties)

1. Lack of full dissolvent of tablets or non-homogeneous distribution of tablets in fluid.

2. Difficulty in breaking tablets in appropriate doses.
3. Dosage loss due to breaking of tablets.
4. Dosage loss because of extraction of drugs inside tablets and dilution.
5. Preparation of drugs in a very small and restricted area.
6. Adherence of tablets to cup or injector when diluted.
7. Multiple distractions of nurses during preparation of drugs.
8. Difficulty in calculating small doses.
9. Too much time loss because of preparation of tablets.
10. Contamination while separating small pieces of tablets.
11. Absence of appropriate devices for dividing drugs.
12. Rejection of drugs with bad taste by vomiting/taking out of mouth.
13. Inability to ingest tablets.
14. Inability to know how much drug is received when taken out of mouth.
15. Difficulty in giving drug if child is sleeping/agitated at drug time.
16. Increased amount given when too much water is given to dilute the drug.
17. Time lost because of inability of children to ingest drugs.
18. Rejection of drug by children with mucositis.
19. Pretending as if ingesting or ingested drug and taking them out.
20. Inability to give drugs to patients due to non-cooperation or mental retardation.
21. Inability to allow time for drug administration because of heavy workload.
22. Contamination while separating small pieces of tablets.
23. Absence of appropriate devices for dividing drugs.

What are other difficulties you experienced when administering oral medications to
toddler patients?
_________________________________________________________________________
_________________________________________________________________________
_______________________.
Part III. Strategies in addressing the identified problems or barriers
(Please check if you have experienced the following strategies)

1. Change the palatability of drugs. If yes, did you change its:

____ taste
____ smell
____ color?
2. Give the child an active role such as role-playing.
3. Use of persuasion to increase cooperation. If yes, did you use:
____ bribes
____ rewards
____ threats
____ festivities?
4. Camouflaging the drug by mixing in food.
5. Use of distraction and other activity when giving the drug.
6. Use of restraints and force the drug into the mouth of the child to allow swallowing.
7. Pinching the nose.
8. Blowing in the face.

What other strategies did you employ when giving oral medication to toddler clients.
(Please share personal experiences):
_________________________________________________________________________
_________________________________________________________________________
____________________