Related Experiment Video
Updated: Apr 24, 2026

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
Medication compliance protocol for pediatric patients with severe intellectual and behavioral disabilities
Christina Epitropakis1, Elizabeth A DiPietro2
1Pediatric registered nurse on the Neurobehavioral Unit at Kennedy Krieger Institute, Baltimore, MD.
Insights
Pediatric nurses developed a medication compliance protocol for children with intellectual and behavioral disabilities. This protocol improved medication administration success rates in a small inpatient group.
Area of Science:
- Pediatric Nursing
- Behavioral Health
- Intellectual Disabilities
Background:
- Patient medication refusal and noncompliance are common challenges in pediatric care.
- Administering medications to children with severe intellectual and behavioral disabilities presents unique difficulties.
Purpose of the Study:
- To develop and implement a medication compliance protocol for an inpatient unit of children with severe intellectual and behavioral disabilities.
- To improve medication administration success rates in this challenging patient population.
Main Methods:
- Registered nurses (RNs) on an inpatient unit devised a specific protocol for medication administration.
- The protocol was implemented with a small group of six pediatric patients diagnosed with severe intellectual and behavioral disabilities.
Main Results:
- The initial implementation of the medication compliance protocol achieved an 83.3% success rate.
- This positive outcome was observed over a 4-week period with the six participating patients.
Conclusions:
- Consistent application of the developed medication compliance protocol led to positive outcomes in medication administration.
- Despite the small sample size, the protocol demonstrated effectiveness in improving medication compliance for pediatric patients with severe intellectual and behavioral disabilities.
Abstract:
Pediatric nurses are well aware of patient medication refusal. For a variety of reasons, many pediatric patients are noncompliant with their medication regimen. Medication administration is even more difficult when the population has severe intellectual and behavioral disabilities. An inpatient unit composed of children with these diagnoses presented a unique challenge. To address this issue, the unit RNs devised a medication compliance protocol. Initial implementation resulted in a success rate of 83.3% for six patients, after 4 weeks. Despite the small sample size, the RNs experienced a positive outcome with medication administration through consistent application of a medication compliance protocol.
More Related Videos
Related Concept Videos
Pharmacokinetics in Pediatric Patients: Drug Excretion
Drug Dosing: Infants and Children
Drug Therapy
Antianxiety Medications
Drug Dosing: Geriatric Patients
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Dosage Regimen: Fixed Dose
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...

