New medications
Older people are often more sensitive to medication changes. Side effects can look like confusion, sleepiness, agitation, loss of appetite, wounds or falls.
Consent and Understanding
People have the right to be involved in decisions about their medications. That includes understanding why a medication has been started, what it is expected to help with, and what side effects to watch for.
If a person has capacity to discuss their medications, they should be asked for their consent before a new medication is started. If decision-making is shared or supported, it’s reasonable for families or representatives to be informed and involved in discussions. Asking how consent was obtained — and how understanding is being checked over time — helps ensure care remains respectful and person-centred.
Questions you can ask
What is this medication for?
What side effects should we watch for?
Who is monitoring the response?
What to look out for
Increased sleepiness or restlessness
Changes in mood or engagement
Unsteadiness
Changes in appetite
Increasing wounds or bleeding
For loved ones who can’t be there
If you’re not able to be present, you can still ask for clear, practical information. This might include the medication name and reason it was prescribed, the start date, how consent was discussed, observed side effects, recent falls or behaviour changes, and confirmation that the RN and GP have reviewed how the medication is affecting the person. Requesting the most recent medication chart or review can help you see the full picture.
Ask for:
An updated medication list (called a schedule)
GP or pharmacist review notes
Recent falls reports
Weight loss reports
Recent wound reports
Simple things you can request
Clear written information
Monitoring during the first few weeks
A pharmacist or GP review if concerns arise
Why it’s okay to ask
Understanding medication helps everyone respond early if something isn’t working well.
If you’re still concerned
Ask for a Residential Medication Management Review, especially if behaviour or alertness changes.
Where to get more information
Medication: it’s your choice - OPAN
Medication: it's your choice | Aged Care Quality and Safety Commission
