Medication Management of the Community-Dwelling Older Adult

作者: Karen Dorman Marek , Lisa Antle

DOI:

关键词: Medical prescriptionPsychological interventionIntensive care medicineMEDLINEAdverse drug interactionsMedicineManagement processCognitionMedication ReconciliationHealth care

摘要: Medication management is a complex process that consists of multiple activities. Factors associated with problems in the performance these activities include living alone, impaired vision, cognitive function, ages 75 and older, having three or more medications and/or scheduled doses one day, than prescribing provider. reconciliation key first step medication management. Multiple studies have demonstrated large discrepancies what are ordered by provider actual older adult taking. Evidence supports interventions screen for inappropriate adverse drug interactions, addition to verification prescribed. Other areas assessment related procurement, knowledge, physical ability, capacity, intentional nonadherence. Ongoing monitoring crucial.Nurses play pivotal role adults. Considering expense prescription drugs current health care system, small investment providing comprehensive assist adults accurate safe their will provide cost-effective increase quality life struggling manage often-complex regimens.

参考文章(214)
Catherine Ecock Connelly, An empirical study of a model of self-care in chronic illness. Clinical Nurse Specialist. ,vol. 7, pp. 247- 253 ,(1993) , 10.1097/00002800-199309000-00007
Elizabeth Neely, Maxine L. Patrick, Problems of aged persons taking medications at home. Nursing Research. ,vol. 17, pp. 52- ,(1968) , 10.1097/00006199-196801000-00023
C.M.J. Cline, A.K. Björck-Linné, B.Y.A. Israelsson, R.B. Willenheimer, L.R. Erhardt, Non-compliance and knowledge of prescribed medication in elderly patients with heart failure European Journal of Heart Failure. ,vol. 1, pp. 145- 149 ,(1999) , 10.1016/S1388-9842(99)00014-8
B S Hulka, J C Cassel, L L Kupper, J A Burdette, Communication, compliance, and concordance between physicians and patients with prescribed medications. American Journal of Public Health. ,vol. 66, pp. 847- 853 ,(1976) , 10.2105/AJPH.66.9.847
Vicki Conn, Susan G. Taylor, Anita Stineman, Medication management by recently hospitalized older adults. Journal of Community Health Nursing. ,vol. 9, pp. 1- 11 ,(1992) , 10.1207/S15327655JCHN0901_1
P RUDD, N HOUSTONMILLER, J KAUFMAN, H KRAEMER, A BANDURA, G GREENWALD, R DEBUSK, Nurse management for hypertension. A systems approach. American Journal of Hypertension. ,vol. 17, pp. 921- 927 ,(2004) , 10.1016/J.AMJHYPER.2004.06.006
Leslie Mcdonald-Miszczak, Paula Maris, Tracy Fitzgibbon, Gina Ritchie, A pilot study examining older adults' beliefs related to medication adherence: the BERMA survey. Journal of Aging and Health. ,vol. 16, pp. 591- 614 ,(2004) , 10.1177/0898264304265772
D M Parkin, C R Henney, J Quirk, J Crooks, Deviation from prescribed drug treatment after discharge from hospital. BMJ. ,vol. 2, pp. 686- 688 ,(1976) , 10.1136/BMJ.2.6037.686
Marcel L Bouvy, Eibert R Heerdink, John Urquhart, Diederick E Grobbee, Arno W Hoe, Hubert G.M Leufkens, Effect of a pharmacist-led intervention on diuretic compliance in heart failure patients: a randomized controlled study. Journal of Cardiac Failure. ,vol. 9, pp. 404- 411 ,(2003) , 10.1054/S1071-9164(03)00130-1
Maribel Salas, Bas A In't Veld, Paul D van der Linden, Albert Hofman, Monique Breteler, Bruno H Stricker, Impaired cognitive function and compliance with antihypertensive drugs in elderly: The Rotterdam Study Clinical Pharmacology & Therapeutics. ,vol. 70, pp. 561- 566 ,(2001) , 10.1067/MCP.2001.119812