Can community pharmacy successfully bridge the gap in care for housebound patients?
| Autor: | Anil Patel, Reem Kayyali, Gillian Funnell, Nicola Harrap |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty media_common.quotation_subject Population Pharmacist Pharmaceutical Science Community Pharmacy Services Pharmacy Difficulty swallowing 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine Hygiene London Humans Medicine 030212 general & internal medicine Medicine use education Aged media_common Aged 80 and over education.field_of_study Home modification business.industry Middle Aged Pharmaceutical care Community pharmacy Family medicine Polypharmacy Female Homebound Persons business |
| Zdroj: | Research in Social and Administrative Pharmacy. 15:425-439 |
| ISSN: | 1551-7411 |
| Popis: | Background There are an increasing number of older housebound patients who are not seen by the pharmacists responsible for the provision of their medications. This growing population is increasingly dependent on time-limited carers for their medication support. Objectives To evaluate the findings of pharmacist led holistic domiciliary medicine use reviews (dMUR) targeted at this group of housebound patients, in terms of required medication support and the identification of unmet social care needs. Methods Patients were identified in the London Borough of Richmond (UK) who were predominantly housebound and taking multiple medications. Twelve community pharmacists visited patients and carried out interviews as part of a structured holistic dMUR, which included understanding the patients' living conditions. Results Altogether 133 patients completed the dMUR with the pharmacist. Patients had a mean age of 81.7 years (range 49–98 years) and took an average of 9.4 different medications, 3 of which being high risk. Nearly 40% had difficulties taking their medications, including a lack of dexterity or difficulty swallowing. Over a quarter (26.8%) of diabetic patients lacked monitoring. Patients were identified with a risk of falling (14.3%) and inadequate social care (11.3%). Continence, dehydration, hygiene and nutrition issues were found, often caused by mobility problems or a lack of suitable toilet facilities. A need for home modifications such as hand rails to prevent falls was also identified. Conclusions This study highlighted the varied difficulties facing housebound patients identified during the pharmacists' visits, including a lack of social care provision and fall hazards. Domiciliary visits by pharmacists may be able to help identify the diverse care needs of isolated housebound patients helping to integrate their care requirements. |
| Databáze: | OpenAIRE |
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