Drug therapy problems identified among older adults placed in a nursing home: the Croatian experience

Autor: Ivona Jukić, Donatella Verbanac, Sanda Vladimir Knežević, Katarina Fehir Šola, Andrea Brajković, Iva Mucalo
Rok vydání: 2020
Předmět:
Male
Prospective Clinical Research Report
Medicine (General)
medicine.medical_specialty
Drug-Related Side Effects and Adverse Reactions
Croatia
Medication Therapy Management
pharmaceutical care
comprehensive medication management services
Pharmacists
030226 pharmacology & pharmacy
Biochemistry
03 medical and health sciences
R5-920
0302 clinical medicine
Prevalence
medicine
Humans
Prospective Studies
030212 general & internal medicine
older adults
Aged
Aged
80 and over
Croatian
Health Services Needs and Demand
Nursing home
drug therapy problems
business.industry
Biochemistry (medical)
Cell Biology
General Medicine
Quality Improvement
language.human_language
Nursing Homes
Drug therapy problems
Cross-Sectional Studies
Pharmaceutical care
Family medicine
Polypharmacy
language
Female
Observational study
terapijski problemi
starija životna dob
business
Nursing homes
polymedication
Zdroj: Journal of International Medical Research, Vol 48 (2020)
The Journal of International Medical Research
ISSN: 1473-2300
0300-0605
DOI: 10.1177/0300060520928791
Popis: ObjectiveThe aim of this study was to determine the frequency and type of drug therapy problems (DTPs) in older institutionalized adults.MethodWe conducted a cross-sectional observational study from February to June 2016 at a 150-bed public nursing home in Croatia, where comprehensive medication management (CMM) services were provided. A rational decision-making process, referred to as the Pharmacotherapy Workup method, was used to classify DTPs.ResultsData were prospectively collected from 73 residents, among which 71% were age 75 years or older. The median number of prescribed medications per patient was 7 (2–16) and polypharmacy (> 4) was recorded for 54 (74.0%) patients. A total 313 DTPs were identified, with an average of 4.3 ± 2 DTPs per patient. The most frequent DTP was needing additional drug therapy (n = 118; 37.7%), followed by adverse drug reaction (n = 55; 17.6%). Lactulose (14.4%), tramadol (6.7%), and potassium (6.4%) were the medications most frequently related to DTPs.ConclusionThe high prevalence of DTPs identified among older institutionalized adults strongly suggests the need to incorporate new pharmacist-led CMM services within existing institutional care facilities, to improve the care provided to nursing home residents.
Databáze: OpenAIRE
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