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Medication Monitoring for People with Dementia in Care Homes: The Feasibility and Clinical Impact of Nurse-Led Monitoring
Joint Authors
Russell, Ian Trevor
Jordan, Sue
Gabe, Marie
Newson, Louise
Snelgrove, Sherrill
Panes, Gerwyn
Picek, Aldo
Dennis, Michael
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-22
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Objectives.
People with dementia are susceptible to adverse effects of medicines.
However, they are not always closely monitored.
We explored (1) feasibility and (2) clinical impact of nurse-led medication monitoring.
Design.
Feasibility “before-and-after” intervention study.
Setting.
Three care homes in Wales.
Participants.
Eleven service users diagnosed with dementia, taking at least one antipsychotic, antidepressant, or antiepileptic medicine.
Intervention.
West Wales Adverse Drug Reaction (ADR) Profile for Mental Health Medicines.
Outcome Measures.
(1) Feasibility: recruitment, retention, and implementation.
(2) Clinical impact: previously undocumented problems identified and ameliorated, as recorded in participants’ records before and after introduction of the profile, and one month later.
Results.
Nurses recruited and retained 11 of 29 eligible service users.
The profile took 20–25 minutes to implement, caused no harm, and supplemented usual care.
Initially, the profile identified previously undocumented problems for all participants (mean 12.7 (SD 4.7)).
One month later, some problems had been ameliorated (mean 4.9 (3.6)).
Clinical gains included new prescriptions to manage pain (2 participants), psoriasis (1), Parkinsonian symptoms (1), rash (1), dose reduction of benzodiazepines (1), new care plans for oral hygiene, skin problems, and constipation.
Conclusions.
Participants benefited from structured nurse-led medication monitoring.
Clinical trials of our ADR Profile are feasible and necessary.
American Psychological Association (APA)
Jordan, Sue& Gabe, Marie& Newson, Louise& Snelgrove, Sherrill& Panes, Gerwyn& Picek, Aldo…[et al.]. 2014. Medication Monitoring for People with Dementia in Care Homes: The Feasibility and Clinical Impact of Nurse-Led Monitoring. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1051313
Modern Language Association (MLA)
Jordan, Sue…[et al.]. Medication Monitoring for People with Dementia in Care Homes: The Feasibility and Clinical Impact of Nurse-Led Monitoring. The Scientific World Journal No. 2014 (2014), pp.1-11.
https://search.emarefa.net/detail/BIM-1051313
American Medical Association (AMA)
Jordan, Sue& Gabe, Marie& Newson, Louise& Snelgrove, Sherrill& Panes, Gerwyn& Picek, Aldo…[et al.]. Medication Monitoring for People with Dementia in Care Homes: The Feasibility and Clinical Impact of Nurse-Led Monitoring. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1051313
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1051313