scholarly journals Physicians’ use of computerized clinical decision supports to improve medication management in the elderly – the Seniors Medication Alert and Review Technology intervention

2016 ◽  
pp. 73 ◽  
Author(s):  
Kannayiram Alagiakrishnan ◽  
Patricia Wilson ◽  
Cheryl Sadowski ◽  
Darryl Rolfson ◽  
Mark Ballerman ◽  
...  
Keyword(s):  
Medication Management ◽  
Clinical Decision ◽  
The Elderly ◽  
Technology Intervention ◽  
Clinical Decision Supports

Increasing pediatric to adult healthcare transition services through clinical decision supports

2021 ◽  
Vol 61 ◽  
pp. 292-297
Author(s):  
Katherine Wu ◽  
Caren Steinway ◽  
Adam Greenberg ◽  
Zia Gajary ◽  
David Rubin ◽  
...  
Keyword(s):  
Clinical Decision ◽  
Transition Services ◽  
Healthcare Transition ◽  
Clinical Decision Supports

Exploring hospital nurses’ transitional medication management for older patients with multi-morbidity: An ethnographic study

2021 ◽  
pp. 205715852110617
Author(s):  
Mette Geil Kollerup ◽  
Birgitte Schantz Laursen
Keyword(s):  
Older Patients ◽  
Communication Systems ◽  
Clinical Decision Making ◽  
Medication Management ◽  
Clinical Decision ◽  
Ethnographic Study ◽  
University Hospital ◽  
Hospital Nurses ◽  
Assessment Skills ◽  
Field Notes

Transitional medication management, in which individual needs are balanced against organizational priorities, is crucial for safe discharge processes. The aim of this study was to explore hospital nurses’ transitional medication management in the discharge of older patients with multi-morbidity. Using an ethnographic approach the data were collected through participant observations at a mixed medical ward at a Danish university hospital for two weeks. The participants were five registered nurses, responsible for nursing care of 23 patients with multi-morbidity and planned for discharge. The data comprised field notes that were analysed using iterative processes of domain, taxonomic and component analysis. The reporting adhered to the COREQ checklist. Hospital nurses’ transitional medication management was characterized by unpredictability and inconsistency in patient situations, fragmentation and discontinuity in working processes and complexity in communication systems. Special attention to nurses’ needs assessment skills and clinical decision making in caring for patients with multi-morbidity in a single focused healthcare system is required.

Impact of Pharmacist Interventions on Medication Management by the Elderly: A Review of the Literature

1993 ◽  
Vol 27 (1) ◽  
pp. 80-86 ◽  
Author(s):  
Susan E. Tett ◽  
Gwen M. Higgins ◽  
Carol L. Armour
Keyword(s):  
Elderly People ◽  
Independent Living ◽  
Data Extraction ◽  
Medication Management ◽  
Cost Savings ◽  
The Elderly ◽  
Computer Search ◽  
Self Medication ◽  
Pharmacist Interventions ◽  
The Impact

OBJECTIVE: To review the impact of pharmacist interventions designed to assist older people in managing their medication regimens. DATA SOURCES: A computer search of literature published between 1975 and 1990 was conducted using MEDLINE. References were also identified from the bibliographies of pertinent articles. STUDY SELECTION: Studies included in the review were those evaluating pharmacist interventions that were designed to assist in medication management by people over 65 years of age. Only nine studies were identified by these criteria. Interventions that have not been evaluated are discussed briefly. The studies included were chosen by consensus of the authors. DATA EXTRACTION: A data extraction form was used to summarize the information in each study. RESULTS: This was a qualitative review. Some studies evaluating the effects of short verbal medication counseling episodes showed positive benefits; others showed no benefit. Written medication information, some memory devices, and audiovisual techniques have also been found to be of limited use. Self-medication programs for hospitalized elderly people need to be evaluated. CONCLUSIONS: This review identified the lack of published evaluations of pharmacist interventions in medication management by elderly people. Well-designed studies need to be performed to determine the effects of individualized advice and counseling. The cost-effectiveness of such interventions should be assessed, with consideration of long-term outcomes, such as readmission rates to the hospital and cost savings accruing from increased duration of independent living.

scholarly journals COVID-19 and the elderly: insights into pathogenesis and clinical decision-making

2020 ◽  
Vol 32 (8) ◽  
pp. 1599-1608 ◽  
Author(s):  
Fabio Perrotta ◽  
Graziamaria Corbi ◽  
Grazia Mazzeo ◽  
Matilde Boccia ◽  
Luigi Aronne ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
The Elderly

The Elderly Psychiatric Patient with Positive Syphilis Serology: The Problem of Neurosyphilis

1998 ◽  
Vol 28 (3) ◽  
pp. 333-339 ◽  
Author(s):  
Ishwer L. Bharwani ◽  
Charles O. Hershey
Keyword(s):  
Elderly Patients ◽  
Clinical Decision Making ◽  
Relevant Literature ◽  
Clinical Decision ◽  
The Elderly ◽  
Illustrative Case ◽  
Positive Serology ◽  
Important Indicator ◽  
Syphilis Serology ◽  
Latent Syphilis

Objective: Older patients have a high prevalence of neurological and psychiatric disorders. They also have a baseline prevalence of late latent syphilis or positive syphilis serology. Thus the clinical question arises as to whether a neuropsychiatric disorder in a geriatric patient is neurosyphilis or if the positive serology is incidental. Method: An illustrative case example is used to illustrate this dilemma. The relevant literature is reviewed. Results: The cerebrospinal fluid (CSF) protein is an important indicator of inflammatory activity in the central nervous system and is used as a clinical guide in the diagnosis. Elderly patients have higher values of normal CSF protein than younger patients. Conclusions: Given the importance of CSF protein in the diagnosis of neurosyphilis, physicians must include this knowledge, that elderly patients have higher CSF protein values, in their clinical decision making in the differentiation between neurosyphilis and late latent syphilis in the elderly patient.

scholarly journals The Effect of a Tailored Health Education Programme on Medication Management in the Elderly

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Salma Mohamed Samir El Said ◽  
Ghada Essam El-Din Amin ◽  
Essam Mohamed Baumy Helal ◽  
Reham Salah Amin Radwan ◽  
Hoda MF Wahba
Keyword(s):  
Medication Management ◽  
The Elderly ◽  
Education Programme ◽  
Cross Sectional Study ◽  
Educational Programme ◽  
Cross Sectional ◽  
Medication Knowledge ◽  
Educational Programmes ◽  
Before And After ◽  
Health Education Programme

Background. Empowering the elderly by education programs can decrease medication problems, morbidity, and mortality. Methods. A cross-sectional study to identify trends and baseline medication management among the elderly in nursing homes followed by an interventional study (tailored educational programme) offered within the same population followed by reassessment of the same medication management domains. Results. There was no effect regarding nursing home participants’ medication knowledge before and after intervention, while there were variable degrees of significant statistical differences in how the participants obtain and take their medications as well as their total deficiency scores before and after intervention. Other domains were also variably affected. Conclusion. It is vital to ensure that patients have sufficient knowledge regarding their medications and how to handle and administer them. Different domains may variably be affected by educational programmes mainly due to preassessment deficits. Educational programmes need to be tailored according to the requirements of the population targeted.

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