Making sure the residents get their tablets: medication administration in care homes for older people

Barnes, L. Philip; Cheek, Julianne; Nation, Roger L.; Gilbert, Andrew L.; Paradiso, Lisa; Ballantyne, Alison

doi:10.1111/j.1365-2648.2006.03997.x

Cited by 53 publications

(108 citation statements)

References 20 publications

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“…The views of HCPs were examined in three of the studies: one study included nurses, 34 one included physicians 35 and one included a mixed sample of HCPs. 36 The remaining four studies investigated the views of patients.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…[37][38][39][40] All of the studies involving HCPs were directly related to the topic of this review. [34][35][36] For the studies involving patients, one study directly addressed the topic of interest. 38 Of the remaining three studies undertaken in patient cohorts, two investigated the problems experienced by patients in managing their medication 39,40 while one examined factors related to adherence.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Modifications to facilitate fractional dosing were discussed in three of the studies, 37,39,40 while modifications for swallowing difficulties were the topic of consideration for four of the studies. [34][35][36]38 M A N U S C R I P T …”

Section: Study Characteristicsmentioning

confidence: 99%

“…39 Four of the studies did not address reflexivity which relates to the researcher considering their role and potential bias. [34][35][36]39 Two of the studies did not provide sufficient detail about the data analysis process, particularly in relation to the number of researchers who performed the analysis. 35,36 Finally, one study did not state whether ethical approval had been obtained, did not provide participant quotes to substantiate findings or discuss in detail the findings in light of existing evidence or the implications for practice.…”

Section: Quality Appraisalmentioning

confidence: 99%

“…[34][35][36][37][38][39][40] 36 In addition, the natural progression of these medical conditions means that a progressive decline in function is observed 35,36,38 or conversely, an improvement in swallowing capability can occur, "In the case of participants who were stroke survivors, swallowing could gradually improve". 38 Therefore, continuity of medication can be problematic with disease progression.…”

Section: Patient-centred Individuality and Variabilitymentioning

confidence: 99%

See 4 more Smart Citations

The knowledge, attitudes and beliefs of patients and their healthcare professionals around oral dosage form modification: A systematic review of the qualitative literature

Gillicuddy

Kelly

Crean

et al. 2017

Research in Social and Administrative Pharmacy

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Quality Appraisalmentioning

confidence: 99%

Section: Patient-centred Individuality and Variabilitymentioning

confidence: 99%

See 3 more Smart Citations

The knowledge, attitudes and beliefs of patients and their healthcare professionals around oral dosage form modification: A systematic review of the qualitative literature

Gillicuddy

Kelly

Crean

et al. 2017

Research in Social and Administrative Pharmacy

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The prevalence and perceived effectiveness of using a medication‐swallowing lubricant in aged care facilities across Australia

et al. 2023

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ObjectiveTo explore the extent of use and perceived effectiveness of using a medication lubricant that is specifically designed to help people who struggle to swallow their solid medications whole.MethodHealth care workers of varying professional levels in aged care facilities (ACFs) across Australia who are involved in medication administration were invited to participate in a structured online survey.ResultsOf the 355 health care workers who completed the survey, 48% had used the medication lubricant to aid administration of whole and/or crushed solid oral dosage forms, and of these 89% agreed with the statement that “it is effective method to facilitate medication swallowing in residents.” The main benefits of using the medication lubricant were considered to be easier medication administration to residents (49%), reduction in need for crushing of medications (34%), and better adherence with medications (33%).ConclusionsThis study showed that using a medication lubricant for aged care residents may facilitate the process of medication administration for health care workers, which they perceive to improve residents' adherence with medications. Serious complications associated with solid dosage form modification may also be decreased by using a medication lubricant, as the need for modifying medications is reduced. Therapeutic Goods Administration (TGA)‐approved medication lubricants could therefore be a valuable tool to aid the medication administration for patients who have difficulties swallowing medications. Future research may consider the clinical efficacy and acceptability of medication lubricants specifically for people with swallowing difficulties.

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Factors affecting Australian aged care facility workers in administering oral medication to residents with swallowing difficulties

Forough

Lau

Steadman

et al. 2020

Research in Nursing & Health

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Swallowing difficulties are common in older people and can complicate the administration of oral medications. The aim of this study was to explore factors affecting healthcare workers in their practices of oral medication administration to aged care residents with swallowing difficulties. A purposeful sample of 17 healthcare workers comprised of clinical/care managers, registered nurses (RNs), enrolled nurses (ENs), and assistants in nursing (AINs) from three aged care facilities in Queensland, Australia participated in semi-structured interviews. Leximancer was used for quantitative content analysis. The responses centered on three main factors. Participants discussed work process-related factors including time, workload, and stress and frustrations resulting from work processes. Medication-related factors included 2 strategies to facilitate medication administration, uncertainties around modifying medications, availability/cost of alternatives, multidisciplinary medication management, prescribing considerations, and polypharmacy. Resident-related factors were discussed around individualized needs of residents especially those with dementia-associated swallowing difficulties. Ideas differed among the four groups of participants. Managers discussed work process-related factors pertaining to staff and facility. RNs focused on how clinical aspects of the medication practices were affected by work processes. ENs were task-oriented and their responses focused on work-processes. AIN responses centered on reliance on RNs in performing medication tasks. The findings suggest that healthcare workers' practices of medication administration to residents with swallowing difficulties are affected by various factors associated with work processes, medications, and resident characteristics. Although these factors affect all levels of healthcare workers, the needs of each group vary depending on their level of training and responsibilities.

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Making sure the residents get their tablets: medication administration in care homes for older people

Abstract: Clinical guidelines for the processes surrounding the alteration of medication dose forms and relevant pharmaceutical information are needed in all residential homes for older people. Ongoing education for nurses in this area is also required.

Cited by 53 publications

References 20 publications

The knowledge, attitudes and beliefs of patients and their healthcare professionals around oral dosage form modification: A systematic review of the qualitative literature

The knowledge, attitudes and beliefs of patients and their healthcare professionals around oral dosage form modification: A systematic review of the qualitative literature

The prevalence and perceived effectiveness of using a medication‐swallowing lubricant in aged care facilities across Australia

Factors affecting Australian aged care facility workers in administering oral medication to residents with swallowing difficulties

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