Medication management activities performed by informal caregivers of older adults

Look, Kevin A.; Stone, Jamie A.

doi:10.1016/j.sapharm.2017.05.005

Cited by 81 publications

(75 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Concerns or issues about managing medication, as evidenced by the extensive literature available on this topic (Alhaddad, Taylor, Robertson, Watman, & Smith, ; Look & Stone, ; Maidment et al, ; Wingham et al, ), was noticeably absent from our data. This was surprising given that pharmacists are well placed to address medication‐related issues.…”

Section: Discussionmentioning

confidence: 64%

“…Canadian researchers identified that risk of medication interactions was of particular concern for carers (Williams et al, ). Studies in the United States (Look & Stone, ; Noureldin, Murawski, Mason, Hyner, & Plake, ) and United Kingdom (Maidment, Aston, Moutela, Fox, & Hilton, ; Smith, Francis, Gray, Denham, & Graffy, ) have emphasised the important role of community pharmacy staff assisting carers, especially concerning medication management. Pharmacists, as medication experts, have opportunities to assess carers’ involvement in medication‐related tasks and address‐associated problems (Noureldin & Plake, ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Support for Australian carers from community pharmacy: Insight into carer perspectives of a novel service

McMillan

King

Sav

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

The feasibility of an individualised carer support service delivered in community pharmacies was assessed from the perspective of carer participants using a pre-post questionnaire and semistructured interviews. Eligible pharmacies were required to offer a medication management service relevant to carers and have a semiprivate space for conversations. Carers were required to self-identify as an unpaid support person for someone with a chronic condition or disability. Between September 2016 and March 2017, staff from 11 community pharmacies in South-East Queensland, Australia were trained, and provided with ongoing mentoring from a pharmacist and carer to support service implementation. Identification of carers and support to achieve a personal and care-giving goal were key features of the service. Questionnaires included the EQ-5D-3L, the Bakas Caregiving Outcomes Scale, and questions relating to goal achievement, carer roles, and responsibilities. Seven follow-up carer interviews were undertaken between March and May 2017 and analysed thematically. Pre-post questionnaires were available for 17 carers (one withdrew, two incomplete). Of the 29 goals set, 10 were achieved and 14 partially achieved. EQ-5D-3L scores were unchanged, while 7 of the 15 items comprising the Bakas score improved (p < 0.05). Carer service evaluation was generally favourable, and these two main interview themes were the impact of caring and pharmacy experience. The impact of caring, while variable, was significant. Pharmacy experiences were mostly positive and the opportunity for carers to further engage with pharmacy staff was appreciated. The service was feasible and initial reported benefits to carers may support further research potentially in terms of a larger controlled trial.

show abstract

Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Support for Australian carers from community pharmacy: Insight into carer perspectives of a novel service

McMillan

King

Sav

et al. 2018

Health Soc Care Community

View full text Add to dashboard Cite

show abstract

“…In addition to the role of healthcare professionals in medication management, informal caregivers play a vital role in ensuring safe and appropriate medication use by home-dwelling OAMCC, especially among those who may also have cognitive impairment 15–17. Despite the important role of informal caregivers in medication management, several complications to do with their activities have been documented in relation to the time spent, anxiety making a mistake and the uncooperative behaviour of the home-dwelling OAMCC 18.…”

Section: Introductionmentioning

confidence: 99%

Optimising medication management for polymedicated home-dwelling older adults with multiple chronic conditions: a mixed-methods study protocol

et al. 2019

View full text Add to dashboard Cite

IntroductionOptimal medication management is one of the basic conditions necessary for home-dwelling older adults living with multiple chronic conditions (OAMCC) to be able to remain at home and preserve their quality of life. Currently, the reasons for such high numbers of emergency department visits and the very significant rate of hospitalisations for OAMCC, due to medication-related problems (MRPs), is poorly explored. This study aims to reveal the current state of the medication management practices of polymedicated, home-dwelling OAMCC and to make proposals for improving clinical and medication pathways through an innovative and integrated model for supporting medication management and preventing adverse health outcomes.Methods and analysisA mixed-methods study will address the medication management of polymedicated, home-dwelling OAMCC. Its explanatory sequential design will involve two major phases conducted sequentially over time. The quantitative phase will consist of retrospectively exploiting the last 5 years of electronic patient records from a local hospital (N ≈ 50 000) in order to identify the different profiles—made up of patient-related, medication-related and environment-related factors—of the polymedicated, home-dwelling OAMCC at risk of hospitalisation, emergency department visits, hospital readmission (notably for MRPs), institutionalisation or early death. The qualitative study will involve: (a) obtaining and understanding the medication management practices and experiences of the identified profiles extracted from the hospital data of OAMCC who will be interviewed at home (N ≈ 30); (b) collecting and analysing the perspectives of the formal and informal caregivers involved in medication management at home in order to cross-reference perspectives about this important dimension of care at home. Finally, the mixed-methods findings will enable the development of an innovative, integrated model of medication management based on the Agency for Clinical Innovation framework and Bodenheimer and Sinsky’s quadruple aim.Ethics and disseminationEthical approval has been obtained from the Human Research Ethics Committee of the Canton Vaud (2018-02196). Findings will be disseminated in peer-reviewed journals, professional conferences and other knowledge transfer activities with primary healthcare providers, hospital care units, informal caregivers’ and patients’ associations.

show abstract

“…Some caregivers mentioned making adjustments to the therapeutic scheme according to their perception of the patient's health condition (Look, Stone, 2017):…”

Section: Drug Therapy Administrationmentioning

confidence: 99%

Access and use of medicines by elderly individuals with dementia

Barros

Silva

Leite

2019

Braz. J. Pharm. Sci.

View full text Add to dashboard Cite

The objective is to reveal the difficulties concerning the access and use of medicines by elderly individuals with dementia, reported by their caregivers. This qualitative study applied the participant observation method during pharmaceutical appointments performed in a specialized geriatrics service of the University Hospital of Brasília. Caregivers reported facing difficulties regarding the itinerary for medicines access in public pharmacies, as well as the high cost of these technologies in private establishments. Psychiatric symptoms, cognitive deficits, behavioral changes, apraxia, dysphagia, among other clinical manifestations of dementia syndromes, incapacitates the elderly for self-responsibility concerningthe use of drugs, which accentuates the complexity of medicines administration within the care process. In conclusion, it is fundamental to recognize caregivers' role in promoting the rational use of medicines, and so this theme should be highlighted within the pharmaceutical services context.

show abstract

Medication management activities performed by informal caregivers of older adults

Cited by 81 publications

References 33 publications

Support for Australian carers from community pharmacy: Insight into carer perspectives of a novel service

Support for Australian carers from community pharmacy: Insight into carer perspectives of a novel service

Optimising medication management for polymedicated home-dwelling older adults with multiple chronic conditions: a mixed-methods study protocol

Access and use of medicines by elderly individuals with dementia

Contact Info

Product

Resources

About