Predictors of Older Adults’ Capacity for Medication Management in a Self-Medication Program

Maddigan, Sheri L.; Farris, Karen B.; Keating, Norah; Wiens, Cheryl A.; Johnson, Jeffrey

doi:10.1177/0898264303251893

Cited by 96 publications

(90 citation statements)

References 24 publications

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“…1 Failure to achieve and sustain adequate dose levels has been linked to poor outcomes in various areas of medicine, and the Academy of Managed Care Pharmacy (AMCP) and National Committee for Quality Assurance (NCQA) have recently recommended that suboptimal dosing be considered in monitoring pharmaceutical care in Medicare Part D beneficiaries. [2][3][4][5] The probability of reaching and sustaining an approved dose is affected by the complexity and convenience of dosing, 6,7 how the benefit and side-effects of the medication are managed by clinicians, 6 as well as a number of patient and environmental factors, such as the cognitive abilities of the patient, 8,9 availability of caregiver support, and the affordability of the treatment. 6 The characteristic declines in learning and memory seen in AD may erode the patient's ability to adhere to medication regimens with or without caregiver support.…”

mentioning

confidence: 99%

Comparison of Cholinesterase Inhibitor Utilization Patterns and Associated Health Care Costs in Alzheimer's Disease

Mucha¹,

Shaohung²,

Cuffel³

et al. 2008

JMCP

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mentioning

confidence: 99%

Comparison of Cholinesterase Inhibitor Utilization Patterns and Associated Health Care Costs in Alzheimer's Disease

Mucha¹,

Shaohung²,

Cuffel³

et al. 2008

JMCP

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“…Several studies have demonstrated that cognitive decline is an independent risk factor for medication mismanagement [7,8] . However, studies focusing specifically on problems with medication management as an indicator of cognitive function are lacking.…”

Section: Introductionmentioning

confidence: 99%

Basic Knowledge of the Medication Regimen Correlates with Performance on Cognitive Function Tests and Diagnosis of Dementia in Elderly Patients Referred to a Geriatric Assessment Unit

Sela-Katz

Rabinowitz²,

Shugaev³

et al. 2010

Gerontology

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Background: Cognitive decline and dementia are highly prevalent amongst the elderly. Medication management problems are also prevalent in this population. Although both problems coexist, the quantitative association between them has not been comprehensively analyzed. Method: A prospective cross-sectional study of a successive cohort of 425 patients was performed in a community-based geriatric assessment unit. Personal information, results of cognitive function tests, a diagnosis of dementia and an examination of basic knowledge of the medication regimen were recorded and entered into a patient register at the end of each patient’s assessment. Results: Performance in cognitive function tests was significantly poorer in patients demonstrating lack of basic knowledge of the medication regimen. Mean Mini-Mental State Examination score: 19.1 versus 25.5 (p < 0.001); mean number of words recalled on a 3-word recall test: 1.0 versus 1.84 (p < 0.001); abnormal clock drawing test: 82 versus 57.7%, respectively (p < 0.001). The number of patients diagnosed with dementia was greater among patients who demonstrated lack of basic knowledge of the medication regimen (46.8 vs. 6.9%, respectively; p < 0.001). Conclusion: A strong association between lack of basic knowledge of the medication regimen and cognitive dysfunction was demonstrated in elderly patients referred to a geriatric assessment unit, suggesting that lack of basic knowledge of the medication regimen is indicative of cognitive dysfunction and vice versa.

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“…Chronic conditions (e.g., depression, dementia) that affect cognition abilities of elderly people are associated with problems in medication self-management [75]. Forgetting to take medication is a frequent problem [76].…”

Section: Discussionmentioning

confidence: 99%

Ambient Technology to Assist Elderly People in Indoor Risks

Yared

Abdulrazak

2016

Computers

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While elderly people perform their daily indoor activities, they are subjected to several risks. To improve the quality of life of elderly people and promote healthy aging and independent living, elderly people need to be provided with an assistive technology platform to rely on during their activities. We reviewed the literature and identified the major indoor risks addressed by assistive technology that elderly people face during their indoor activities. In this paper, we identify these risks as: fall, wrong self-medication management, fire, burns, intoxication by gas/smoke, and the risk of inactivity. In addition, we discuss the existing assistive technology systems and classify the risk detection algorithms, techniques and the basic system principles and interventions to enhance safety of elderly people.

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Predictors of Older Adults’ Capacity for Medication Management in a Self-Medication Program

Abstract: The direct effects of cognition and medication regimen complexity were important predictors of medication management capacity.

Cited by 96 publications

References 24 publications

Comparison of Cholinesterase Inhibitor Utilization Patterns and Associated Health Care Costs in Alzheimer's Disease

Comparison of Cholinesterase Inhibitor Utilization Patterns and Associated Health Care Costs in Alzheimer's Disease

Basic Knowledge of the Medication Regimen Correlates with Performance on Cognitive Function Tests and Diagnosis of Dementia in Elderly Patients Referred to a Geriatric Assessment Unit

Ambient Technology to Assist Elderly People in Indoor Risks

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