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Medication Adherence and Safety Program for Community-Dwelling Seniors With Chronic Conditions

机译:慢性病社区居民老年人的药物依从性和安全计划

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Misuse and mismanagement of medical products (e.g., pharmaceuticals and medical devices) can significantly impact the quality of life of community-dwelling seniors aged 65 years and older with chronic health conditions. Medication therapy management is an ongoing concern among community-dwelling older adults. The increased use of both prescription and over-the-counter (OTC) pharmaceuticals and the lack of medication safety education drove the importance of this capstone project. To explore the problem, the researchers implemented a multifaceted educational intervention. The intervention format included seminars on medication adherence, safety, storage, and disposal for this target population and their caregivers residing in Broward County, Florida. This scholarly project was aligned with the national objectives addressed in Healthy People 2020 that promoted the need to ensure the safe use of medical products (U.S. Department of Health and Human Services [HHS],2013). A pilot of the Medication Adherence and Safety Program (MASP) for Community-Dwelling Seniors with Chronic Conditions was conducted with a convenience sample of 31 community-dwelling older adults aged 65 years and older. The MASP educational intervention for these community-dwelling seniors with chronic conditions resulted in self-reported increased medication errors, storage, and disposal awareness. Recommendations for future studies include the use of a modified pre- and postintervention test, the addition of a medication take-back to the program, and the use of more novice health care professionals to educate and perform the Brown Bag medication reviews (BBMRs).
机译:医疗产品(例如药品和医疗设备)的滥用和管理不当会严重影响65岁及65岁以上患有慢性病的社区老年人的生活质量。在社区居住的老年人中,药物治疗的管理一直是一个令人关注的问题。处方药和非处方药(OTC)的使用增加,以及缺乏药物安全教育,这使这个顶峰项目变得尤为重要。为了探讨这个问题,研究人员实施了多方面的教育干预措施。干预形式包括针对该目标人群及其居住在佛罗里达州布劳沃德县的看护者的药物依从性,安全性,储存和处置的研讨会。此学术项目与2020年“健康人”计划中提出的国家目标相一致,该目标提出了确保确保安全使用医疗产品的要求(美国卫生与公共服务部[HHS],2013年)。针对31名年龄在65岁及以上的社区居民老年人的便利性样本,进行了针对长期居住在社区的老年人的药物依从性和安全性计划(MASP)的试点。对这些患有慢性病的社区老年人的MASP教育干预导致自我报告的用药错误,存储和处置意识增加。对未来研究的建议包括:使用经过改进的干预前和干预后测试,将药物回收纳入该计划,以及使用更多的新手医疗保健专业人员来教育和进行Brown Bag药物评估(BBMR)。

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