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  • 1.
    Andersson, Johanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Norberg, Mariana
    Umeå University, Faculty of Medicine, Department of Nursing.
    Karakteristika av vårdtagare som genomgått läkemedelsgenomgång2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The proportion of older people over 65 is increasing in the world and in Sweden. Polyfarmacy among elderly is common both internationally and nationally. Older people have an increased sensitivity to drug side effects, leading to drug-related problems and suffering for the elderly, as well as increasing healthcare costs.

     

    Motive: Research on medication reconciliation has shown that elderly people are subscribed many drugs causing an increased risk of drug-related problems. However, there is still a gap of knowledge regarding what characterizes elderly who received a pharmaceutical review at nursing home compared to elderly who did not receive a pharmaceutical review at nursing home.

    Aim: The aim of this study was to investigate characteristics of residents at nursing home who have undergone pharmaceutical review.

    Methods: Cross-sectional study with quantitative approach. The survey was conducted in May 2013. A total of 1964 residents living at nursing home participated in the study. Data was collection by mean of the Multi-Dimensional Dementia Assement Scale and Geriatric Rating Scale. Characteristics differences were analysed between residents who conducted a pharmaceutical review as compared to those who did not carry out a pharmaceutical review.

    Result: The main findings of this study indicate that factors that independently explain pharmaceutical review were cognitive impairment and verbally disruptive behavior. Furthermore, our findings show that many residents at nursing home who underwent a pharmaceutical review showed BPSD-symptoms such as aggressiveness, restlessness, passivity, regressive inappropriate behavior and hallucinations.

    Discussion: The result in this study was discussed using Katie Eriksson's nursing theory. Many residents at nursing home suffer from cognitive impairment and verbally disturbing behavior, and the district nurse/nurse has a central role in the medication reconciliation in order for the residents to be supported for optimal health. Continuous medication reconciliation can increase healthcare and quality of life.

    Conclusion: There are probably further characteristics of elderly at nursing home who have undergone pharmaceutical review that has not been found in this study. We suggest further propose longitudinal research on this, but also further studies are needed to explore the effects of pharmaceutical review among the elderly.

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