Dementia, medication and transitions of care

Louise Deeks, Gabrielle Cooper, Brian Draper, Susan Kurrle, Diane Gibson

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Persons with dementia (PWD) often have complex medication regimens and are at risk of medication problems during the multiple transitions of care experienced as the condition progresses. Objectives: To explore medication processes in acute care episodes and care transitions for PWD and to make recommendations to improve practice. Method: Semi-structured interviews were conducted by two pharmacy researchers from a focused purposive sample of fifty-one participants (carers, health professionals, Alzheimer's Australia staff) from urban and rural Australia. After written consent, the interviews were audio-recorded then transcribed verbatim for face-to-face interviews, or notes were taken during the interview if conducted by telephone. The transcripts were checked for accuracy by the pharmacy researchers. Thematic analysis of the data was undertaken independently by the two researchers to reduce bias and any disagreements were resolved by discussion. Results: Themes identified were: medication reconciliation; no modified planning for care transitions; underutilization of information technology; multiple prescribers; residential aged care facilities; and medication reviews by pharmacists. Sub themes were: access to appropriate staff; identification of dementia; dose administration aids; and staff training. Conclusions: Medication management is sub-optimal for PWD during care transitions and may compromise safety. Suggested improvements included: increased involvement of pharmacists in care transitions; outreach or transitional health care professionals; modified planning for care transitions for individuals over 80 years; co-ordinated electronic records; structured communication; and staff training.
Original languageEnglish
Pages (from-to)450-460
Number of pages11
JournalResearch in Social and Administrative Pharmacy
Volume12
Issue number3
DOIs
Publication statusPublished - 2016

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Patient Transfer
Dementia
Planning
Health care
Telephone
Interviews
Information technology
Research Personnel
Health
Pharmacists
Communication
Medication Reconciliation
Episode of Care
Caregivers
Technology
Delivery of Health Care
Safety

Cite this

Deeks, Louise ; Cooper, Gabrielle ; Draper, Brian ; Kurrle, Susan ; Gibson, Diane. / Dementia, medication and transitions of care. In: Research in Social and Administrative Pharmacy. 2016 ; Vol. 12, No. 3. pp. 450-460.
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Dementia, medication and transitions of care. / Deeks, Louise; Cooper, Gabrielle; Draper, Brian; Kurrle, Susan; Gibson, Diane.

In: Research in Social and Administrative Pharmacy, Vol. 12, No. 3, 2016, p. 450-460.

Research output: Contribution to journalArticle

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AB - Background: Persons with dementia (PWD) often have complex medication regimens and are at risk of medication problems during the multiple transitions of care experienced as the condition progresses. Objectives: To explore medication processes in acute care episodes and care transitions for PWD and to make recommendations to improve practice. Method: Semi-structured interviews were conducted by two pharmacy researchers from a focused purposive sample of fifty-one participants (carers, health professionals, Alzheimer's Australia staff) from urban and rural Australia. After written consent, the interviews were audio-recorded then transcribed verbatim for face-to-face interviews, or notes were taken during the interview if conducted by telephone. The transcripts were checked for accuracy by the pharmacy researchers. Thematic analysis of the data was undertaken independently by the two researchers to reduce bias and any disagreements were resolved by discussion. Results: Themes identified were: medication reconciliation; no modified planning for care transitions; underutilization of information technology; multiple prescribers; residential aged care facilities; and medication reviews by pharmacists. Sub themes were: access to appropriate staff; identification of dementia; dose administration aids; and staff training. Conclusions: Medication management is sub-optimal for PWD during care transitions and may compromise safety. Suggested improvements included: increased involvement of pharmacists in care transitions; outreach or transitional health care professionals; modified planning for care transitions for individuals over 80 years; co-ordinated electronic records; structured communication; and staff training.

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