Supporting shared decision-making in medicines use with people living with dementia and their carers

Nursing Older People, Journal Year: 2024, Volume and Issue: 36(2), P. 28 - 33

Published: Jan. 24, 2024

Polypharmacy and inappropriate prescribing of psychotropic medicines are common among people living with dementia pose considerable health risks. One way addressing these issues is by involving the person their carer in shared decision-making. This article discusses some related to polypharmacy examines concept decision-making this context. The author details practical aids that nurses other healthcare professionals can use engage carers about use.

Language: Английский

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The relationship between psychological burden and providing assistance with taking medication among caregivers of patients with dementia: a cross-sectional study

International Journal of Pharmacy Practice, Journal Year: 2024, Volume and Issue: 32(5), P. 377 - 383

Published: July 2, 2024

Abstract Objectives Previous studies have examined the psychological burden of caregivers patients with dementia. However, although many struggle to assist dementia medication management, relationship between assisting such taking their medicines and caregiver is understudied. Therefore, this study identified association caregivers’ medication. Methods A cross-sectional survey was conducted among in Japan. The questionnaire included questions that assessed symptoms dementia, status through assistance from caregivers, using Kessler Psychological Distress Scale Japanese version Perceived Stress Scale. Key findings total 57 participated study. Higher scores were significantly associated unsuccessful regular (β = 0.35, 95% confidence interval [CI]: 2.23–12.0, P < .05), depressive 0.26, CI: 0.10–8.53, irritability 0.38, 2.71–11.5, .05). Likewise, higher on 0.37, 1.87–12.5, .05) Conclusion suggest for

Language: Английский

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Factors Associated With Increased Health Care Utilization for Patients With Dementia With Lewy Bodies: A Narrative Review

Journal of patient-centered research and reviews, Journal Year: 2024, Volume and Issue: 11(2), P. 97 - 106

Published: July 16, 2024

Numerous studies have demonstrated that dementia is associated with increased utilization of health care services, which in turn results costs care. Dementia Lewy bodies (DLB) greater relative to other forms due higher rates hospitalization and nursing home placement directly related neuropsychiatric symptoms, parkinsonism, susceptibility delirium, elevated caregiver burden. There a critical need for researchers identify potentially modifiable factors contributing poor clinical outcomes patients DLB, may include comorbidities, polypharmacy/contraindicated medications, access specialty Previous research has utilized Medicare claims data, limiting the ability study early-onset (ie, prior age 65) DLB. Integrated systems offer combine electronic medical record data Medicare, Medicaid, commercial therefore be ideal this population. The goals narrative review are 1) synthesize describe current literature on 2) highlight gaps literature, 3) provide recommendations stakeholders, including researchers, systems, policymakers. It important improve understanding among DLB inform public policies decision-making, as will ultimately quality patient

Language: Английский

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Short-term outcome of personalized theory-based pharmaceutical care service on the medication administration problems of family caregivers: a pre-post intervention study

International Journal of Clinical Pharmacy, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 6, 2024

Language: Английский

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Clinical, economic, and organizational impact of pharmacists’ interventions in a cognitive-behavioral unit in France

International Journal of Clinical Pharmacy, Journal Year: 2020, Volume and Issue: 43(3), P. 613 - 620

Published: Oct. 14, 2020

Language: Английский

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Critical Role of Pharmacists in Caring for Alzheimer’s Disease Patients

Journal of Alzheimer s Disease, Journal Year: 2020, Volume and Issue: 73(3), P. 1253 - 1264

Published: Jan. 2, 2020

Background: The global prevalence of Alzheimer’s disease (AD) and its treatment costs are projected to increase significantly, placing increasing pressure on health systems create new models care. Community pharmacists well-positioned provide medication management for people with AD. In Arabic-speaking countries, little is known about pharmacists’ knowledge practices in caring Objective: To evaluate community AD management, counseling skills, dispensing patterns when their caregivers the United Arab Emirates (UAE). Methods: A large-scale cross-sectional survey was conducted three cities UAE using stratified random sampling. questionnaire comprised validated tools measure open-ended questions. logistic regression model predict comprehensiveness. Results: total 325 completed questionnaire. mean scores pharmacotherapy were 57.0% 67.6%, respectively. Major shortcomings identified; history-taking, adherence assessment, provided by 2.2%, 9.3%, 17.3%, minority comprehensive counselling; multivariate analysis yielded insights into pharmacist characteristics associated such counseling. Conclusion: Pharmacists did not structured patient-centered care adequate counseling, assess adherence-related issues appropriately, had deficient knowledge. develop pharmacy-based services communities, a multifaceted approach required that goes beyond improving pharmacy workforce communication skills address broader sociocultural, legislative, financial factors.

Language: Английский

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An investigation of psychoactive polypharmacy and related gender-differences in older adults with dementia: a retrospective cohort study

BMC Geriatrics, Journal Year: 2023, Volume and Issue: 23(1)

Published: Oct. 20, 2023

Older adults living with dementia may express challenging responsive behaviours. One management strategy is pharmacologic treatment though these options often have limited benefit, which lead to multiple treatments being prescribed.The aim of the present study was describe psychoactive medication polypharmacy and explore factors associated in a cohort older Nova Scotia, Canada, including gender-stratified analysis. This retrospective those aged 65 years or recorded diagnosis between 2005 2015. Medication dispensation data collected from April 1, 2010, (cohort entry) either death March 31, 2015 exit). Psychoactive claims were captured. defined as presence three more prescription medications dispensed one subject overlapping for than 30 days. episodes described duration, quantity, implicated medications. Regression analysis examined experience frequency polypharmacy. All stratified by gender.The included 15,819 (mean age 80.7 years; 70.0% female), 99.4% (n = 15,728) receiving at least over period follow-up. 19.3% cohort. The gender specific logistic regressions demonstrated that both men women younger an increased risk (women: OR 0.97, 95%CI[0.96, 0.98], men: 0.96, 95%CI[0.95, 0.97]). Men less likely if their location residence urban (OR 0.86, 95%CI[0.74, 0.99]). There no significant association (urban rural) dementia. Antidepressants most class, while quetiapine medication.This suggests ages rural locations benefit access non-pharmacological management.

Language: Английский

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Implementation of Pharmacist Reviews to Screen for Potentially Inappropriate Medications in Patients With Cognitive Impairment

The Senior Care Pharmacist, Journal Year: 2021, Volume and Issue: 36(10), P. 508 - 522

Published: Oct. 1, 2021

Objective: To describe two pharmacist-led initiatives aimed to reduce potentially inappropriate medication (PIM) use in community-dwelling patients with dementia or cognitive impairment. Design: Retrospective, descriptive analysis of clinical initiatives. Setting: Academic geriatric primary care clinics. Participants: Patients were included if they received a Memory Clinic pharmacist review May 1, 2017, December 31, 2019, Living Dementia (LWD) program November 15, 2018 2019 provider follow-up within 6 months. Interventions: Both involved by identify and make recommendations regarding medications that may contribute The served concerns impairment; whereas, the LWD enrolled an established diagnosis dementia. Main Outcome Measure: Number PIMs could negatively impact cognition each cohort. Additionally, 6-month implementation rates analyzed for actionable recommendations. RESULTS: (n = 110) taking average 2.4 PIMs; 40) 1.5 PIMs. Six-month all 61.0% 42.4% program. Specifically evaluating deprescribing recommendations, PIM discontinuation rate was 63.6% group 60.0% group. Conclusion: Pharmacists routinely identified during reviews, which led successful recommendation throughout multiple stages decline. programs will continue be adapted ensure maximal impact.

Language: Английский

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Public’ Perception, Awareness, Expectations and Experiences towards the Role of Community Pharmacists in Quetta City, Pakistan

Journal of Pharmacy Practice and Community Medicine, Journal Year: 2020, Volume and Issue: 6(1), P. 05 - 09

Published: April 30, 2020

Aim: The study is aimed to assess public perception, awareness, expectations and experiences towards the role of community pharmacists (CPs) in Quetta City, Pakistan. Methods: This was a questionnairebased, cross-sectional survey. Keeping aim mind, questionnaire developed by research team through mutual consensus, experience sharing extensive literature review. By using an online calculator, 423 respondents were approached conveniently for data collection. SPSS v.20.0 used coding analysis. Based on objectives study, descriptive statistics applied Results: mean age 30.61±9.95 males dominated group (318, 75.2%). Eighty-one percent agreed that CPs provide consultation how medicine works, identify prevent errors are good explaining things their level understanding. Nearly 70% expected take personal responsibility resolving drug-related problems, educate them about appropriate use medicines monitor response drug therapy. All positive when they asked from CPs. Respondents reliable source information important healthcare professionals (80.4 77.3% respectively). Counseling endorsed 60% while held responsible problems. Conclusion: Although findings revealed certain limitations, had attitudes, constructive also indicated consumer preferences evolution pharmacist professional services

Language: Английский

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Assessment of satisfaction of attendees of healthcare centers in Jordan with community pharmacy services of pharmacies they usually use

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(7), P. e0305991 - e0305991

Published: July 22, 2024

Before extending the range of services provided, maximizing usefulness current procedures within community pharmacy settings is needed, as scope evolving in different dimensions. The present study aims to assess degree factors affecting satisfaction traditional using population data collected from patients attending academic and public healthcare centers Jordan. A validated, pretested, adapted survey instrument has been utilized contemporary delivered by pharmacists Linear regression analysis evaluated predictors associated with higher total scores services. included 642 centers. Different dimension scores, such explanation consideration, scored similarly, values ranging 64.5% - 69.7% maximum possible score. mean scale score was 67.2% scores. Using linear analysis, respondents who were satisfied their treatment plans likely have increased number prescription medications age lower Results indicated that policymakers might be confident setting; however, there always room for more robust quality control activities.

Language: Английский

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