2.50
Hdl Handle:
http://hdl.handle.net/10755/157364
Type:
Presentation
Title:
INTERDISCIPLINARY RESEARCH: MEDICATION MANAGEMENT BY COMMUNITY ELDERS
Abstract:
INTERDISCIPLINARY RESEARCH: MEDICATION MANAGEMENT BY COMMUNITY ELDERS
Conference Sponsor:Western Institute of Nursing
Conference Year:2010
Author:Smith-Stoner, Marilyn, PhD, RN, CHPN
P.I. Institution Name:California State University
Title:Associate Professor
Contact Address:5500 University Parkway, HP-230, San Bernardino, CA, 92407, USA
Co-Authors:Margaret L. Beaman
PURPOSE/AIMS: The aim of this multiphase study is to identify the factors contributing to medication adherence in community dwelling elderly from vulnerable populations in the Coachella Valley, California. Effective medication regimens require a team of healthcare professionals working together with the client in order to insure that all medications (prescribed and over the counter) are organized using best practices from a pharmacologic, economic and person centered perspective. The purpose of this interdisciplinary evidence-based project is to assess the medication management skills and needs for community based elders and develop community partnerships among a nursing program, community based social workers, pharmacists and elders. The study has two phases: 1) utilize extant research on medication management strategies to assess and interpret the medication management issues of a representative sample (n=24) of the target population of elders; 2) determine medication management issues for the elderly participants. BACKGROUND: A review of the literature on medication management shows that, for the elderly, medication management is a complex set of skills, requiring collaboration and ongoing adjustment with family and health care providers. Methodology: Data collection instruments were developed from a review of the literature. Orem's Self Care Theory provided the framework for the study design. The tools included a brief assessment, a comprehensive medication profile and self assessment Likert-type scale of the universal self care requisites in Orem's self care theory. Twenty-four community dwelling elders over age 65 were recruited though fliers posted in the senior housing project, individual contacts with the social worker; senior nursing students or RN to BSN alumni who received training in research methods conducted the elder interviews in the summer of 2009. Each student completed a brief health assessment (BP, BMI, pain and general health history), and a medication profile for each volunteer. Pharmacists reviewed the profiles and made recommendations for medication management based on pharmacy best practice. The nursing students shared the recommendations with the elder participants and designed individualized medication regiments based on the literature and team reviews.
RESULTS: Preliminary results indicate that medication management for this group of community based elderly participants with limited financial means is a complex issue. Social, economic, physiological and cultural issues impact the intent to adhere to medication schedules, the ability to pay for and manage changes to medication regimens.
IMPLICATIONS: The initial assessment of medication profiles revealed that elders had difficulty affording medication, organizing them and updating them in meaningful ways. Many participants had significant alterations in their ability to provide self care, which impacted their ability to be independent. Students assisted participants to develop a medication management system that was customized to each person.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleINTERDISCIPLINARY RESEARCH: MEDICATION MANAGEMENT BY COMMUNITY ELDERSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157364-
dc.description.abstract<table><tr><td colspan="2" class="item-title">INTERDISCIPLINARY RESEARCH: MEDICATION MANAGEMENT BY COMMUNITY ELDERS</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Smith-Stoner, Marilyn, PhD, RN, CHPN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">California State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">5500 University Parkway, HP-230, San Bernardino, CA, 92407, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mstoner@csusb.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Margaret L. Beaman</td></tr><tr><td colspan="2" class="item-abstract">PURPOSE/AIMS: The aim of this multiphase study is to identify the factors contributing to medication adherence in community dwelling elderly from vulnerable populations in the Coachella Valley, California. Effective medication regimens require a team of healthcare professionals working together with the client in order to insure that all medications (prescribed and over the counter) are organized using best practices from a pharmacologic, economic and person centered perspective. The purpose of this interdisciplinary evidence-based project is to assess the medication management skills and needs for community based elders and develop community partnerships among a nursing program, community based social workers, pharmacists and elders. The study has two phases: 1) utilize extant research on medication management strategies to assess and interpret the medication management issues of a representative sample (n=24) of the target population of elders; 2) determine medication management issues for the elderly participants. BACKGROUND: A review of the literature on medication management shows that, for the elderly, medication management is a complex set of skills, requiring collaboration and ongoing adjustment with family and health care providers. Methodology: Data collection instruments were developed from a review of the literature. Orem's Self Care Theory provided the framework for the study design. The tools included a brief assessment, a comprehensive medication profile and self assessment Likert-type scale of the universal self care requisites in Orem's self care theory. Twenty-four community dwelling elders over age 65 were recruited though fliers posted in the senior housing project, individual contacts with the social worker; senior nursing students or RN to BSN alumni who received training in research methods conducted the elder interviews in the summer of 2009. Each student completed a brief health assessment (BP, BMI, pain and general health history), and a medication profile for each volunteer. Pharmacists reviewed the profiles and made recommendations for medication management based on pharmacy best practice. The nursing students shared the recommendations with the elder participants and designed individualized medication regiments based on the literature and team reviews. <br/>RESULTS: Preliminary results indicate that medication management for this group of community based elderly participants with limited financial means is a complex issue. Social, economic, physiological and cultural issues impact the intent to adhere to medication schedules, the ability to pay for and manage changes to medication regimens. <br/>IMPLICATIONS: The initial assessment of medication profiles revealed that elders had difficulty affording medication, organizing them and updating them in meaningful ways. Many participants had significant alterations in their ability to provide self care, which impacted their ability to be independent. Students assisted participants to develop a medication management system that was customized to each person.<br/></td></tr></table>en_GB
dc.date.available2011-10-26T19:48:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:48:23Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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