Pharmacy screen results and consumer satisfaction of a home care medication management program

2.50
Hdl Handle:
http://hdl.handle.net/10755/160078
Type:
Presentation
Title:
Pharmacy screen results and consumer satisfaction of a home care medication management program
Abstract:
Pharmacy screen results and consumer satisfaction of a home care medication management program
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Marek, Karen, PhD, MBA, RN, FAAN
P.I. Institution Name:University of Wisconsin - Milwaukee
Title:Associate Professor
Contact Address:College of Nursing, PO Box 413, Milwaukee, WI, 53201, USA
Contact Telephone:414-229-5071
Co-Authors:Lisa Antle, MSN, APRN, BC, Assistant Professor
For many older adults, living independently at home depends on managing complicated medication regimens. Older adults are the most frequent users of prescription drugs; however, physiologically they are most vulnerable to adverse drug reactions. Recently developed devices are designed to assist older adults with medication administration using cost effective methods. The MD.2 is one such device. It includes both audible and visual prompts for medication administration, stores and dispenses medications, and provides a monitoring device to promote client adherence, including notification of a provider if a dose is missed. The purpose of this study was to determine whether a home care medication management program which includes a pharmacy screen, nurse coordination and use of the MD.2 medication-dispensing machine was feasible with older adults. The conceptual framework used to guide this study was adaptation of the Medical Outcomes Study (MOS) framework using Donabedian's components of structure, process and outcome. Two pilot studies were conducted at two different settings with a total of 20 older adults who were identified by their home health nurse as having difficulty with medication management. Before loading the MD.2, a pharmacy screen of all medications the subject was taking was conducted using software and review by a pharmacist, geriatrician, and APN. Nineteen subjects had potential problems in their prescribed medications. Adherence with medication regimen as measured by the MD.2 was 98.5%. A consumer questionnaire administered to the subjects at the completion of the study revealed a mean rating of 4.4 on a scale from 1 to 5 (1=very difficult, 5=very easy). The results of the two pilot studies support the need for a pharmacy screen in a home care medication management program and the use of the MD.2 technology with older adults.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePharmacy screen results and consumer satisfaction of a home care medication management programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160078-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pharmacy screen results and consumer satisfaction of a home care medication management program</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Marek, Karen, PhD, MBA, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin - Milwaukee</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">College of Nursing, PO Box 413, Milwaukee, WI, 53201, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">414-229-5071</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kmarek@uwm.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lisa Antle, MSN, APRN, BC, Assistant Professor</td></tr><tr><td colspan="2" class="item-abstract">For many older adults, living independently at home depends on managing complicated medication regimens. Older adults are the most frequent users of prescription drugs; however, physiologically they are most vulnerable to adverse drug reactions. Recently developed devices are designed to assist older adults with medication administration using cost effective methods. The MD.2 is one such device. It includes both audible and visual prompts for medication administration, stores and dispenses medications, and provides a monitoring device to promote client adherence, including notification of a provider if a dose is missed. The purpose of this study was to determine whether a home care medication management program which includes a pharmacy screen, nurse coordination and use of the MD.2 medication-dispensing machine was feasible with older adults. The conceptual framework used to guide this study was adaptation of the Medical Outcomes Study (MOS) framework using Donabedian's components of structure, process and outcome. Two pilot studies were conducted at two different settings with a total of 20 older adults who were identified by their home health nurse as having difficulty with medication management. Before loading the MD.2, a pharmacy screen of all medications the subject was taking was conducted using software and review by a pharmacist, geriatrician, and APN. Nineteen subjects had potential problems in their prescribed medications. Adherence with medication regimen as measured by the MD.2 was 98.5%. A consumer questionnaire administered to the subjects at the completion of the study revealed a mean rating of 4.4 on a scale from 1 to 5 (1=very difficult, 5=very easy). The results of the two pilot studies support the need for a pharmacy screen in a home care medication management program and the use of the MD.2 technology with older adults. <br/></td></tr></table>en_GB
dc.date.available2011-10-26T22:36:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:36:20Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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