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District nurses' preventive home visits to 75-year-olds: An opportunity to identify factors related to unsafe medication management
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Geriatrics.
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2014 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 42, no 8, 786-794 p.Article in journal (Refereed) Published
Abstract [en]

Aims: To investigate factors related to unsafe medication management among 75-year-olds during preventive home visits, and to describe the interventions district nurses used. Methods: An explorative study. During a 9- to 12-month period, 36 DNs used the Safe Medication Assessment (SMA) tool during preventive home visits to 75-year-olds who used at least one drug (n=113). Results: One or more factors related to unsafe medication management were identified in 84% of the 75-year-olds. More than 40% used five or more drugs, and 34.5% reported symptoms potentially indicative of adverse effects of their drugs. Nearly 30% had prescribers from more than two medical units, and 7.1% of the older persons were appraised as having reduced cognitive ability. DNs intervened in more than two-thirds of the cases and used a variety of nursing care interventions to improve the safety of medication management. Conclusions: Preventive home visits seem to provide a unique opportunity to promote safe medication management. Several factors related to unsafe medication management were identified, and several different nursing care interventions were carried out to ensure safe medication management. Use of the SMA tool in preventive home visits seems to be advantageous in improving the safety of medication management among older persons.

Place, publisher, year, edition, pages
2014. Vol. 42, no 8, 786-794 p.
Keyword [en]
Assessment, elderly, medication management, nursing care, preventive home visit, tool
National Category
Public Health, Global Health, Social Medicine and Epidemiology Geriatrics
Identifiers
URN: urn:nbn:se:uu:diva-241529DOI: 10.1177/1403494814550680ISI: 000345988800010OAI: oai:DiVA.org:uu-241529DiVA: diva2:779822
Available from: 2015-01-13 Created: 2015-01-13 Last updated: 2017-12-05Bibliographically approved

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Carlsson, Axel C.

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