Administration of PRN Medications and Use of Nonpharmacologic Interventions in Acute Geropsychiatric Settings: Implications for Practice

Despite the known risks and the widespread administration of PRN (pro re nata or “as needed”) psychotropic medications in inpatient settings, little is known about their use with hospitalized older adults. This exploratory descriptive study examined the use of PRN psychotropic medications and nonpha...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of the American Psychiatric Nurses Association 2012-03, Vol.18 (2), p.82-90
Hauptverfasser: Lindsey, Pamela L., Buckwalter, Kathleen C.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 90
container_issue 2
container_start_page 82
container_title Journal of the American Psychiatric Nurses Association
container_volume 18
creator Lindsey, Pamela L.
Buckwalter, Kathleen C.
description Despite the known risks and the widespread administration of PRN (pro re nata or “as needed”) psychotropic medications in inpatient settings, little is known about their use with hospitalized older adults. This exploratory descriptive study examined the use of PRN psychotropic medications and nonpharmacologic interventions to manage symptoms in older adults hospitalized in two acute care geropsychiatric settings. A retrospective chart audit was conducted. A major finding was the lack of documentation regarding PRN administration. In 81.3% of cases at Site A and 55.3% of cases at Site B, no reason for administration was documented. No medication response was documented in 92.4% of cases at Site A and 47.5% of cases at Site B. No nonpharmacologic interventions were documented for 69% of Site A patients or 64% of Site B patients. To ensure patient safety and to inform best clinical practice, the lack of documentation surrounding administration of PRN medications and nonpharmacologic interventions must be resolved.
doi_str_mv 10.1177/1078390312438768
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_948895550</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1078390312438768</sage_id><sourcerecordid>948895550</sourcerecordid><originalsourceid>FETCH-LOGICAL-c289t-b28a95d5ea51bdfffec78ee317d1311a35ac7b27134a261e49eaa1430a3ca3603</originalsourceid><addsrcrecordid>eNp1kElPwzAQhS0EolC4c0K5cQp4iWPnWCE2iU0s52jqTFpXjV1sB4l_T0qBAxKnGc373pPmEXLE6CljSp0xqrSoqGC8EFqVeovsMSl4LhWX28M-yPlaH5H9GBeU0rLUYpeMOC8KTpncI92k6ayzMQVI1rvMt9nj0312h401X5eYgWuy14hr6d671RxCB8Yv_cya7MYlDO_oNqR12cT0CbMrDH4VP8zcQgoD9owpWTeLB2SnhWXEw-85Jq-XFy_n1_ntw9XN-eQ2N1xXKZ9yDZVsJIJk06ZtWzRKIwqmGiYYAyHBqClXTBTAS4ZFhQCsEBSEAVFSMSYnm9xV8G89xlR3NhpcLsGh72NdFVpXUso1STekCT7GgG29CraD8FEzWq87rv92PFiOv8P7aYfNr-Gn1AHIN0CEGdYL3wc3PPt_4CeGi4VZ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>948895550</pqid></control><display><type>article</type><title>Administration of PRN Medications and Use of Nonpharmacologic Interventions in Acute Geropsychiatric Settings: Implications for Practice</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><creator>Lindsey, Pamela L. ; Buckwalter, Kathleen C.</creator><creatorcontrib>Lindsey, Pamela L. ; Buckwalter, Kathleen C.</creatorcontrib><description>Despite the known risks and the widespread administration of PRN (pro re nata or “as needed”) psychotropic medications in inpatient settings, little is known about their use with hospitalized older adults. This exploratory descriptive study examined the use of PRN psychotropic medications and nonpharmacologic interventions to manage symptoms in older adults hospitalized in two acute care geropsychiatric settings. A retrospective chart audit was conducted. A major finding was the lack of documentation regarding PRN administration. In 81.3% of cases at Site A and 55.3% of cases at Site B, no reason for administration was documented. No medication response was documented in 92.4% of cases at Site A and 47.5% of cases at Site B. No nonpharmacologic interventions were documented for 69% of Site A patients or 64% of Site B patients. To ensure patient safety and to inform best clinical practice, the lack of documentation surrounding administration of PRN medications and nonpharmacologic interventions must be resolved.</description><identifier>ISSN: 1078-3903</identifier><identifier>EISSN: 1532-5725</identifier><identifier>DOI: 10.1177/1078390312438768</identifier><identifier>PMID: 22442015</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Drug Administration Schedule ; Female ; Geriatric Psychiatry - methods ; Humans ; Inpatients ; Length of Stay - statistics &amp; numerical data ; Male ; Medical Audit - methods ; Medical Audit - statistics &amp; numerical data ; Mental Disorders - drug therapy ; Mental Disorders - nursing ; Mental Disorders - therapy ; Middle Aged ; Midwestern United States ; Nursing ; Psychiatric Nursing - methods ; Psychotropic Drugs - administration &amp; dosage ; Retrospective Studies</subject><ispartof>Journal of the American Psychiatric Nurses Association, 2012-03, Vol.18 (2), p.82-90</ispartof><rights>The Author(s) 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c289t-b28a95d5ea51bdfffec78ee317d1311a35ac7b27134a261e49eaa1430a3ca3603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1078390312438768$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1078390312438768$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22442015$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lindsey, Pamela L.</creatorcontrib><creatorcontrib>Buckwalter, Kathleen C.</creatorcontrib><title>Administration of PRN Medications and Use of Nonpharmacologic Interventions in Acute Geropsychiatric Settings: Implications for Practice</title><title>Journal of the American Psychiatric Nurses Association</title><addtitle>J Am Psychiatr Nurses Assoc</addtitle><description>Despite the known risks and the widespread administration of PRN (pro re nata or “as needed”) psychotropic medications in inpatient settings, little is known about their use with hospitalized older adults. This exploratory descriptive study examined the use of PRN psychotropic medications and nonpharmacologic interventions to manage symptoms in older adults hospitalized in two acute care geropsychiatric settings. A retrospective chart audit was conducted. A major finding was the lack of documentation regarding PRN administration. In 81.3% of cases at Site A and 55.3% of cases at Site B, no reason for administration was documented. No medication response was documented in 92.4% of cases at Site A and 47.5% of cases at Site B. No nonpharmacologic interventions were documented for 69% of Site A patients or 64% of Site B patients. To ensure patient safety and to inform best clinical practice, the lack of documentation surrounding administration of PRN medications and nonpharmacologic interventions must be resolved.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Drug Administration Schedule</subject><subject>Female</subject><subject>Geriatric Psychiatry - methods</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Length of Stay - statistics &amp; numerical data</subject><subject>Male</subject><subject>Medical Audit - methods</subject><subject>Medical Audit - statistics &amp; numerical data</subject><subject>Mental Disorders - drug therapy</subject><subject>Mental Disorders - nursing</subject><subject>Mental Disorders - therapy</subject><subject>Middle Aged</subject><subject>Midwestern United States</subject><subject>Nursing</subject><subject>Psychiatric Nursing - methods</subject><subject>Psychotropic Drugs - administration &amp; dosage</subject><subject>Retrospective Studies</subject><issn>1078-3903</issn><issn>1532-5725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kElPwzAQhS0EolC4c0K5cQp4iWPnWCE2iU0s52jqTFpXjV1sB4l_T0qBAxKnGc373pPmEXLE6CljSp0xqrSoqGC8EFqVeovsMSl4LhWX28M-yPlaH5H9GBeU0rLUYpeMOC8KTpncI92k6ayzMQVI1rvMt9nj0312h401X5eYgWuy14hr6d671RxCB8Yv_cya7MYlDO_oNqR12cT0CbMrDH4VP8zcQgoD9owpWTeLB2SnhWXEw-85Jq-XFy_n1_ntw9XN-eQ2N1xXKZ9yDZVsJIJk06ZtWzRKIwqmGiYYAyHBqClXTBTAS4ZFhQCsEBSEAVFSMSYnm9xV8G89xlR3NhpcLsGh72NdFVpXUso1STekCT7GgG29CraD8FEzWq87rv92PFiOv8P7aYfNr-Gn1AHIN0CEGdYL3wc3PPt_4CeGi4VZ</recordid><startdate>201203</startdate><enddate>201203</enddate><creator>Lindsey, Pamela L.</creator><creator>Buckwalter, Kathleen C.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201203</creationdate><title>Administration of PRN Medications and Use of Nonpharmacologic Interventions in Acute Geropsychiatric Settings</title><author>Lindsey, Pamela L. ; Buckwalter, Kathleen C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c289t-b28a95d5ea51bdfffec78ee317d1311a35ac7b27134a261e49eaa1430a3ca3603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Drug Administration Schedule</topic><topic>Female</topic><topic>Geriatric Psychiatry - methods</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Length of Stay - statistics &amp; numerical data</topic><topic>Male</topic><topic>Medical Audit - methods</topic><topic>Medical Audit - statistics &amp; numerical data</topic><topic>Mental Disorders - drug therapy</topic><topic>Mental Disorders - nursing</topic><topic>Mental Disorders - therapy</topic><topic>Middle Aged</topic><topic>Midwestern United States</topic><topic>Nursing</topic><topic>Psychiatric Nursing - methods</topic><topic>Psychotropic Drugs - administration &amp; dosage</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lindsey, Pamela L.</creatorcontrib><creatorcontrib>Buckwalter, Kathleen C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Psychiatric Nurses Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lindsey, Pamela L.</au><au>Buckwalter, Kathleen C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Administration of PRN Medications and Use of Nonpharmacologic Interventions in Acute Geropsychiatric Settings: Implications for Practice</atitle><jtitle>Journal of the American Psychiatric Nurses Association</jtitle><addtitle>J Am Psychiatr Nurses Assoc</addtitle><date>2012-03</date><risdate>2012</risdate><volume>18</volume><issue>2</issue><spage>82</spage><epage>90</epage><pages>82-90</pages><issn>1078-3903</issn><eissn>1532-5725</eissn><abstract>Despite the known risks and the widespread administration of PRN (pro re nata or “as needed”) psychotropic medications in inpatient settings, little is known about their use with hospitalized older adults. This exploratory descriptive study examined the use of PRN psychotropic medications and nonpharmacologic interventions to manage symptoms in older adults hospitalized in two acute care geropsychiatric settings. A retrospective chart audit was conducted. A major finding was the lack of documentation regarding PRN administration. In 81.3% of cases at Site A and 55.3% of cases at Site B, no reason for administration was documented. No medication response was documented in 92.4% of cases at Site A and 47.5% of cases at Site B. No nonpharmacologic interventions were documented for 69% of Site A patients or 64% of Site B patients. To ensure patient safety and to inform best clinical practice, the lack of documentation surrounding administration of PRN medications and nonpharmacologic interventions must be resolved.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>22442015</pmid><doi>10.1177/1078390312438768</doi><tpages>9</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1078-3903
ispartof Journal of the American Psychiatric Nurses Association, 2012-03, Vol.18 (2), p.82-90
issn 1078-3903
1532-5725
language eng
recordid cdi_proquest_miscellaneous_948895550
source MEDLINE; SAGE Complete A-Z List
subjects Aged
Aged, 80 and over
Drug Administration Schedule
Female
Geriatric Psychiatry - methods
Humans
Inpatients
Length of Stay - statistics & numerical data
Male
Medical Audit - methods
Medical Audit - statistics & numerical data
Mental Disorders - drug therapy
Mental Disorders - nursing
Mental Disorders - therapy
Middle Aged
Midwestern United States
Nursing
Psychiatric Nursing - methods
Psychotropic Drugs - administration & dosage
Retrospective Studies
title Administration of PRN Medications and Use of Nonpharmacologic Interventions in Acute Geropsychiatric Settings: Implications for Practice
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T05%3A34%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Administration%20of%20PRN%20Medications%20and%20Use%20of%20Nonpharmacologic%20Interventions%20in%20Acute%20Geropsychiatric%20Settings:%20Implications%20for%20Practice&rft.jtitle=Journal%20of%20the%20American%20Psychiatric%20Nurses%20Association&rft.au=Lindsey,%20Pamela%20L.&rft.date=2012-03&rft.volume=18&rft.issue=2&rft.spage=82&rft.epage=90&rft.pages=82-90&rft.issn=1078-3903&rft.eissn=1532-5725&rft_id=info:doi/10.1177/1078390312438768&rft_dat=%3Cproquest_cross%3E948895550%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=948895550&rft_id=info:pmid/22442015&rft_sage_id=10.1177_1078390312438768&rfr_iscdi=true