What Happens after Hospital Discharge? Deficiencies in Medication Management Encountered by Geriatric Patients with Polypharmacy
This study aimed to describe post-discharge medication self-management by geriatric patients with polypharmacy, to describe the problems encountered and to determine the related factors In a multicenter study from November 2019 to March 2020, data were collected at hospital discharge and two to five...
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| Veröffentlicht in: | International journal of environmental research and public health 2021-06, Vol.18 (13), p.7031 |
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| creator | Mortelmans, Laura De Baetselier, Elyne Goossens, Eva Dilles, Tinne |
| description | This study aimed to describe post-discharge medication self-management by geriatric patients with polypharmacy, to describe the problems encountered and to determine the related factors
In a multicenter study from November 2019 to March 2020, data were collected at hospital discharge and two to five days post-discharge. Geriatric patients with polypharmacy were questioned about medication management using a combination of validated (MedMaIDE) and self-developed questionnaires. Of 400 participants, 70% did self-manage medication post-discharge. Patients had a mean of four different deficiencies in post-discharge medication management (SD 2.17, range 0-10). Knowledge-related deficiencies were most common. The number of medicines and the in-hospital provision of medication management by nurses were significant predictors of post-discharge medication management deficiencies. In addition to deficiencies in knowledge, medication-taking ability and obtaining medication, non-adherence and disrupted continuity of medication self-management were common in geriatric patients with polypharmacy post-discharge. Improvements in in-hospital preparation could avoid medication self-management problems at home. |
| doi_str_mv | 10.3390/ijerph18137031 |
| format | Article |
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| subjects | Aftercare Aged Data collection Drugs Geriatrics Hospitalization Hospitals Humans Knowledge Medication Therapy Management Palliative care Patient Discharge Patients Polypharmacy Questionnaires Schedules |
| title | What Happens after Hospital Discharge? Deficiencies in Medication Management Encountered by Geriatric Patients with Polypharmacy |
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