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Mar 9, 2021 · Purpose. Polypharmacy, medication errors and adverse drug events are frequent among nursing home residents. Errors can occur at any step of the medication use process. We aimed to review interventions aiming at optimization of any step of medication use in nursing homes.
- Anne Spinewine, Perrine Evrard, Carmel Hughes
- 10.1007/s41999-021-00477-5
- 2021
- Eur Geriatr Med. 2021; 12(3): 551-567.
The purpose of this article is to describe the Individual Nutrition Rx (INRx) assessment process and report findings on elder nutritional status, common nutrition problems identified by the INRx process, resolution outcomes from each problem, and the most efficacious approaches used to address the identified nutrition problems.
- Neva L. Crogan, Ceanne Alvine, Alice Pasvogel
- 2007
Aug 11, 2023 · The intention of this regulation is to make sure that people who use services have adequate nutrition and hydration to sustain life and good health and reduce the risks of malnutrition and dehydration while they receive care and treatment.
- Study Type and Setting
- Recruitment
- Intervention
- Measures and Data Collection
- Hypothesis and Required Sample Size
- Analysis
The SiMbA-study (“Sicherheit der Medikamentherapie bei AltenheimbewohnerInnen”, Safety of medication therapy in NHRs) was a non-randomized controlled study set in Austrian nursing homes between 2016 and 2018. It was supplemented with a qualitative evaluation of its intervention after the interventional period, which is not part of this paper and wi...
Medication therapy in Austrian nursing homes involves three independent groups of health care professionals: General practitioners (GPs) primarily responsible for the prescription and monitoring of their patients’ medication, nurses who distribute medication and monitor intake and community pharmacies providing the prescribed medication. Consequent...
The intervention aimed to improve medication appropriateness by enhancing and incorporating each professions particular expertise and capabilities within a standardized interprofessional medication review and monitoring process. It utilized HIT to create a formerly non-existent common information basis about NHRs for GPs, pharmacists and nurses, su...
Medication appropriateness was measured using the Medication Appropriateness Index (MAI) . The MAI covers ten aspects of medication appropriateness: indication, effectiveness, dosage, directions correct, directions practical, drug-disease interactions, drug-drug interactions, duplicates, duration and expense. For the SiMbA-study, item 10 (expense) ...
Since there is neither an agreed upon value of MAI that signifies inadequate medication appropriateness nor a definition of what constitutes a meaningful improvement of medication appropriateness (e.g. ), a combined approach was used to define minimal important change of MAI. First, we looked at the MAI itself. Items most relevant to medication app...
Analysis of the MAI focused on changes of MAI scores for long-term medication between t0 and [26, 30]. A variable for the mean change within-group for t1-t0 was calculated and analyzed descriptively. Additionally, effect sizes were calculated for within-group differences (dcohen) as well as for between-group differences (dppc2) . Recent studies ha...
- Johanna Katharina Dellinger, Stefan Pitzer, Dagmar Schaffler-Schaden, Maria Magdalena Schreier, Laur...
- 2020
Nursery homes are obliged to provide nutrition, which is appropriate for the age and health conditions of their residents. Nutritional care of the elderly in a residential setting is optimal when the meals are balanced, provide adequate nutrient and energy intakes, are safe, tasteful and fulfilling.
Context: Malnutrition in institutionalized patients is associated with adverse outcomes and increased costs. Nurses have a crucial role in the recognition and treatment of malnutrition and empowering patients in nutritional care.
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Jun 20, 2022 · POSSIBLE AVENUES TO IMPROVE MEDICATION SAFETY IN LONG-TERM CARE Looking forward, we believe several specific steps to improve medication safety could make care safer in older populations (figure 1). The first is adoption in long-term care of smart electronic health records which make it easy to track what medications people
