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Centre for Policy on Ageing | |
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| Advanced practice and support in prescribing and medicine management for care homes | | Author(s) | Louise Winstanley, Wendy Brennan |
| Journal title | Journal of Care Services Management, vol 1, no 3, April-June 2007 |
| Pages | pp 233-244 |
| Source | http://www.henrystewart.com |
| Keywords | Drugs ; Care homes ; Medical workers ; Care home staff ; Coordination ; Preston. |
| Annotation | Older people in care homes have a higher level of care needs than most of the rest of the population, and are recognised in the National Service Framework for Older People (NSF) as being the group most at risk in terms of long-term illness, hospitalisation, adverse effects of medication, and falls. In studies of medicine-related hospital admissions and adverse effects of medicines on older people, some medicines rank highly, including psychoactive agents, non-steroidal anti-inflammatory drugs (NSAIDs), diuretics, anticoagulants and antibiotics. National Minimum Standards require good control of medicines for people living in care homes. Older care home residents receive up to four times as many prescription items as those living in their own homes. They are sensitive to the effects of medication, and iatrogenic disease is often a cause of hospital admission. Collaborative working between the nurse clinician, the pharmacist practitioner, care home staff, residents and general practitioners (GPs) has had a positive impact on approximately 160 people within four care homes in south Preston, Lancashire. Each person has received a complete review of their medicines, resulting in massive cost savings, a reduction in the number of GP callouts of more than 85%, and a reduction in the number of hospital admissions. Evidence from the National Institute for Clinical Evidence (NICE) on osteoporosis has resulted in all people being offered calcium and vitamin D supplementation to improve bone strength. An overall clinical management plan has been developed for each resident. (RH). |
| Accession Number | CPA-070613207 A |
| Classmark | LLD: KW: QT: QRM: QAJ: 8LF |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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