Documentation of functional medication management in older adults within an acute care hospital
Canadian Pharmacists Conference ePoster Library. Sadowski C. 06/25/16; 132142; 20
Dr. Cheryl Sadowski
Dr. Cheryl Sadowski
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OBJECTIVES: To describe the documentation of functional medication management (FMM) in adults, age 65 years and older, on medicine wards, during their hospital stay. The secondary objective was to describe the characteristics of the health care providers (HCP) documenting on FMM.,METHODS: This study was a retrospective chart review of a random selection of 140 patients admitted at the University of Alberta Hospital from January 2013 to October 2014. FMM was defined as the process of taking medications (including ordering, picking up, organizing, preparing, monitoring, and administering medications). This ability requires assessing factors such as physical function (including vision, dexterity, and swallowing ability) related to medications and cognitive function.,RESULTS: A total of 140 patient charts were reviewed. The average age was 78.9 (SD 8.4) years, 68 (48%) male, and mean 8 (SD 3.1) scheduled oral medications taken. Commonly documented components of FMM included administration of medications (52%), organizing of medication (33%), assessments of physical function included vision (25%), swallowing ability of medications (18%), and cognitive function (21%). Documention of these activities was most frequently done by physicians (39%), occupational therapists (34%), and pharmacists (17%).,CONCLUSIONS: Clinicians occasionally document on FMM. Given the complexity of medication regimens and the functional demands of to handle these, there is a need to incorporate these assessments when evaluating patients.
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