• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of nursing and healthcare of chronic illness >The process of medication management for older adults with dementia
【24h】

The process of medication management for older adults with dementia

机译：老年痴呆症患者的药物管理过程

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The process of medication management for older adults with dementia Aim. The purpose of this study was to explore the personal experiences related to medication management of community-dwelling older adults diagnosed with dementia, their informal caregivers, as well as healthcare professionals who assist them. Background. Older adults who have dementia face many challenges in managing their medications while living in the community. Medication regimens used to treat a variety of conditions in older adults with dementia are usually overseen and coordinated by healthcare professionals such as community nurses, physicians and pharmacists, but often, more supports are needed. However, little research has been conducted to study the barriers and facilitators to medication adherence in this unique population. Methods. Using a grounded theory approach, 57 interviews were completed (10 nurses, 10 pharmacists, 6 physicians, 20 caregivers and 11 patients) in southern Ontario, Canada, in 2007. Findings. The findings indicate that the processes of medication management differ according to the level of dementia. A number of corresponding facilitators and barriers to medication management were identified. Medication management in early stage dementia is characterised by patients' desire to maintain independence, denial of issues or disease, and a refusal to take medications owing to feeling angry. In late-stage dementia, older adults often refuse medications owing to delusional or suspicious thinking, which results in caregivers assuming responsibility for managing their medications. Conclusions. Older adults with dementia, their informal caregivers and the healthcare professionals who assist them are faced with the challenges of declining cognitive function and memory while trying to manage medications at home. However, a number of adherence strategies appear to be helpful and should be considered. Relevance to clinical practice. Healthcare professionals struggle with he...
机译：针对老年痴呆症患者的药物管理过程。这项研究的目的是探讨与社区居民诊断为痴呆症的老年人，其非正式护理人员以及协助他们的医疗保健专业人员的药物管理有关的个人经验。背景。患有痴呆症的老年人在社区生活中在管理药物方面面临许多挑战。通常由社区护士，医生和药剂师等医疗保健专业人员监督和协调用于治疗老年痴呆症老年人的各种病症的药物治疗方案，但通常需要更多的支持。但是，很少进行研究来研究这一独特人群中药物依从性的障碍和促进因素。方法。使用扎根的理论方法，2007年在加拿大安大略省南部完成了57项访谈（10名护士，10名药剂师，6名医生，20名护理人员和11名患者）。研究结果表明，药物治疗的过程因痴呆程度而异。确定了许多相应的促进因素和药物管理障碍。早期痴呆症的药物治疗的特点是患者渴望保持独立性，拒绝治疗疾病或疾病，以及由于生气而拒绝服药。在晚期痴呆症中，老年人经常由于妄想或可疑的想法而拒绝药物治疗，这导致护理人员承担管理药物的责任。结论。老年痴呆症患者，他们的非正式照料者以及为他们提供帮助的医护人员在尝试在家中管理药物时面临着认知功能和记忆力下降的挑战。但是，许多遵循策略似乎是有帮助的，应予以考虑。与临床实践有关。医疗保健专业人员在与他抗争...

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号