Document Detail

Caregiver status affects medication adherence among older home care clients with heart failure.
MedLine Citation:
PMID:  22732397     Owner:  NLM     Status:  Publisher    
Background and Aims: For older individuals living in the community with chronic diseases such as heart failure (HF), caregivers may play an important role in medication adherence. This role may be increasingly important as cognition declines. This study aimed to 1) examine the role of caregivers in medication adherence in a complex population of older home care clients with mild cognitive impairment and 2) examine the effect of caregiver stress on medication nonadherence. Methods: The interRAI Resident Assessment Instrument - Home Care (RAI-HC) instrument collects comprehensive information about all individuals receiving long-term home care services in the Canadian province of Ontario. This analysis of secondary data utilized this database to examine the relationship between caregiver residence and stress on medication adherence among a subset of clients with mild cognitive impairment who were over age 75. Results: The prevalence of HF among the sample was 15.5%, while mild cognitive impairment was present in 42.3% of the sample. Among individuals with mild cognitive impairment, having a caregiver at the same residence reduced medication non-adherence. Additionally, caregiver stress was significantly associated with higher rates of non-adherence. Conclusions: Mild cognitive impairment can impair medication adherence. The presence of a caregiver at home significantly improves medication adherence in patients with heart failure and mild cognitive impairment. Supporting caregivers is an important strategy in allowing clinically complex older adults to remain safely at home.
Andrea D Foebel; John P Hirdes; George A Heckman
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-25
Journal Detail:
Title:  Aging clinical and experimental research     Volume:  -     ISSN:  1594-0667     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101132995     Medline TA:  Aging Clin Exp Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
School of Public Health & Health Systems (ADF, JPH, GAH), University of Waterloo, Waterloo, Ontario.
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