| "Learning About Your Residents": How Assisted Living Residence Medication Aides Decide to Administer Pro Re Nata Medications to Persons With Dementia. | |
| | |
MedLine Citation:
|
PMID: 21903615 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: This study identified how unlicensed staff members decide to administer medications prescribed pro re nata (PRN) to residents of assisted living (AL) settings designated for persons with dementia. Theories of knowledge, including explicit and implicit knowledge, discretion, and judgment, guided the analysis. DESIGN AND METHODS: Data were collected and analyzed using qualitative methods. The staff members responsible for medication administration were shadowed for 6 consecutive days in three Oregon ALs. In-person interviews were conducted with 16 staff members, and residents' medication records were reviewed. RESULTS: Medication aides' decisions to administer PRN medications were informed by resident request, interpretation of resident-specific actions, training and experience, and setting-specific practices. The theme, learning about your residents, was consistent across settings. IMPLICATIONS: By administering PRN medications, medication aides play an important role in the daily care and comfort of AL residents with dementia. Policy makers need information about whether to permit unlicensed staff to administer medications and the level of training to require. This research suggests that training should recognize the tacit knowledge of practicing medication aides. Despite the role that PRN medications can play in the daily comfort and well-being of AL residents, little is known about as-needed medications prescribed versus those actually used across settings; also needed is an understanding of how other health professionals are involved in treatment plans that include medications. |
| | |
Authors:
|
Paula C Carder |
Related Documents
:
|
21431605 - A framework for specifying safe behavior of the ciip medical system. 19940595 - Remediation of the deficiencies of physicians across the continuum from medical school ... 8903755 - Firefighters: fitness for duty. 2726265 - Medical practice sales in a changing environment. 10126115 - Medical devices; reclassification and codification of microsurgical argon laser for rhi... 2590355 - Teaching medical ethics in its contexts: penn state college of medicine. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-9-7 |
Journal Detail:
|
Title: The Gerontologist Volume: - ISSN: 1758-5341 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-9-9 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0375327 Medline TA: Gerontologist Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Address correspondence to Paula C. Carder, Institute on Aging, Portland State University, PO Box 751, Portland, OR 97207. E-mail: carderp@pdx.edu. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Quality of Life of Nursing Home Residents With Dementia: A Comparison of Perspectives of Residents, ...
Next Document: Medical care delivery at the Inaugural Youth Olympic Games Singapore 2010.