| 'Seamless care? Just a list would have helped!' Older people and their carer's experiences of support with medication on discharge home from hospital. | |
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MedLine Citation:
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PMID: 21838834 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background Many older people use one or more prescribed medicines on a daily basis. Effective medicines management at hospital discharge can support appropriate use of medicines following discharge and help avoid unnecessary hospital re-admission. Many people, however, feel they receive insufficient information about medicines on discharge from hospital. Objectives To explore older people and their family carers' experience of hospital discharge in relationship to the organization and management of medicines. Design Qualitative interviews with older people over 75 years old, taking four or more medicines, and their carers, following discharge from hospital in the United Kingdom (UK). Participants completed medication diaries prior to the interview. Setting Interviews took place in the participant's home. Results Nineteen interviews were conducted involving 12 carers and seven older people. Participants were generally not satisfied with the discharge process, particularly concerning perceived delays in discharge. Inadequate explanations about medicines at discharge were commonly reported and led to omission of medicines, incorrect dosage, anxiety and confusion. Poor communication between the hospital and general practitioners or community pharmacists was also evident. Conclusions Despite significant policy recommendations and research in this area, many problems with the management of medicines during hospital discharge were shown, and a lack of partnership was evident between hospital staff and patients/family carers regarding the use of medicines post-discharge. Improved medicines management during hospital discharge is required to ensure older people take their medications as prescribed and to protect them from the adverse effects of medicines not being taken correctly. |
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Authors:
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Denise A Knight; Diane Thompson; Elspeth Mathie; Angela Dickinson |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-8-12 |
Journal Detail:
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Title: Health expectations : an international journal of public participation in health care and health policy Volume: - ISSN: 1369-7625 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-8-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9815926 Medline TA: Health Expect Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Blackwell Publishing Ltd. |
Affiliation:
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Professional Lead, Primary Care Nursing, School of Nursing, Midwifery & Social Work, University of Hertfordshire Senior Research Fellow Research Fellow Senior Research Fellow, Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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