Percorrer por autor "Verloo, Henk"
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- Collaborative medication management for older adults after hospital discharge: a qualitative descriptive studyPublication . Pereira, Filipa; Bieri, Marion; del Rio Carral, Maria; Martins, MM; Verloo, HenkBackground Safe medication management for older adults after hospital discharge requires a well-coordinated, interprofessional, patient-centered approach. This study aimed to describe the perceived needs for collaborative medication management for older adults taking several different medications at home after hospital discharge. Methods A qualitative descriptive study was conducted using semi-structured interviews with older adults (n=28), informal (n=17), and professional caregivers (n=13). Results Findings revealed four main needs: older adults and informal caregivers’ perceived needs for greater involvement in discharge planning; older adults’ perceived needs to be informed, listened to, and to be actively involved in decision-making; informal caregivers’ perceived needs for help in supporting and coordinating medication management; and older adults’ and informal and professional caregivers’ perceived needs for better communication and coordination between professional caregivers. Conclusion This study revealed two underutilized pathways towards improving collaborative medication management: medication follow-up involving a community healthcare professional taking an overarching responsibility and empowering older adults and their informal caregivers in medication management after hospital discharge.
- Medication Management Models for Polymedicated Home-Dwelling Older Adults With Multiple Chronic Conditions: Protocol of a Systematic ReviewPublication . Pereira, Filipa; Roux, Pauline; Rosselet Amoussou, Joëlle; Martins, MM; von Gunten, Armin; Verloo, HenkOlder adults with multiple chronic diseases commonly require complex medication regimes. When combined with frailty, cognitive impairment, and changing pharmacological prescriptions, older adults' polymedication regimes increase the risk of medication-related problems (MRPs) and hospitalization. Effective, well-organized medication management could avoid MRPs and their clinical outcomes.
- Optimising medication management for polymedicated home-dwelling older adults with multiple chronic conditionsPublication . Pereira, Filipa; Verloo, Henk; Martins, MM
- Polypharmacy Among Home-Dwelling Older Adults: The Urgent Need for an Evidence-Based Medication Management ModelPublication . Pereira, Filipa; Von Gunten, Armin; Amoussou, Joëlle Rosselet; Salamun, Isabella De Giorgi; Martins, MM; Verloo, HenkAbstract: Ageing populations with multiple chronic conditions challenge low-, middle-, and high-income countries. Older adults frequently depend on complex medication regimens and polypharmacy, both of which can lead to potentially devastating and debilitating medication-related problems and to subsequent far-reaching public health, social, and economic effects. This perspectives article provides an overview of the current state of medication management, reflects on its relevance among polymedicated home-dwelling older adults living with multiple chronic conditions, and proposes patient-centered approaches for optimizing medication management and preventing medication-related problems.
- Safe Medication Management for Polymedicated Home-Dwelling Older Adults after Hospital Discharge: A Qualitative Study of Older Adults, Informal Caregivers and Healthcare Professionals’ PerspectivesPublication . Pereira, Filipa; Bieri, Marion; Martins, MM; del Río Carral, María; Verloo, HenkAbstract: Safe medication management is particularly challenging among polymedicated homedwelling older adults after hospital discharge. This study aimed to identify and categorise the stressors experienced and reconstitution strategies adopted by older adults, their informal caregivers, and healthcare professionals as they manage older adults’ medications after hospital discharge. A primary study collected the perspectives of 28 older adults, 17 informal caregivers, and 13 healthcare professionals using a qualitative descriptive design. The Neuman Systems Model was used as the basis for a secondary deductive content analysis. Findings revealed that post-discharge medication management at home involved numerous stressors, often including dysfunctions in communication, collaboration, and coordination between the multiple stakeholders involved. Reconstitution strategies for safe medication management were not always successful or satisfactory and were sometimes identified as stressors themselves. Older adults, informal caregivers, and healthcare professionals’ perspectives highlighted several potential opportunities for improving safe medication management through nurse-led, interprofessional, patient-centred practices.
- Unplanned nursing home admission among discharged polymedicated older inpatients: a single-centre, registry-based study in SwitzerlandPublication . Pereira, Filipa; Verloo, Henk; von Gunten, Armin; del Río Carral, María; Meyer-Massetti, Carla; Martins, MM; Wernli, BorisObjective To investigate patient characteristics and the available health and drug data associated with unplanned nursing home admission following an acute hospital admission or readmission. Design A population-based hospital registry study. Setting A public hospital in southern Switzerland (Valais Hospital). Participants We explored a population-based longitudinal dataset of 14 705 hospital admissions from 2015 to 2018. Outcome measures Sociodemographic, health and drug data, and their interactions predicting the risk of unplanned nursing home admission. Results The mean prevalence of unplanned nursing home admission after hospital discharge was 6.1% (n=903/ N=14 705). Our predictive analysis revealed that the oldest adults (OR=1.07 for each additional year of age; 95%CI 1.05 to 1.08) presenting with impaired functional mobility (OR=3.22; 95%CI 2.67 to 3.87), dependency in the activities of daily living (OR=4.62; 95%CI 3.76 to 5.67), cognitive impairment (OR=3.75; 95%CI 3.06 to 4.59) and traumatic injuries (OR=1.58; 95%CI 1.25 to 2.01) had a higher probability of unplanned nursing home admission. The number of International Classification of Diseases, 10th version diagnoses had no significant impact on nursing home admissions, contrarily to the number of prescribed drugs (OR=1.17; 95%CI 1.15 to 1.19). Antiemetics/antinauseants (OR=2.53; 95%CI 1.21 to 5.30), digestives (OR=1.78; 95%CI 1.09 to 2.90), psycholeptics (OR=1.76; 95%CI 1.60 to 1.93), antiepileptics (OR=1.49; 95%CI 1.25 to 1.79) and antiParkinson’s drugs (OR=1.40; 95%CI 1.12 to 1.75) were strongly linked to unplanned nursing home admission. Conclusions Numerous risk factors for unplanned nursing home admission were identified. To prevent the adverse health outcomes that precipitate acute hospitalisations and unplanned nursing home admissions, ambulatory care providers should consider these risk factors in their care planning for older adults before they reach a state requiring hospitalisation