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Collaborative medication management for older adults after hospital discharge: a qualitative descriptive study
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Orientador(es)
Resumo(s)
Background 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.
Descrição
Palavras-chave
Older adults Informal caregivers Polypharmacy Qualitative descriptive research
Contexto Educativo
Citação
BMC Nursing (2022) 21:284
Editora
BMC