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Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource

David Hughes, Meirion Jordan, Patricia A. Logan, Alan Willson, Sherrill Snelgrove, Mel Storey, Mojtaba Vaismoradi, Sue Jordan Orcid Logo

Geriatrics, Volume: 5, Issue: 4, Start page: 79

Swansea University Authors: David Hughes, Alan Willson, Sherrill Snelgrove, Mel Storey, Sue Jordan Orcid Logo

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DOI (Published version): 10.3390/geriatrics5040079

Abstract

As prescribing has become the dominant modality of medical treatment, the “pharmaceuticalization” of practice has often resulted in treatment “at a distance”, with doctors having limited contact with patients. Older and poorer people, who are socially distanced from medical prescribers, suffer more...

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Published in: Geriatrics
ISSN: 2308-3417
Published: Basel MDPI AG 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa55421
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Older and poorer people, who are socially distanced from medical prescribers, suffer more adverse drug reactions (ADRs) than the general population. This paper advocates a team approach to checking patients in care homes systematically for ADRs, using information from manufacturers&#x2019; guidelines. It explains the benefits of medicines monitoring to protect older patients from iatrogenic harm, such as over-sedation and falls. The ADRe profile is a sophisticated paper-based check-list, which helps nurses and carers play an active role in monitoring signs symptoms that indicate problems. Better monitoring allows doctors and pharmacists to adjust prescribing and respond to identified ADRs. 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spelling 2020-12-15T10:09:31.9603681 v2 55421 2020-10-15 Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource f1fbd458e3c75d8b597c0ac8036f2b88 David Hughes David Hughes true false f495569e5f37970164ac7a8054bbe467 Alan Willson Alan Willson true false 4b56d8097e3227a51b5b779f9e554423 Sherrill Snelgrove Sherrill Snelgrove true false adcafef962a8fc2f0a14d26215225b9c Mel Storey Mel Storey true false 24ce9db29b4bde1af4e83b388aae0ea1 0000-0002-5691-2987 Sue Jordan Sue Jordan true false 2020-10-15 FGMHL As prescribing has become the dominant modality of medical treatment, the “pharmaceuticalization” of practice has often resulted in treatment “at a distance”, with doctors having limited contact with patients. Older and poorer people, who are socially distanced from medical prescribers, suffer more adverse drug reactions (ADRs) than the general population. This paper advocates a team approach to checking patients in care homes systematically for ADRs, using information from manufacturers’ guidelines. It explains the benefits of medicines monitoring to protect older patients from iatrogenic harm, such as over-sedation and falls. The ADRe profile is a sophisticated paper-based check-list, which helps nurses and carers play an active role in monitoring signs symptoms that indicate problems. Better monitoring allows doctors and pharmacists to adjust prescribing and respond to identified ADRs. We argue that Implementation of tools like ADRe can be accelerated by changes to the regulatory regime and better inter-professional cooperation. Journal Article Geriatrics 5 4 79 MDPI AG Basel 2308-3417 adverse drug reactions; patient safety; nursing; medicine management; long-term care; community care; older people care 19 10 2020 2020-10-19 10.3390/geriatrics5040079 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2020-12-15T10:09:31.9603681 2020-10-15T11:47:29.8724315 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing David Hughes 1 Meirion Jordan 2 Patricia A. Logan 3 Alan Willson 4 Sherrill Snelgrove 5 Mel Storey 6 Mojtaba Vaismoradi 7 Sue Jordan 0000-0002-5691-2987 8 55421__18637__0d39d53c2cdb484d828a17ccf266da55.pdf 55421.pdf 2020-11-10T17:14:54.5185571 Output 1123069 application/pdf Version of Record true © 2020 Author(s). All article content, except where otherwise noted, is licensed under a Creative Commons Attribution 4.0 (CC BY) License true eng https://creativecommons.org/licenses/by/4.0/
title Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource
spellingShingle Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource
David Hughes
Alan Willson
Sherrill Snelgrove
Mel Storey
Sue Jordan
title_short Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource
title_full Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource
title_fullStr Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource
title_full_unstemmed Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource
title_sort Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource
author_id_str_mv f1fbd458e3c75d8b597c0ac8036f2b88
f495569e5f37970164ac7a8054bbe467
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adcafef962a8fc2f0a14d26215225b9c
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author_id_fullname_str_mv f1fbd458e3c75d8b597c0ac8036f2b88_***_David Hughes
f495569e5f37970164ac7a8054bbe467_***_Alan Willson
4b56d8097e3227a51b5b779f9e554423_***_Sherrill Snelgrove
adcafef962a8fc2f0a14d26215225b9c_***_Mel Storey
24ce9db29b4bde1af4e83b388aae0ea1_***_Sue Jordan
author David Hughes
Alan Willson
Sherrill Snelgrove
Mel Storey
Sue Jordan
author2 David Hughes
Meirion Jordan
Patricia A. Logan
Alan Willson
Sherrill Snelgrove
Mel Storey
Mojtaba Vaismoradi
Sue Jordan
format Journal article
container_title Geriatrics
container_volume 5
container_issue 4
container_start_page 79
publishDate 2020
institution Swansea University
issn 2308-3417
doi_str_mv 10.3390/geriatrics5040079
publisher MDPI AG
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
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description As prescribing has become the dominant modality of medical treatment, the “pharmaceuticalization” of practice has often resulted in treatment “at a distance”, with doctors having limited contact with patients. Older and poorer people, who are socially distanced from medical prescribers, suffer more adverse drug reactions (ADRs) than the general population. This paper advocates a team approach to checking patients in care homes systematically for ADRs, using information from manufacturers’ guidelines. It explains the benefits of medicines monitoring to protect older patients from iatrogenic harm, such as over-sedation and falls. The ADRe profile is a sophisticated paper-based check-list, which helps nurses and carers play an active role in monitoring signs symptoms that indicate problems. Better monitoring allows doctors and pharmacists to adjust prescribing and respond to identified ADRs. We argue that Implementation of tools like ADRe can be accelerated by changes to the regulatory regime and better inter-professional cooperation.
published_date 2020-10-19T04:09:37Z
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