Views of Primary Care Physicians and Home Care Nurses on the Causes of Readmission of Older Adults

2015 ◽  
Vol 63 (10) ◽  
pp. 2193-2196 ◽  
Author(s):  
Allen F. Shih ◽  
Bianca M. Buurman ◽  
Kathleen Tynan-McKiernan ◽  
Mary E. Tinetti ◽  
Grace Jenq
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Home Care ◽  
Primary Care Physicians ◽  
Home Care Nurses

scholarly journals HEALTHCARE PROVIDERS’ EXPERIENCES IN CARING FOR OLDER ADULTS WITH MULTIPLE CHRONIC CONDITIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S317-S318
Author(s):  
Jenny Ploeg ◽  
Marie-Lee Yous ◽  
Kimberly Fraser ◽  
Sinéad Dufour ◽  
Sharon Kaasalainen ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Home Care ◽  
Family Caregivers ◽  
Chronic Conditions ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Multiple Chronic Conditions ◽  
Team Approach ◽  
Personal Support

Abstract The management of multiple chronic conditions (MCC) in older adults living in the community is complex. Little is known about the experiences of interdisciplinary primary care and home providers who care for this vulnerable group. The aim of this study was to explore the experiences of healthcare providers in managing the care of community-living older adults with MCC and to highlight their recommendations for improving care delivery for this group. A qualitative interpretive description design was used. A total of 42 healthcare providers from two provinces in Canada participated in semi-structured interviews. Participants represented diverse disciplines (e.g., physicians, nurses, social workers, personal support workers) and settings (e.g., primary care and home care). Thematic analysis was used to analyze interview data. The experiences of healthcare providers managing care for older adults with MCC were organized into six major themes: (1) managing complexity associated with MCC, (2) implementing person-centred care, (3), involving and supporting family caregivers, (4) using a team approach for holistic care delivery, (5) encountering rewards and challenges in caring for older adults with MCC, and (6) recommending ways to address the challenges of the healthcare system. Healthcare providers highlighted the need for a more comprehensive integrated system of care to improve care management for older adults with MCC and their family caregivers. Specifically, they suggested increased care coordination, more comprehensive primary care visits with an interprofessional team, and increased home care support.

scholarly journals Now What Should I Do? Primary Care Physicians’ Responses to Older Adults Expressing Thoughts of Suicide

2011 ◽  
Vol 26 (9) ◽  
pp. 1005-1011 ◽  
Author(s):  
Steven D. Vannoy ◽  
Ming Tai-Seale ◽  
Paul Duberstein ◽  
Laura J. Eaton ◽  
Mary Ann Cook
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Primary Care Physicians

scholarly journals Exploration of home care nurse’s experiences in deprescribing of medications: a qualitative descriptive study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025606 ◽  
Author(s):  
Winnie Sun ◽  
Farah Tahsin ◽  
Caroline Barakat-Haddad ◽  
Justin P Turner ◽  
Cheryl Reid Haughian ◽  
...  
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Medication Management ◽  
Informal Caregivers ◽  
Healthcare Providers ◽  
Learning Needs ◽  
Open Communication ◽  
Barriers And Enablers ◽  
Qualitative Descriptive ◽  
Home Care Nurses

ObjectivesThe aim of this study is to explore the barriers and enablers of deprescribing from the perspectives of home care nurses, as well as to conduct a scalability assessment of an educational plan to address the learning needs of home care nurses about deprescribing.MethodsThis study employed an exploratory qualitative descriptive research design, using scalability assessment from two focus groups with a total of 11 home care nurses in Ontario, Canada. Thematic analysis was used to derive themes about home care nurse’s perspectives about barriers and enablers of deprescribing, as well as learning needs in relation to deprescribing approaches.ResultsHome care nurse’s identified challenges for managing polypharmacy in older adults in home care settings, including a lack of open communication and inconsistent medication reconciliation practices. Additionally, inadequate partnership and ineffective collaboration between interprofessional healthcare providers were identified as major barriers to safe deprescribing. Furthermore, home care nurses highlighted the importance of raising awareness about deprescribing in the community, and they emphasised the need for a consistent and standardised approach in educating healthcare providers, informal caregivers and older adults about the best practices of safe deprescribing.ConclusionTargeted deprescribing approaches are important in home care for optimising medication management and reducing polypharmacy in older adults. Nurses in home care play a vital role in medication management and, therefore, educational programmes must be developed to support their awareness and understanding of deprescribing. Study findings highlighted the need for the future improvement of existing programmes about safer medication management through the development of a supportive and collaborative relationship among the home care team, frail older adults and their informal caregivers.

scholarly journals AN EXPLORATION OF HOME CARE NURSES’ EXPERIENCES IN DEPRESCRIBING OF MEDICATIONS FOR OLDER ADULTS IN THE COMMUNITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S710-S710
Author(s):  
Winnie Sun
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Medication Management ◽  
Informal Caregivers ◽  
Healthcare Providers ◽  
Vital Role ◽  
Learning Needs ◽  
Open Communication ◽  
Barriers And Enablers ◽  
Home Care Nurses

Abstract The aim of this study is to explore the barriers and enablers of deprescribing from the perspectives of home care nurses, as well as to conduct a scalability assessment of an educational plan to address the learning needs of home care nurses about deprescribing. This study employed an exploratory qualitative descriptive research design, using scalability assessment from two focus groups with a total of eleven home care nurses in Ontario, Canada. Thematic analysis was used to derive themes about home care nurse’s perspectives about barriers and enablers of deprescribing, as well as learning needs in relation to deprescribing approaches. Home care nurse’s identified challenges for managing polypharmacy in older adults in home care settings, including a lack of open communication and inconsistent medication reconciliation practices. Additionally, inadequate partnership and ineffective collaboration between inter-professional healthcare providers were identified as major barriers to safe deprescribing. Further, home care nurses highlighted the importance of raising awareness about deprescribing in the community, and they emphasized the need for a consistent and standardized approach in educating healthcare providers, informal caregivers, and older adults about the best practices of safe deprescribing. Nurses in home care play a vital role in medication management and, therefore, educational programs must be developed to support their awareness and understanding of deprescribing. Study findings highlighted the need for the future improvement of existing programs about safer medication management through the development of a supportive and collaborative relationship among the home care team, frail older adults and their informal caregivers.

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