Pharmacist-Initiated Management of a Suspected Case of Risperidone-Induced Neuroleptic Malignant Syndrome in an Aged-Care Resident. The Role of Residential Medication Management Reviews in Medication Safety

2018 ◽  
Vol 33 (3) ◽  
pp. 382-385 ◽  
Author(s):  
Michael Morcos ◽  
Jonathan Corns ◽  
Jodie Belinda Hillen
Keyword(s):  
Medication Safety ◽  
Psychological Symptoms ◽  
Medication Management ◽  
Aged Care ◽  
Suspected Case ◽  
Medication Reviews ◽  
Behavioral And Psychological Symptoms ◽  
Valuable Role

A 70-year-old female aged-care resident was referred by her general practitioner for a residential medication management review after nurses reported difficulties with swallowing, episodes of hyperthermia, elevated blood pressure, and tachycardia. These symptoms were accompanied by increasing confusion and drowsiness. Risperidone had recently been prescribed to treat behavioral and psychological symptoms of dementia. This case study describes the pharmacist-initiated management of the symptoms through a national medication review program. It demonstrates the valuable role collaborative medication reviews play in managing adverse drug reactions in aged-care.

Management of behavioral and psychological symptoms of dementia: The role of mood stabilizers

2014 ◽  
Vol 4 (4) ◽  
pp. 177-182
Author(s):  
Amber Rayfield ◽  
Christopher J. Thomas ◽  
Mary C. Borovicka
Keyword(s):  
Psychological Symptoms ◽  
Mood Stabilizers ◽  
Behavioral And Psychological Symptoms

scholarly journals To err is human: medication patient safety in aged care, a case study

2018 ◽  
Vol 19 (2) ◽  
pp. 126-134
Author(s):  
Julia Gilbert ◽  
Jeong-ah Kim
Keyword(s):  
Medication Error ◽  
Medication Errors ◽  
Medication Management ◽  
Care Facility ◽  
Root Cause Analysis ◽  
Aged Care ◽  
Cause Analysis ◽  
Content Type ◽  
Root Cause

Purpose The purpose of this paper is to explore an identified medication error using a root cause analysis and a clinical case study. Design/methodology/approach In this paper the authors explore a medication error through the completion of a root cause analysis and case study in an aged care facility. Findings Research indicates that medication errors are highly prevalent in aged care and 40 per cent of nursing home patients are regularly receiving at least one potentially inappropriate medicine (Hamilton, 2009; Raban et al., 2014; Shehab et al., 2016). Insufficient patient information, delays in continuing medications, poor communication, the absence of an up-to-date medication chart and missed or significantly delayed doses are all linked to medication errors (Dwyer et al., 2014). Strategies to improve medication management across hospitalisation to medication administration include utilisation of a computerised medication prescription and management system, pharmacist review, direct communication of discharge medication documentation to community pharmacists and staff education and support (Dolanski et al., 2013). Originality/value Discussion of the factors impacting on medication errors within aged care facilities may explain why they are prevalent and serve as a basis for strategies to improve medication management and facilitate further research on this topic.

scholarly journals Community paramedicine: Higher education as an enabling factor

2014 ◽  
Vol 11 (2) ◽  
Author(s):  
Peter O’Meara ◽  
Michel Ruest ◽  
Christine Stirling
Keyword(s):  
Emergency Response ◽  
Rural Community ◽  
Aged Care ◽  
Health Care Team ◽  
System Reform ◽  
Community Paramedicine ◽  
Sustainable Implementation ◽  
Extended Care

The aim of this case study was to describe one rural community paramedic model and identify enablers related to the implementation of the model. It was undertaken in the County of Renfrew, Ontario, Canada where a community paramedicine role has emerged in response to demographic changes and broader health system reform. Qualitative data was collected through direct observation of practice, informal discussions, interviews and focus groups.The crucial role of education in the effective and sustainable implementation of the community paramedicine model was identified as one of four enablers. Traditional paramedicine education programs are narrowly focused on emergency response, with limited education in health promotion, aged care and chronic disease management. Educational programs hoping to include a wider range of topics face the twin challenges of an already crowded curriculum and predominately young students who fail to see the relevance of community primary care content.A closer match between the paramedicine curriculum and the emerging roles of paramedics, whether they are community paramedics, extended care paramedics, or as yet unformed roles is needed if paramedics are to become valued members of the health care team.

scholarly journals FAMILY CAREGIVERS’ RESPONSES TO DAILY BEHAVIORAL SYMPTOMS OF DEMENTIA: THE MODERATING ROLE OF RELATIONSHIP QUALITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S595-S595
Author(s):  
Richard E Chunga ◽  
Yin Liu ◽  
Kyungmin Kim ◽  
Steven H Zarit
Keyword(s):  
Relationship Quality ◽  
Family Caregivers ◽  
Stress Responses ◽  
Multilevel Models ◽  
Psychological Symptoms ◽  
Behavioral Symptoms ◽  
Dyadic Relationship ◽  
Moderating Role ◽  
Behavioral And Psychological Symptoms

Abstract Providing care for persons with dementia (PWD) is frequently regarded as highly stressful, but how caregivers perceive care-related stressors depends on a variety of contexts. Research has demonstrated that relationship quality between the caregiver and receiver – as an important dyadic context – can influence the magnitude of this perceived distress. Using 8-day diary data from 173 family caregivers of PWD (day N = 1,359), this study examined the moderating effect of relationship quality on caregivers’ stress responses to daily behavioral and psychological symptoms of dementia (BPSD), comparing within- and between-person effects. Multilevel models suggested differences in the association between BPSD occurrence and perceived distress of BPSD (i.e., negative within-person association, but positive between-person association). However, we found that both associations were moderated by relationship quality; that is, better dyadic relationship quality seemed to be protective against distress at both within- and between-person levels.

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