scholarly journals Usefulness of the ManageMed Screen (MMS) and the Screening for Self-Medication Safety Post Stroke (S5) for Assessing Medication Management Capacity for Clients Post-Stroke

2015 ◽  
Author(s):  
Jessica Bolduc ◽  
Regula Robnett
Keyword(s):  
Clinical Practice ◽  
Focus Group ◽  
Medication Safety ◽  
Medication Management ◽  
Occupational Therapists ◽  
Self Medication ◽  
Post Stroke ◽  
Management Capacity ◽  
Medication Management Capacity ◽  
Moca Score

Occupational therapists need to efficiently and accurately screen a client’s medication management capacity, especially for clients post-stroke. Most therapists are not aware of, nor do they utilize specific assessments for, medication management capacity. The purpose of this pilot study was to compare the results of the ManageMed Screen (MMS), the Screening for Self-Medication Safety Post Stroke (S5), and the Montreal Assessment of Cognition (MoCA) on a population of rehabilitation clients post-stroke to determine the usefulness of the medication assessment tools in clinical practice. These screens were designed for use in occupational therapy practice among other healthcare professions: the MMS was validated for the general adult population, the S5 for clients post-stroke, and the MoCA is a cognitive screen used with adult clients with a variety of diagnoses including stroke. The MoCA was used to explore the potential relationship between cognition and medication management capacity. Study participants included five clients post-stroke and three occupational therapists. Clients were screened by the occupational therapists with the MMS, S5, and MoCA, and clinicians also participated in a focus group to assess their perceived usefulness of the screens. Results demonstrated that the MMS score compared to the S5 score was not statistically significant (r=.671, p=.215). There is no established consistency between the MoCA and MMS given these five clients. The MMS score was correlated to the MoCA score and was not found to be significant at a value of .205 with p=.741. The S5 score was also correlated to the MoCA score using SPSS and was found to have a non-significant value of -.287 and p=.640. Additionally, through a focus group, clinicians deemed both the MMS and S5 as useful, but felt the MMS was a more useful screen for their clinical practice with regard to efficient and practical use with clients post-stroke in a rehabilitation setting.

Assessment of medication management capacity in a predominantly African American and Caribbean American sample of adults with intractable epilepsy

2018 ◽  
Vol 88 ◽  
pp. 308-314 ◽  
Author(s):  
Seth A. Margolis ◽  
Jeffrey S. Gonzalez ◽  
Jessica Spindell ◽  
Maliheh Mohamadpour ◽  
Arthur C. Grant ◽  
...  
Keyword(s):  
African American ◽  
Medication Management ◽  
Intractable Epilepsy ◽  
American Sample ◽  
Management Capacity ◽  
Medication Management Capacity

scholarly journals Gender Differences in Medication Management Capacity in HIV Infection: The Role of Health Literacy and Numeracy

2008 ◽  
Vol 13 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Drenna Waldrop-Valverde ◽  
Deborah L. Jones ◽  
Dushyantha Jayaweera ◽  
Peggy Gonzalez ◽  
Javier Romero ◽  
...  
Keyword(s):  
Gender Differences ◽  
Health Literacy ◽  
Hiv Infection ◽  
Medication Management ◽  
Management Capacity ◽  
Medication Management Capacity

scholarly journals Therapists’ Perspective on Virtual Reality Training in Patients after Stroke: A Qualitative Study Reporting Focus Group Results from Three Hospitals

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Ludwig Schmid ◽  
Andrea Glässel ◽  
Corina Schuster-Amft
Keyword(s):  
Virtual Reality ◽  
Clinical Practice ◽  
Focus Group ◽  
Interprofessional Collaboration ◽  
Qualitative Content Analysis ◽  
Implementation Strategies ◽  
Occupational Therapists ◽  
Phenomenological Approach ◽  
Training System ◽  
Vr Training

Background. During the past decade, virtual reality (VR) has become a new component in the treatment of patients after stroke. Therefore aims of the study were (a) to get an insight into experiences and expectations of physiotherapists and occupational therapists in using a VR training system and (b) to investigate relevant facilitators, barriers, and risks for implementing VR training in clinical practice.Methods. Three focus groups were conducted with occupational therapists and physiotherapists, specialised in rehabilitation of patients after stroke. All data were audio-recorded and transcribed verbatim. The study was analysed based on a phenomenological approach using qualitative content analysis.Results. After code refinements, a total number of 1289 codes emerged out of 1626 statements. Intercoder reliability increased from 53% to 91% until the last focus group. The final coding scheme included categories on a four-level hierarchy: first-level categories are (a) therapists and VR, (b) VR device, (c) patients and VR, and (d) future prospects and potential of VR developments.Conclusions. Results indicate that interprofessional collaboration is needed to develop future VR technology and to devise VR implementation strategies in clinical practice. In principal, VR technology devices were seen as supportive for a general health service model.

scholarly journals One-Year Follow-Up of Medication Management Capacity in Highly Functioning Older Adults

2000 ◽  
Vol 55 (10) ◽  
pp. M550-M553 ◽  
Author(s):  
H. K. Edelberg ◽  
E. Shallenberger ◽  
J. M. Hausdorff ◽  
J. Y. Wei
Keyword(s):  
Older Adults ◽  
Medication Management ◽  
Management Capacity ◽  
One Year ◽  
Medication Management Capacity

scholarly journals Medication Management Capacity Among Older Residents of Low-Income Apartment Buildings

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 761-761
Author(s):  
Amal Badawoud ◽  
Pamela Parsons ◽  
Juan Lu ◽  
Emily Peron ◽  
Teresa Salgado ◽  
...  
Keyword(s):  
Low Income ◽  
Independent Living ◽  
Medication Management ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Apartment Buildings ◽  
Management Capacity ◽  
Medication Management Capacity

Abstract MMC is an essential component of safe and independent living. This cross-sectional study was designed to assess MMC among low-income older persons residing in HUD-subsidized housing, located at one of five apartment buildings in urban Richmond, VA. Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE) was used to measure MMC during individual, face-to-face interviews. Of the 107 participants, 89% were African-American with an average age of 68.5 years (±7.2), an average of 4.9 (±2.9) comorbidities and using approximately 8 (±4.1) medications on a regular basis. The mean deficit in MMC was 3 (±2.0). The most difficult skill was naming all of the medications (69.2%) followed by stating the indication (46.7%) and knowing how or when all of the medications should be taken or identifying existing refills (38.3%). Many older residents of low-income housing experience challenges in managing medications.

scholarly journals Level of medication self-management capacity among patients on ambulatory care exiting hospital pharmacy at Muhimbili National hospital, Tanzania: a descriptive cross-sectional study

2019 ◽  
Author(s):  
Hamu Joseph Mlyuka ◽  
Hija Salehe ◽  
Wigilya P Mikomangwa ◽  
Manase E Kilonzi ◽  
Alphonce I Marealle ◽  
...  
Keyword(s):  
Ambulatory Care ◽  
Medication Management ◽  
Cross Sectional Study ◽  
Muhimbili National Hospital ◽  
National Hospital ◽  
Cross Sectional ◽  
Management Capacity ◽  
Dosing Frequency ◽  
Medication Management Capacity ◽  
Study Participants

Abstract Objectives: Medication management capacity of a patient on ambulatory care is direct related to adherence. To our knowledge data on medication management capacity for ambulatory care patients exiting outpatient pharmacy outlets in Tanzania are scarce. This study aimed to determine the level of medication management capacity among patients on ambulatory care exiting Muhimbili National Hospital outpatient pharmacy outlet. Results: A total of 424 patients on ambulatory care participated in the study. Three hundred eighty seven (91.3%) out of 424 interview questionnaires had complete data and qualified for data analysis. Majority (62.3%) out of 387 study participants had poor medication management capacity; 65.3% out of 387 patients were unable to correctly read the prescription and match the drugs they are carrying. More than half (57.4%) out of 387 participants were unable to correctly take the dose, 73.9% out of 387 were unable to correctly tell the dosing frequency and duration. Only 10.6% out 155 patients with prescription containing drugs with warning or precaution or contraindication or potential side effects were aware.

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