PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care
Mojtaba Vaismoradi,1 Shazia Jamshed,2 Stefan Lorenzl,3,4 Piret Paal5 1Faculty of Nursing and Health Sciences, Nord University, Bodø, 8049, Norway; 2Clinical Pharmacy and Practice, Faculty of Pharmacy, University Sultan Zainal Abidin, Terengganu, 22200, Malaysia; 3Professorship for Palliative Care, I...
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ftdoajarticles:oai:doaj.org/article:b997fba4d87749d69ec4b174b2452cbd 2023-05-15T15:45:28+02:00 PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care Vaismoradi M Jamshed S Lorenzl S Paal P 2021-07-01T00:00:00Z https://doaj.org/article/b997fba4d87749d69ec4b174b2452cbd EN eng Dove Medical Press https://www.dovepress.com/prn-medicines-management-for-older-people-with-long-term-mental-health-peer-reviewed-fulltext-article-RMHP https://doaj.org/toc/1179-1594 1179-1594 https://doaj.org/article/b997fba4d87749d69ec4b174b2452cbd Risk Management and Healthcare Policy, Vol Volume 14, Pp 2841-2849 (2021) family caregiver home care medication medicines management mental health older people patient safety pro re nata prn Public aspects of medicine RA1-1270 article 2021 ftdoajarticles 2022-12-31T07:06:50Z Mojtaba Vaismoradi,1 Shazia Jamshed,2 Stefan Lorenzl,3,4 Piret Paal5 1Faculty of Nursing and Health Sciences, Nord University, Bodø, 8049, Norway; 2Clinical Pharmacy and Practice, Faculty of Pharmacy, University Sultan Zainal Abidin, Terengganu, 22200, Malaysia; 3Professorship for Palliative Care, Institute of Nursing Science and -Practice, Paracelsus Medical University, Salzburg, 5020, Austria; 4Department of Neurology, Klinikum Agatharied, Hausham, 83734, Germany; 5WHO Collaborating Centre at the Institute for Nursing Science and Practice, Paracelsus Medical University, Salzburg, A-5020, AustriaCorrespondence: Mojtaba VaismoradiFaculty of Nursing and Health Sciences, Nord University, Bodø, 8049, NorwayTel +47 75 51 78 13Email mojtaba.vaismoradi@nord.noAbstract: Older people with long-term mental health conditions who receive care in their own home are vulnerable to the inappropriate use of medications and polypharmacy given their underlying health conditions and comorbidities. Inappropriate use of pro re nata (PRN) medications in these older people can enhance their suffering and have negative consequences for their quality of life and well-being, leading to readmission to healthcare settings and the increased cost of health care. This narrative review on published international literature aims at improving our understanding of medicines management in home care and how to improve PRN medication use among older people with long-term health conditions in their own home. Accordingly, the improvement of PRN medicines management for these older people requires the development of an individualised care plan considering ‘reduction of older people’s dependence on PRN medications’, ‘empowerment of family caregivers’, and ‘support by healthcare professionals.’ PRN medication use should be reduced through deprescription and discontinuation strategies. Also, older people and their family caregivers should be encouraged to prioritize the use of non-pharmacologic methods to relieve physical and psychological problems. ... Article in Journal/Newspaper Bodø Directory of Open Access Journals: DOAJ Articles Bodø ENVELOPE(14.405,14.405,67.280,67.280) Norway Sultan ENVELOPE(-55.317,-55.317,-61.150,-61.150) |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
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family caregiver home care medication medicines management mental health older people patient safety pro re nata prn Public aspects of medicine RA1-1270 |
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family caregiver home care medication medicines management mental health older people patient safety pro re nata prn Public aspects of medicine RA1-1270 Vaismoradi M Jamshed S Lorenzl S Paal P PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care |
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family caregiver home care medication medicines management mental health older people patient safety pro re nata prn Public aspects of medicine RA1-1270 |
description |
Mojtaba Vaismoradi,1 Shazia Jamshed,2 Stefan Lorenzl,3,4 Piret Paal5 1Faculty of Nursing and Health Sciences, Nord University, Bodø, 8049, Norway; 2Clinical Pharmacy and Practice, Faculty of Pharmacy, University Sultan Zainal Abidin, Terengganu, 22200, Malaysia; 3Professorship for Palliative Care, Institute of Nursing Science and -Practice, Paracelsus Medical University, Salzburg, 5020, Austria; 4Department of Neurology, Klinikum Agatharied, Hausham, 83734, Germany; 5WHO Collaborating Centre at the Institute for Nursing Science and Practice, Paracelsus Medical University, Salzburg, A-5020, AustriaCorrespondence: Mojtaba VaismoradiFaculty of Nursing and Health Sciences, Nord University, Bodø, 8049, NorwayTel +47 75 51 78 13Email mojtaba.vaismoradi@nord.noAbstract: Older people with long-term mental health conditions who receive care in their own home are vulnerable to the inappropriate use of medications and polypharmacy given their underlying health conditions and comorbidities. Inappropriate use of pro re nata (PRN) medications in these older people can enhance their suffering and have negative consequences for their quality of life and well-being, leading to readmission to healthcare settings and the increased cost of health care. This narrative review on published international literature aims at improving our understanding of medicines management in home care and how to improve PRN medication use among older people with long-term health conditions in their own home. Accordingly, the improvement of PRN medicines management for these older people requires the development of an individualised care plan considering ‘reduction of older people’s dependence on PRN medications’, ‘empowerment of family caregivers’, and ‘support by healthcare professionals.’ PRN medication use should be reduced through deprescription and discontinuation strategies. Also, older people and their family caregivers should be encouraged to prioritize the use of non-pharmacologic methods to relieve physical and psychological problems. ... |
format |
Article in Journal/Newspaper |
author |
Vaismoradi M Jamshed S Lorenzl S Paal P |
author_facet |
Vaismoradi M Jamshed S Lorenzl S Paal P |
author_sort |
Vaismoradi M |
title |
PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care |
title_short |
PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care |
title_full |
PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care |
title_fullStr |
PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care |
title_full_unstemmed |
PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care |
title_sort |
prn medicines management for older people with long-term mental health disorders in home care |
publisher |
Dove Medical Press |
publishDate |
2021 |
url |
https://doaj.org/article/b997fba4d87749d69ec4b174b2452cbd |
long_lat |
ENVELOPE(14.405,14.405,67.280,67.280) ENVELOPE(-55.317,-55.317,-61.150,-61.150) |
geographic |
Bodø Norway Sultan |
geographic_facet |
Bodø Norway Sultan |
genre |
Bodø |
genre_facet |
Bodø |
op_source |
Risk Management and Healthcare Policy, Vol Volume 14, Pp 2841-2849 (2021) |
op_relation |
https://www.dovepress.com/prn-medicines-management-for-older-people-with-long-term-mental-health-peer-reviewed-fulltext-article-RMHP https://doaj.org/toc/1179-1594 1179-1594 https://doaj.org/article/b997fba4d87749d69ec4b174b2452cbd |
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1766379866684391424 |