engleski

Acceptance of CMM intervention in a nursing home

Background: Comprehensive Medication Management Services (CMM) are clinical services based on pharmaceutical care. It is a patient-centred approach in which pharmacists take responsibility for the patient’s needs. Purpose: To determine the prevalence of drug therapy problems and identify their type. Secondary aim: To describe the interventions proposed to a general practitioner and identify the proportion of accepted interventions. Methods: An interventional study was conducted during a 17- month period in a nursing home. DTPs were classified according to an evaluation of the indication, effectiveness, safety, and convenience of each medication the patient was taking. Results: Sixty (60) residents were included in the study. Median age was 79.9 (56.1 – 96.7) years. On average, residents used seven (2-16) medications and had five (1-10) comorbidities. The total number of 146 DTPs were identified (4.3 ± 1.9 per resident). The most prevalent DTP was ‘‘Needs additional drug therapy’’ (N=74 ; 23.9%), falling into effectiveness category. Pharmacists involved in the study suggested a total of 133 modifications to the mentioned DTPs. Pharmacist suggested six intervention. Physicians accepted a total number of 112 interventions. Conclusion: The high prevalence of DTPs identified among elderly institutionalised patients strongly suggests the need to incorporate CMM services within the already existing institutional care facilities to improve the care provided to nursing home residents. High acceptance of such suggestions by the physicians proves that pharmacists are an essential part of the health system

intervention ; nursing home ; pharmacist

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