PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review

Vaismoradi, Mojtaba; Moreno, Flores Vizcaya; Sletvold, Hege; Jordan, Sue

doi:10.3390/pharmacy7040157

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PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review

Mojtaba Vaismoradi, Flores Vizcaya Moreno, Hege Sletvold, Sue Jordan

Pharmacy, Volume: 7, Issue: 4, Start page: 157

Swansea University Authors: Mojtaba Vaismoradi, Sue Jordan

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DOI (Published version): 10.3390/pharmacy7040157

Abstract

Many medications are prescribed and administered PRN (pro re nata, as needed). However, there are few integrative reviews to inform PRN psychotropic medication use in long-term care facilities and nursing or care homes. Accordingly, this integrative systematic review aimed to improve our understandi...

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Published in:	Pharmacy
ISSN:	2226-4787
Published:	Switzerland MDPI AG 2019
Online Access:	Check full text
URI:	https://cronfa.swan.ac.uk/Record/cronfa52859

first_indexed	2019-11-25T13:13:41Z
last_indexed	2020-11-24T04:06:35Z
id	cronfa52859
recordtype	SURis
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spelling	2020-11-23T15:57:56.3994684 v2 52859 2019-11-25 PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review b865b33654e99f5cbccdb11350f7b069 Mojtaba Vaismoradi Mojtaba Vaismoradi true false 24ce9db29b4bde1af4e83b388aae0ea1 0000-0002-5691-2987 Sue Jordan Sue Jordan true false 2019-11-25 Many medications are prescribed and administered PRN (pro re nata, as needed). However, there are few integrative reviews to inform PRN psychotropic medication use in long-term care facilities and nursing or care homes. Accordingly, this integrative systematic review aimed to improve our understanding of PRN medicines management with a focus on psychotropic medications (antipsychotics, sedatives, anxiolytics, and hypnotics) in long-term care settings. Keywords relating to PRN in English, Norwegian, and Spanish were used, and articles published between 2009 and 2019 were retrieved. Based on the inclusion criteria, eight articles were used for data analysis and synthesis. This review offers a description of PRN prescription and administration of psychotropic medications in long-term care. Variations were observed in the management of PRN psychotropic medications based on residents’ underlying health conditions and needs, duration of use, and changes between medications and doses. Neither the reasons for PRN prescription and administration nor the steps taken to identify and manage any associated adverse reactions or adverse drug events were reported. Further initiatives are needed to improve PRN medicines management to explore factors that affect PRN prescription and administration and to develop appropriate PRN guidelines to prevent harm and improve the safety of people living in long-term care facilities. Journal Article Pharmacy 7 4 157 MDPI AG Switzerland 2226-4787 pro re nata; PRN; medicines management; nurse; patient safety; psychotropic medications; long-term care setting 25 11 2019 2019-11-25 10.3390/pharmacy7040157 COLLEGE NANME COLLEGE CODE Swansea University Nord University 2020-11-23T15:57:56.3994684 2019-11-25T09:01:51.7777274 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Mojtaba Vaismoradi 1 Flores Vizcaya Moreno 2 Hege Sletvold 3 Sue Jordan 0000-0002-5691-2987 4 52859__15945__6fbdb03dbe7946a684c5e5ee87e17159.pdf pharmacy-07-00157.pdf 2019-11-25T09:04:48.2196228 Output 389367 application/pdf Version of Record true This article is an open access article distributed under the terms and conditions of the Creative Commons attribution (CC BY) license true eng http://creativecommons.org/licenses/by/4.0/
title	PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review
spellingShingle	PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review Mojtaba Vaismoradi Sue Jordan
title_short	PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review
title_full	PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review
title_fullStr	PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review
title_full_unstemmed	PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review
title_sort	PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review
author_id_str_mv	b865b33654e99f5cbccdb11350f7b069 24ce9db29b4bde1af4e83b388aae0ea1
author_id_fullname_str_mv	b865b33654e99f5cbccdb11350f7b069_*_Mojtaba Vaismoradi 24ce9db29b4bde1af4e83b388aae0ea1_*_Sue Jordan
author	Mojtaba Vaismoradi Sue Jordan
author2	Mojtaba Vaismoradi Flores Vizcaya Moreno Hege Sletvold Sue Jordan
format	Journal article
container_title	Pharmacy
container_volume	7
container_issue	4
container_start_page	157
publishDate	2019
institution	Swansea University
issn	2226-4787
doi_str_mv	10.3390/pharmacy7040157
publisher	MDPI AG
college_str	Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id	facultyofmedicinehealthandlifesciences
hierarchy_top_title	Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id	facultyofmedicinehealthandlifesciences
hierarchy_parent_title	Faculty of Medicine, Health and Life Sciences
department_str	School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
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description	Many medications are prescribed and administered PRN (pro re nata, as needed). However, there are few integrative reviews to inform PRN psychotropic medication use in long-term care facilities and nursing or care homes. Accordingly, this integrative systematic review aimed to improve our understanding of PRN medicines management with a focus on psychotropic medications (antipsychotics, sedatives, anxiolytics, and hypnotics) in long-term care settings. Keywords relating to PRN in English, Norwegian, and Spanish were used, and articles published between 2009 and 2019 were retrieved. Based on the inclusion criteria, eight articles were used for data analysis and synthesis. This review offers a description of PRN prescription and administration of psychotropic medications in long-term care. Variations were observed in the management of PRN psychotropic medications based on residents’ underlying health conditions and needs, duration of use, and changes between medications and doses. Neither the reasons for PRN prescription and administration nor the steps taken to identify and manage any associated adverse reactions or adverse drug events were reported. Further initiatives are needed to improve PRN medicines management to explore factors that affect PRN prescription and administration and to develop appropriate PRN guidelines to prevent harm and improve the safety of people living in long-term care facilities.
published_date	2019-11-25T13:49:16Z
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PRN Medicines Management for Psychotropic Medicines in Long-Term Care Settings: A Systematic Review

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