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Looking for the “Little Things”: A Multi-Disciplinary Approach to Medicines Monitoring for Older People Using the ADRe Resource

David Hughes, Meirion Jordan, Patricia A. Logan, Alan Willson, Sherrill Snelgrove, Mel Storey, Mojtaba Vaismoradi, Sue Jordan Orcid Logo

Geriatrics, Volume: 5, Issue: 4, Start page: 79

Swansea University Authors: David Hughes, Alan Willson, Sherrill Snelgrove, Mel Storey, Sue Jordan Orcid Logo

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Abstract

As prescribing has become the dominant modality of medical treatment, the “pharmaceuticalization” of practice has often resulted in treatment “at a distance”, with doctors having limited contact with patients. Older and poorer people, who are socially distanced from medical prescribers, suffer more...

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Published in: Geriatrics
ISSN: 2308-3417
Published: Basel MDPI AG 2020
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa55421
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Abstract: As prescribing has become the dominant modality of medical treatment, the “pharmaceuticalization” of practice has often resulted in treatment “at a distance”, with doctors having limited contact with patients. Older and poorer people, who are socially distanced from medical prescribers, suffer more adverse drug reactions (ADRs) than the general population. This paper advocates a team approach to checking patients in care homes systematically for ADRs, using information from manufacturers’ guidelines. It explains the benefits of medicines monitoring to protect older patients from iatrogenic harm, such as over-sedation and falls. The ADRe profile is a sophisticated paper-based check-list, which helps nurses and carers play an active role in monitoring signs symptoms that indicate problems. Better monitoring allows doctors and pharmacists to adjust prescribing and respond to identified ADRs. We argue that Implementation of tools like ADRe can be accelerated by changes to the regulatory regime and better inter-professional cooperation.
Keywords: adverse drug reactions; patient safety; nursing; medicine management; long-term care; community care; older people care
College: College of Human and Health Sciences
Issue: 4
Start Page: 79