A study of drug compliance, including the effect of a treatment card, in elderly patients following discharge home from hospital

Aging : Clinical and Experimental Research
J E GilmoreH M Taggart

Abstract

Compliance with prescribed medication was assessed in 104 mentally alert elderly patients one and two months after discharge from a geriatric medical unit. Of the 82 patients (58 females, 24 males) who completed the study, 72% were compliant by average tablet count after one month and 69% after two months. Using urinary riboflavin excretion as a marker of compliance, 69% were compliant after one month and 59% after two months. These differences were not significant, nor was any significant difference shown when a crossover design was used to study the effect of a treatment card on compliance. No differences in age, sex, social support or number of tablets taken were found between compliant and non-compliant patients. The value of a careful explanation of drug therapy by both a hospital pharmacist prior to discharge, and a research nurse, one and two months after discharge, has been highlighted. A considerable number of patients benefited from the assistance of a relative or home helper in administering their own treatment. It is recommended that a suitable helper be identified and counselled to assist at risk elderly patients with their medication. Thus, elderly mentally alert patients can achieve a satisfactory level of compli...Continue Reading

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Citations

Jan 1, 1995·International Journal of Technology Assessment in Health Care·H L LiptonE A Chrischilles
Jan 27, 2004·The Annals of Pharmacotherapy·Shelly A VikDavid B Hogan

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