Medicines administration for residents with dysphagia in care homes: A small scale observational study to improve practice

International Journal of Pharmaceutics
Jose Manuel Serrano SantosTimothy Longmore

Abstract

In the UK, 69.5% of residents in care homes are exposed to one or more medication errors and 50% have some form of dysphagia. Hospital research identified that nurses frequently crush tablets to facilitate swallowing but this has not been explored in care homes. This project aimed to observe the administration of medicines to patients with dysphagia (PWD) and without in care homes. A convenient sample of general practitioners in North Yorkshire invited care homes with nursing, to participate in the study. A pharmacist specialised in dysphagia observed nurses during drug rounds and compared these practices with national guidelines. Deviations were classified as types of medication administration errors (MAEs). Overall, 738 administrations were observed from 166 patients of which 38 patients (22.9%) had dysphagia. MAE rates were 57.3% and 30.8% for PWD and those without respectively (p<0.001). PWD were more likely to experience inappropriate prescribing (IP). Signs of aspiration were more frequently observed in PWD when IP occurred (p<0.001). Observation of medication administration practices by independent pharmacists may enable the identification of potentially dangerous practices and be used as a method of staff support. Unide...Continue Reading

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Citations

Apr 12, 2017·JBI Database of Systematic Reviews and Implementation Reports·Aida S ForoughLisa M Nissen
Jan 13, 2018·JBI Database of Systematic Reviews and Implementation Reports·Aida Sefidani ForoughLisa M Nissen
Nov 6, 2018·Current Clinical Pharmacology·Georgios Papazisis, Spyridon Siafis
Oct 12, 2018·Revista brasileira de enfermagem·Ana Paula Gobbo MottaFernanda Raphael Escobar Gimenes
Apr 25, 2020·International Journal of Clinical Pharmacy·Aida Sefidani ForoughLisa M Nissen

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