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Open Access

Creative Commons License


This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Embargo Period

7-18-2012

Degree Program

Doctor of Nursing Practice

Degree Track

Public Health Nurse Leader

Year Degree Awarded

2012

Month Degree Awarded

May

Keywords

polypharmacy, older adults, medication safety, nursing informatics, medication/health literacy

Advisor Name

Jean

Advisor Middle Initial

E.

Advisor Last Name

Swinney, PhD, RN

Capstone Chair Name

Jean

E.

Swinney, PhD, RN

Capstone Member Name

Jeungok

Choi, PhD, MPH, RN

Capstone Outside Member Name

Sarah

Kemble, MD, MPH

Abstract

Medication safety and prevention of medication related problems are important issues in promoting and maintaining health and safety in one’s home for community dwelling older adults. Assessment of medications and management of a medication schedule are essential elements of medication safety, medication review, and medication care coordination. The Framework for Geriatric Homecare Excellence (Collaboration for Home Care Advances and Practices, 2009) is used as the foundation of this project to improve medication management, and promote and maintain health and safety at home. An in-home medication assessment was completed, using a medication management software informatics system to review medications, identify medication related problems, and convey this information to the Primary Care Provider, case manager, and client. Educational interventions on management and understanding of medications were provided to participants to assess and emphasize the correct use of medications and use of a personal medication record. The goal of this health promotion and health maintenance project was to improve medication safety through focused assessment and medication related education interventions for community dwelling older adults. This informatics based medication safety intervention showed considerable strength in completing and sharing medication home assessments enhanced by the software abilities. Significant outcome improvements were associated with the pre-post test comparison in provision of an up-to-date medication list and comprehension by clients of specific medication safety education.