Emergency Room of the Future
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Transcript of Emergency Room of the Future
Emergency Room of the FutureImproving Geriatric Medication Compliance
through Doctor/Patient Commu-nication
Laura Salisbury, MID Ben Cleveland, MSHS Lee Sanghun, MSIE
Problem Statement
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Geriatric patients make up a large percentage of the Emer-gency Department population. Many take multiple prescription medications that could result in noncompliance, taking the form of underusing or overusing/altering prescribed dosage. Due to mental or physical disability, many geriatric patients are at risk for medical noncompliance during their dosage pe-riod after visiting an emergency room because they may be unable to fully communicate their current medicinal use to the prescribing doctor and understand or recall his/her pre-scribed medication information.
• 25% of all ER visits are geriatric - Average 4.2 prescriptions per person- Many patients cannot recall accurately current medications and dosages
• Current methods of communicating & recording directions are not effective
• Elderly patients find medication adherence difficult
- Cognitive & Physical impairment- Multiple prescriptions
Related Literature& Re-search
Possible Scenarios • Overuse/Altering Dosage
Patient fallsTaken to ED with care-giver
Attempt to describe current medication use
Dr. makes diagnosis, pre-scribes dosage and dis-charges patient
Forgets dosage info. Take medication when-ever they feel urge
Possible Scenarios • Forgetfullness
Patient w/ mild demen-tia goes to ER for heart palpations
Forgets to take medication After a long day, doesn’t remember to put the pills into daily pill container
Dr. makes diagnosis, prescribes beta block-ers, discharges patient
Attempt to describe current medication use
Prospective Solutions• Physical Reminder System
Packaging design, digital display reminder
• Medication Communication (between home & ED)
Automated telephone reminder, digital device
• Medication Communication (within ED)Type of paperwork given to elderly, digital passport of health history, physicians seen, and medication list
• Adherence to emergency department discharge prescriptionsBy: Corinne M. Hohl, MD, MHSc; Riyad B. Abu-Laban, MD, MHSc; Jeffrey R. Brubacher, MD, MSc; Peter J. Zed, PharmD; Boris Sobolev, PhD
• Medication compliance in elderly people: influencing variables and in-terventions
By: Cargill, Julie M. Journal of Advanced Nursing. Apr92, Vol. 17 Issue 4, p422-426. 5p. DOI: 10.1111/1365-2648.ep8530400
• Adherence Issues in Elderly Patients By: Jeannette Y. Wick, RPh, MBA, FASC, Published Online: Thursday, January 13, 2011
References
Thank You !