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34 Safer medication management for home-dwelling older adults

 

Taking several medications at the same time can lead to adverse effects and dangerous situations for home-dwelling older adults with chronic conditions. The study investigates how medication management can be made safer for this patient group.

Project description (ongoing research project)

In a first phase, around 50,000 electronic patient records from the Valais Hospital pertaining to home-dwelling older adults with chronic conditions will be evaluated. The aim of the analysis is to provide evidence of risk factors for adverse effects and dangerous situations associated with older adults taking medication at home. In a second phase, 30 patients and their professional and informal caregivers will be interviewed about their experience of taking medication at home. The selection of older adults for interview will be based on the risk profiles from the first phase of the study.

Background

Older adults suffering from chronic conditions often take several medications at the same time. Accurate medication management can be a difficult challenge, especially for people living at home. However, little research has been carried out into the experience of older adults and their informal caregivers (such as family members, friends, neighbours) with medication management.

Aim

The aim of the study is, first, to identify factors that can cause undesirable side effects and make taking multiple medication potentially dangerous for home-dwelling older adults. Second, the study will investigate the experiences of this group of patients with medication management. Third, the role of both professional and informal caregivers will be examined.

Relevance

Based on the research results, recommendations will be made on how to improve the safety of medication management for home-dwelling older adults with chronic conditions. These recommendations should help to prevent the adverse effects and dangerous situations that can lead to hospitalisation, institutionalisation or even premature death.

Original title

Optimising medication management for polymedicated home-dwelling older adults with multiple chronic conditions - ME@home

Project leader(s)

Applicant:

  • Dr. Henk Verloo, Institut Santé & Social, HES-SO/Valais

Co-applicants:

  • Professeur Marie Santiago Delefosse, Institut de psychologie, Faculté des sciences sociales et politiques, Université de Lausanne
  • Professeur Armin von Gunten, Hôpital de Cery, CHUV Professeur Boris Wernli, Unité "finances publiques", IDHEAP - Université de Lausanne

Project partners:

  • Madame Monique Lekhy Hagen, Société Medicale Valais, Sion
  • Monsieur David Roux, Centre médico-social Sion
  • Monsieur Eric Bonvin, Direction Générale, Hôpital du Valais, Sion
  • Monsieur Pierre-Alain Buchs, Pharmacie du midi, Sion
  • Madame Carla Massetti, Department of Pharmaceutical Sciences, University of Basel
  • Madame Isabella De Giorgi Salamun, Geriatrics and Geriatric Rehabilitation Service, CHUV, Lausanne

 

 

Further information on this content

 Contact

Henk Verloo Institut Santé & Social
HES-SO/Valais
Chemin de l'Agasse 5 1950 Sion +41 27 606 84 51 henk.verloo@hevs.ch