Aligning Medications With What Matters Most: Conversations Between Pharmacists, People With Dementia, and Care Partners

IF 4.5 2区 医学 Q1 GERIATRICS & GERONTOLOGY Journal of the American Geriatrics Society Pub Date : 2025-02-03 DOI:10.1111/jgs.19379
Ariel R. Green, Rosalphie Quiles Rosado, Andrea E. Daddato, Aleks Wec, Kathy Gleason, Tobie Taylor McPhail, Jessica Merrey, Linda Weffald, Meghan Swarthout, Scott Feeser, Cynthia M. Boyd, Jennifer L. Wolff, Marcela D. Blinka, Elizabeth A. Bayliss, Rebecca S. Boxer
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Abstract

See related editorial by Gurwitz et al. in this issue.

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使药物与最重要的事情保持一致:药剂师,痴呆症患者和护理伙伴之间的对话。
导读:成功地为痴呆症患者开处方取决于痴呆症患者、护理伙伴和临床医生之间关于药物相关优先事项的沟通。本研究的目的是深入了解在处方干预期间,PWD和护理伙伴药物相关优先事项的启发如何影响与药剂师关于药物的讨论。方法:在一项以药剂师为主导的初级保健PWD处方干预的试点研究中,对药剂师和患者护理伙伴之间的录音互动进行定性分析。≥65岁、服用≥7种药物和护理伙伴的患者从科罗拉多州的综合输送系统和马里兰州的社区医疗实践中招募。定性内容分析用于分析来自55对患者护理伴侣的82份记录。结果:PWD患者平均(SD)年龄81(8.1)岁;45%是女性,33%是黑人,15%是西班牙裔。PWD患者在基线时平均服用13(±5.3)种药物。护理伙伴的平均年龄为66(13)岁,大部分为残疾人士的配偶/伴侣。内容分析确定了五大主题:(1)减轻药物相关治疗负担;(2)减轻繁重症状;(3)维持认知和功能;(4)权衡的讨论;(5)处方的挑战。在了解患者和护理伙伴的优先事项后,药剂师建议开处方和开处方。结论:对一项试验性处方干预的二次分析结果表明,明确PWD的药物相关优先级和护理伙伴可以支持目标一致的护理。这些结果可以为干预措施的发展提供信息,以优化针对这一人群的药物治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
10.00
自引率
6.30%
发文量
504
审稿时长
3-6 weeks
期刊介绍: Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.
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NOTICES Issue Information Cover A Thank You to JAGS Reviewers The Role of Brain Structure in Explaining Physical Functioning in Male Veterans With Impaired Kidney Function
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