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Munin - Open Research Archive
Master thesis . 2010
License: CC BY NC SA
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Legemiddelgjennomganger på sykehjem

Authors: Skogdalen, Kjersti;

Legemiddelgjennomganger på sykehjem

Abstract

Beboere på sykehjem har ofte flere og kompliserte medisinske problemer. Dette skyldes at de bruker i gjennomsnitt fem legemidler fast daglig og at alder, organfunksjon, mentalsvikt og ernæringstilstand kan gjøre dem mer følsomme for bivirkninger og interaksjoner. Legemiddelbehandlingen blir derfor kompleks og medfører stor risiko for legemiddelrelaterte problemer. Legemiddelgjennomganger kan være et kvalitetssikrende tiltak for å håndtere legemiddelrelaterte problemer. Formålet med denne oppgaven var å finne en god arbeidsmetode for legemiddelgjennomganger på sykehjem, vurdere screening som metode og NORGEP-kriteriene som inklusjonskriterier. Fire sykehjem ble inkludert i kartleggingen av NORGEP-kriteriene og seks sykehjemsleger ble invitert til å delta i legemiddelgjennomganger. Totalt ble 164 pasienter inkludert i NORGEP-kartleggingen. Syv pasienter fikk sin legemiddelbehandling vurdert i en legemiddelgjennomgang. Blant de 164 inkluderte pasientene, hadde 54 % av pasientene treff på minst ett kriterium. Fem pasienter hadde treff på fire kriterier. Blant de syv pasientene som fikk en legemiddelgjennomgang, hadde seks pasienter treff på NORGEP-kriteriene. Alle disse seks hadde treff på kriterium 36 som førte til endringer i legemiddelbehandlingen. Blant de syv pasientene ble 14 legemidler gitt fast og 18 behovsmedisiner seponert. Det ble utarbeidet en metode for legemiddelgjennomganger, men det må gjøres flere legemiddelgjennomganger, da denne studien inkluderer for få pasienter til å konkludere. NORGEP-kriteriene ble vurdert mer klinisk relevant enn de fleste interaksjonene funnet i interaksjonsdatabaser, som kan tyde på at de er gode inklusjonskriterier.

Country
Norway
Related Organizations
Keywords

tverrfaglig samarbeid, pasientsikkerhet, lege, fastlege, screening, legemiddelliste, legemiddelinteraksjoner, Østlandet, legemiddelgjennomgang, DRUID, Norge, VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsfarmasi: 812, sykehjem, journalgranskning, legemiddelbruk, VDP::Medical disciplines: 700::Health sciences: 800::Community pharmacy: 812, eldre, NORGEP, farmasøyt, FAR-3901, legemiddel, legemiddelrelaterte problemer, sykehjemslege

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green