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This practical toolkit informs readers of ways to ensure the right medication in the right dose, for the right patient at the right time. It covers every aspect of looking after and delivering medicines in the care home environment. The easy-to-read format, with questions and exercises for individuals and groups, makes the text ideal as a framework for teaching and accredited learning. This handbook is vital for care professionals working in residential and nursing homes, their managers and supervisors. It is also invaluable for trainee care and nursing assistants including students in further education. 'When inspectors said thousands of care home residents were being given the wrong medication - the image of a grotty, poorly run nursing home reared its stereotypical head. How could something so simple as giving a patient their daily dose of tablets be going so wrong, so many times over? But according to care professionals, management of residents' medication is one of the most complex areas of running a nursing home, and unless fail-safe practices are adhered to, the results can be very damaging to both the resident and the care worker. Clearly, it's time to sort this out!' - Roy Lilley and Paul Lambden with Alan Gillies, in the Introduction.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Medication Management in Care of Older People is an accessible introduction to medication management and its role in the management of older people and their medicines. It addresses key issues in medication management, evaluates professional roles and clinical practice initiatives and explores healthcare policy and prescribing initiatives. This text explores the biology and neurobiology of ageing, pathological conditions such as Parkinson’s and Alzheimer’s disease, medication errors, issues of concordance, long term conditions and the older person, the principles of applied pharmacology and its relationship to older people. Medication Management in Care of Older People will be of interest to health care professionals who either have an interest in medication management and older people, or who are qualified independent or supplementary prescribers, and will enable them to comprehend the principles of applied pharmacology and medication management to enable them to use this knowledge in their daily practice. Illustrates the current issues, concerns and approaches used to manage older people and their medicines. Builds on pertinent current policy and research initiatives including the NSF for Older People and 'Building a Safer NHS for Patients: the role of medication safety' Each chapter features case studies, learning outcomes and implications for practice “I found this book to be interesting and highly relevant to OT practice. I would recommend this book as a learning resource to inform, review and support clinical therapy practice. Occupational Therapists could well appreciate many of the contributory factors relating to medication problems with Older People, using this resource could raise own standards, but also assist with reducing the negative impacts of medication issues on older people.” - Sarah Montgomery, A&E Occupational Therapist and Communications Officer, (COT Specialist Section Older People), London, UK
Medication use is the predominant form of health intervention in our society. And as we age, the likelihood of medication use increases dramatically, with more than 80 percent of those over age 65 using one or more medications. Along with that, the potential for medication errors also increases. Indeed adverse drug reactions (ADRs) and adverse drug events (ADEs) are a significant problem in older adults. Written in a practical format by contributors from Australia and the United States, Medication Management in Older Adults: A Concise Guide for Clinicians presents the available evidence on research interventions designed to reduce the incidence of medication errors in older adults, with a focus on acute, subacute, and residential (long-term) care settings. Because medication errors can occur at all stages in the medication process, from prescription by physicians to delivery of medication to the patient by nurses, and in any site in the health system, it is essential that interventions be targeted at all aspects of medication delivery. Chapters cover the principles of medical ethics in relation to medication management; common medication errors in the acute care sector; medication management in long-term care settings; nutrition and medications; the outcomes of a systematic review; dose form alterations; Electronic Health Records (EHR), Computerized Order Entry (COE), Beers criteria; and pharmacokinetics and pharmacodynamics. For those clinicians especially concerned with providing the best possible outcomes for their older adult patients, Medication Management in Older Adults: A Concise Guide for Clinicians is an invaluable resource and a significant contribution to the burgeoning literature on medication errors.
As more people live longer, the need for quality long-term care for the elderly will increase dramatically. This volume examines the current system of nursing home regulations, and proposes an overhaul to better provide for those confined to such facilities. It determines the need for regulations, and concludes that the present regulatory system is inadequate, stating that what is needed is not more regulation, but better regulation. This long-anticipated study provides a wealth of useful background information, in-depth study, and discussion for nursing home administrators, students, and teachers in the health care field; professionals involved in caring for the elderly; and geriatric specialists.
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Written especially for nurses in all disciplines and health care settings, this second edition of The Nurses's Role in Medication Safety focuses on the hands-on role nurses play in the delivery of care and their unique opportunity and responsibility to identify potential medication safety issues. Reflecting the contributions of several dozen nurses who provided new and updated content, this book includes strategies, examples, and advice on how to: * Develop effective medication reconciliation processes * Identify and address causes of medication errors * Encourage the reporting of medication errors in a safe and just culture * Apply human factors solutions to medication management issues and the implementation of programs to reduce medication errors * Use technology (such as smart pumps and computerized provider order entry) to improve medication safety * Recognize the special issues of medication safety in disciplines such as obstetrics, pediatrics, geriatrics, and oncology and within program settings beyond large urban hospitals, including long term care, behavioral health care, critical access hospitals, and ambulatory care and office-based surgery
Medicines are a crucial part of the jigsaw when considering how to provide recovery-focussed care in mental health. It is important that mental health nurses understand how psychiatric drugs work, what the common treatments are and appreciate the ethical and legal dimensions that affect how medicines can and should be used in mental health care. Using innovative activities and real-life case studies, this book has been carefully designed to provide all this and more making it the ideal resource to build knowledge and confidence in this crucial area of practice. Key features · Clear explanations of both the underlying biology and pharmacology as well as the wider practicalities of working with medicines · Provides accessible information on the most common conditions and treatments · Linked to the NMC standards and essential skills clusters · Activities and case studies help students to apply what they have learnt to practice and consider the full impact that medicines will have on service users
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.