IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i13p7031-d586255.html
   My bibliography  Save this article

What Happens after Hospital Discharge? Deficiencies in Medication Management Encountered by Geriatric Patients with Polypharmacy

Author

Listed:
  • Laura Mortelmans

    (Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium)

  • Elyne De Baetselier

    (Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium)

  • Eva Goossens

    (Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium
    Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium
    Research Foundation Flanders (FWO), 1000 Brussels, Belgium
    Department of Patient Care, Antwerp University Hospital (UZA), 2610 Antwerp, Belgium)

  • Tinne Dilles

    (Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium)

Abstract

This study aimed to describe post-discharge medication self-management by geriatric patients with polypharmacy, to describe the problems encountered and to determine the related factors. In a multicenter study from November 2019 to March 2020, data were collected at hospital discharge and two to five days post-discharge. Geriatric patients with polypharmacy were questioned about medication management using a combination of validated (MedMaIDE) and self-developed questionnaires. Of 400 participants, 70% did self-manage medication post-discharge. Patients had a mean of four different deficiencies in post-discharge medication management (SD 2.17, range 0–10). Knowledge-related deficiencies were most common. The number of medicines and the in-hospital provision of medication management by nurses were significant predictors of post-discharge medication management deficiencies. In addition to deficiencies in knowledge, medication-taking ability and obtaining medication, non-adherence and disrupted continuity of medication self-management were common in geriatric patients with polypharmacy post-discharge. Improvements in in-hospital preparation could avoid medication self-management problems at home.

Suggested Citation

  • Laura Mortelmans & Elyne De Baetselier & Eva Goossens & Tinne Dilles, 2021. "What Happens after Hospital Discharge? Deficiencies in Medication Management Encountered by Geriatric Patients with Polypharmacy," IJERPH, MDPI, vol. 18(13), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:7031-:d:586255
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/13/7031/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/13/7031/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Toke Vanwesemael & Koen Boussery & Elizabeth Manias & Mirko Petrovic & Jessica Fraeyman & Tinne Dilles, 2018. "Self‐management of medication during hospitalisation: Healthcare providers’ and patients’ perspectives," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 753-768, February.
    2. Glennice Grantham & Virginia McMillan & Sandra V Dunn & Lee‐Anne Gassner & Peta Woodcock, 2006. "Patient self‐medication – a change in hospital practice," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(8), pages 962-970, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Elke Loots & Josée Leys & Shara Proost & Manuel Morrens & Inge Glazemakers & Tinne Dilles & Bart Van Rompaey, 2022. "Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers," IJERPH, MDPI, vol. 19(8), pages 1-11, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:7031-:d:586255. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.