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Article

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

1
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
2
Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium
3
Research Foundation Flanders (FWO), 1000 Brussels, Belgium
4
Department of Patient Care, Antwerp University Hospital (UZA), 2610 Antwerp, Belgium
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(13), 7031; https://doi.org/10.3390/ijerph18137031
Received: 25 May 2021 / Revised: 24 June 2021 / Accepted: 26 June 2021 / Published: 30 June 2021
(This article belongs to the Special Issue Opportunities and Responsibilities in Pharmaceutical Care)
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. View Full-Text
Keywords: medication management; self-management; medication use; polypharmacy; older people medication management; self-management; medication use; polypharmacy; older people
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MDPI and ACS Style

Mortelmans, L.; De Baetselier, E.; Goossens, E.; Dilles, T. What Happens after Hospital Discharge? Deficiencies in Medication Management Encountered by Geriatric Patients with Polypharmacy. Int. J. Environ. Res. Public Health 2021, 18, 7031. https://doi.org/10.3390/ijerph18137031

AMA Style

Mortelmans L, De Baetselier E, Goossens E, Dilles T. What Happens after Hospital Discharge? Deficiencies in Medication Management Encountered by Geriatric Patients with Polypharmacy. International Journal of Environmental Research and Public Health. 2021; 18(13):7031. https://doi.org/10.3390/ijerph18137031

Chicago/Turabian Style

Mortelmans, Laura, Elyne De Baetselier, Eva Goossens, and Tinne Dilles. 2021. "What Happens after Hospital Discharge? Deficiencies in Medication Management Encountered by Geriatric Patients with Polypharmacy" International Journal of Environmental Research and Public Health 18, no. 13: 7031. https://doi.org/10.3390/ijerph18137031

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