Focus on the Elderly in a Nursing Home
Conditions
Keywords
elderly, potential inappropriate medications, pharmaceutical care, quality of life, medical expenditure
Brief summary
This study investigates the effect of pharmaceutical care on a Veteran nursing home. 100 patients will be selected into this controlled study.The hypothesis are: 1. After patients receive pharmaceutical care, their drug related problems will be decreased. 2. After patients received pharmaceutical care, their self-reported medical expenditure will be decreased.
Detailed description
Around 200 residents in a Veteran nursing home will be selected for reviewing inclusion and exclusion criteria. A total of 100 subjected are selected into this randomized controlled trial. Each group will have 50 subjects and then divides into 4 subgroup, according to their drug items used (5-7 and over 8 items used). The inclusion criteria: 1. Residents of the Veteran nursing home. 2. over 65 years old. 3. complete comprehensive geriatric assessment (CGA) 4. prescription drugs more than 4 times/day, excluding stat order. 5. with 2 or more chronic diseases. Exclusion criteria: 1\. residents who were in the pharmaceutical care project of Taiwan Pharmacists Association.
Interventions
OTHERPharmaceutical care
pharmacists provide pharmaceutical care to the intervention group, comparing to ordinary care in control group
Sponsors
Taichung Veterans General Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Residents in the Veteran nursing home * Age over 65 years old * Complete Comprehensive Geriatric Assessment (CGA) * Use more than 4 drug item per day (excluding stat order) * subjects with more than 2 chronic diseases.
Exclusion criteria
* subjects who were in pharmaceutical care project of Taiwan Pharmacist Association.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| potential inappropriate medication (PIA) | one year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| drug items used | one year | the controlled group is expected to have less drug items used. |
| medical expenditure | one year | subjects self-reported outpatients visit, hospitalization, drug, and healthy supplemental used. |
Other
| Measure | Time frame | Description |
|---|---|---|
| quality of life measure | one year | use health outcome measure, EQ-5D, to assess the quality of life issue. |
Countries
Taiwan
Outcome results
None listed