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RESEARCH
Environmental variables and errors in the preparation and administration of medicines
Revista Brasileira de Enfermagem. 2018;71(3):1046-1054
01-01-2018
Resumo
RESEARCHEnvironmental variables and errors in the preparation and administration of medicines
Revista Brasileira de Enfermagem. 2018;71(3):1046-1054
01-01-2018DOI 10.1590/0034-7167-2016-0041
Visualizações0Ver maisABSTRACT
Objective:
to identify the relationship between environmental factors and errors in the preparation and administration of antibacterial.
Method:
an observational, cross-sectional study conducted between August and December, 2014 in two clinical units. The sample consisted of 265 doses of medication, observed in different shifts that through a form had the environmental conditions of noise, illumination, humidity, temperature and physical space measured in the preparation and administration stages.
Results:
the physical dimension for the preparation was inadequate in one unit (3.8m2), and the items illumination, temperature and noise were extremely oscillating in the three shifts and in the two clinics, with averages generally higher than the recommended for the hospital environment, however, variations in illumination and noise were not statistically significant to cause dose errors or erroneous medicine choice (p> 0.05).
Conclusion:
the environmental variables analyzed may favor medication errors in both the preparation and administration stages.
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RESEARCH
Polypharmacy and potentially inappropriate medications for elder people in gerontological nursing
Revista Brasileira de Enfermagem. 2018;71(5):2440-2446
01-01-2018
Resumo
RESEARCHPolypharmacy and potentially inappropriate medications for elder people in gerontological nursing
Revista Brasileira de Enfermagem. 2018;71(5):2440-2446
01-01-2018DOI 10.1590/0034-7167-2017-0211
Visualizações0ABSTRACT
Objective:
To identify polypharmacy and potentially inappropriate medications (PIM) for elder people with chronic health situations and its implications for gerontological nursing.
Method:
Descriptive and transversal study, conducted from March to September 2016 by pharmaceutical residents in the clinic of Endocrinology of a hospital in Mid-West region of Brazil.
Results:
44 elder people with an average age of 69.5 (± 6.79) years old had their assessed prescriptions. We identified 65 medications prescribed 253 times, in which 10 PIM (15.4%) were prescribed 51 times. 33 seniors (72.7%) had at least one PIM, of those, 66.7% were polymedicated. Of the total, 22 elder people (50%) were subjected to polypharmacy and made use of at least one PIM.
Conclusion:
The results showed high incidence of PIM and polypharmacy, as well as their physiological impacts to the elder population. The study provokes discussions about that the trained nurse in human aging has skills and competencies able to enhance interventions related to pharmacotherapy.
Palavras-chave: Elder PeopleGeriatric NursingList of Potentially Inappropriate MedicationsPolymedicationUse of MedicationsVer mais -
RESEARCH
Elderly people with mental disorders: experiencing the use of psychotropic medicines
Revista Brasileira de Enfermagem. 2018;71(suppl 2):835-843
01-01-2018
Resumo
RESEARCHElderly people with mental disorders: experiencing the use of psychotropic medicines
Revista Brasileira de Enfermagem. 2018;71(suppl 2):835-843
01-01-2018DOI 10.1590/0034-7167-2016-0159
Visualizações0Ver maisABSTRACT
Objective:
To interpret the experience of the elderly with mental disorder in the use of psychotropic medicines.
Method:
Qualitative study in the interpretative modality, supported by the Grounded Theory. It was carried out from interviews with 16 elderly people with mental disorder and six relatives, totaling 22 participants.
Results:
In the experience of the use of psychotropic medicines, the elderly with mental disorders become aware of their condition, attribute meaning and establish strategies for the correct use. On the other hand, they express their dissatisfaction with being dependent on psychotropic medicines to live without symptoms, face their side effects and do not always use them correctly.
Conclusion:
The use of psychotropic medicines is a priority in the life of the elderly and, in view of the fragilities found, it is necessary a continuous monitoring of health professionals.