Shared Medication PLanning In (SIMPLIfy) Home Hospice: An Educational Program to Enable Goal-Concordant Prescribing In Home Hospice.
Shared Medication PLanning In (SIMPLIfy) Home Hospice: An Educational Program to Enable Goal-Concordant Prescribing In Home Hospice.
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DOI：
10.1016/j.jpainsymman.2021.05.015
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发表时间：
2021-11
影响因子：
4.7
通讯作者：
DeSanto-Madeya S
中科院分区：
文献类型：
--
作者：
Tjia J;Clayton MF;Fromme EK;McPherson ML;DeSanto-Madeya S
通过逐渐减少和/或停用不必要的药物来简化药物治疗方案对于优化严重疾病患者的生活质量和安全性非常重要。很少有资源可用于教育临床医生，患者和家庭护理人员了解这一过程。描述一个名为家庭临终关怀共享药物计划的教育项目的发展。环境扫描确定了一个国家的最先进的教育计划，我们采用利益相关者小组参与的过程中，家庭临终关怀取消。利益相关者小组（2临终关怀管理员，3名护士，2名医生，2名药剂师和2名前家庭护理人员）来自2个地理位置不同的临终关怀机构审查了教育计划，并建议增加内容。反复审查和反馈的结果是：（a）由3部分组成的临床医生教育计划（总持续时间=1.5小时），提出了一种标准化的、目标一致的药物审查方法，以使药物和关于方案简化的对话与患者和家庭护理者的护理目标相一致;（B）患者-家庭护理者药物管理教育笔记本，其呈现常见症状、临终关怀药物和药物方案简化原则;以及（c）一个简短的指南，包括有用的短语，用作程序中关键步骤的对话启动器。一位专业设计师为所有材料创造了主题连贯性，受到利益相关者小组成员和临终关怀工作人员的好评。教育材料可以支持临终关怀计划和临床医生努力实施目标一致的药物简化，优化患者和家庭护理人员的临终结局。尚未获得包括药物适当性和家庭护理者给药负担在内的结局评价。
Simplifying medication regimens by tapering and/or withdrawing unnecessary drugs is important to optimize quality of life and safety for patients with serious illness. Few resources are available to educate clinicians, patients and family caregivers about this process. To describe the development of an educational program called Shared Medication PLanning In (SIMPLIfy) Home Hospice. An environmental scan identified a state-of-the-art educational program for home hospice deprescribing that we adapted using a stakeholder panel engagement process. The stakeholder panel (2 hospice administrators, 3 nurses, 2 physicians, 2 pharmacists, and 2 former family caregivers) drawn from 2 geographically diverse hospice agencies reviewed the educational program and recommended additional content. Iterative rounds of review and feedback resulted in: (a) a 3-part clinician educational program (total duration=1.5 hour) that presents a standardized, goal-concordant, medication review approach to align medications and conversations about regimen simplification with patient and family caregiver goals of care; (b) a patient-family caregiver medication management educational notebook that presents common symptoms, hospice medications, and medication regimen simplification principles; and (c) a brief guide including helpful phrases to use as conversation starters for key steps in the program. A professional designer created thematic coherence for all materials that was well received by stakeholder panelists and hospice staff. Educational materials can support hospice programs’ and clinicians’ efforts to implement goal-concordant medication simplification that optimizes end-of-life outcomes for patients and family caregivers. Evaluation of outcomes including medication appropriateness and family caregiver medication administration burden are not yet available.
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根据停工标准，避免停止不必要的药物时避免不良药物提取事件。
DOI：
10.4140/tcp.n.2021.136
发表时间：
2021-03-01
期刊：
The Senior care pharmacist
影响因子：
--
作者：
Hanlon JT;Tjia J
通讯作者：
Tjia J
影响因子：
6.7
作者：
Curtin, Denis;Gallagher, Paul;O'Mahony, Denis
通讯作者：
O'Mahony, Denis
影响因子：
13.8
作者：
Brereton EJ;Matlock DD;Fitzgerald M;Venechuk G;Knoepke C;Allen LA;Tate CE
通讯作者：
Tate CE
影响因子：
120.7
作者：
Steinman, Michael A.;Hanlon, Joseph T.
通讯作者：
Hanlon, Joseph T.
影响因子：
2.2
作者：
Ellington, Lee;Cloyes, Kristin G.;Clayton, Margaret F.
通讯作者：
Clayton, Margaret F.