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Related Concept Videos

Drug Therapy01:28

Drug Therapy

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The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
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The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
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Related Experiment Video

Updated: May 7, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Empowering Recovery Through Bedside Medication Accessibility.

Ibrahim Kamel1,2, Anu R Twayana3, Deepak Kataria2

  • 1Internal Medicine, St. Elizabeth's Medical Center, Boston, USA.

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|January 3, 2025
PubMed
Summary

The Meds to Beds program significantly reduced hospital readmissions by 67% by delivering medications bedside before discharge. This intervention improved medication adherence and patient satisfaction, highlighting its value in healthcare settings.

Keywords:
community teaching hospitaldischarge interventionshealthcare quality improvementhospital readmissionsmedication adherencemeds-to-bedspatient satisfactionpharmacist counselingpost-discharge care

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Area of Science:

  • Health Services Research
  • Patient Care Management
  • Pharmacoeconomics

Background:

  • Hospital readmissions pose a significant burden on healthcare systems and patient well-being.
  • Medication non-adherence is a primary driver of preventable hospital readmissions.
  • The Meds to Beds (MTB) program was developed to improve medication access and adherence at hospital discharge.

Purpose of the Study:

  • To evaluate the effectiveness of the Meds to Beds (MTB) program in reducing 90-day hospital readmission rates.
  • To assess the impact of bedside medication delivery and counseling on patient outcomes.
  • To identify key interventions within the MTB program that contribute to reduced readmissions.

Main Methods:

  • A prospective, single-center study conducted at a community teaching hospital.
  • Inclusion of 63 patients discharged with new prescriptions, utilizing a within-subject, pre-post intervention design.
  • Statistical analysis using paired t-tests to compare 90-day readmission rates before and after MTB implementation.

Main Results:

  • A significant reduction in the mean number of admissions from 1.52 pre-intervention to 0.47 post-intervention (p < 0.001).
  • Successful bedside medication delivery, prescription retrieval, and personalized counseling were key components.
  • Identified and addressed patient-specific barriers to medication access, including cost and transportation.

Conclusions:

  • The Meds to Beds program significantly decreases hospital readmission rates.
  • Enhanced medication adherence and patient satisfaction were observed following MTB implementation.
  • The findings support the expansion of MTB programs to improve care quality and reduce healthcare costs.