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Evaluation of a self-medication program

L Pereles1, L Romonko, T Murzyn

  • 1Southern Alberta Regional Geriatric Program, University of Calgary, Alberta, Canada.

Journal of the American Geriatrics Society
|February 1, 1996
PubMed
Summary
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An inpatient self-medication program (SMP) improved medication compliance in geriatric patients but did not enhance their ability to self-medicate or medication knowledge upon discharge. Cognitive factors were identified as limitations.

Area of Science:

  • Geriatric Medicine
  • Clinical Pharmacy
  • Patient Safety

Background:

  • Self-medication programs (SMPs) aim to improve patient autonomy and medication management.
  • Assessing the impact of SMPs on geriatric patients' ability to self-medicate, knowledge, compliance, and morale is crucial for discharge planning.

Purpose of the Study:

  • To evaluate the effectiveness of an inpatient self-medication program (SMP) in geriatric patients.
  • To determine the program's impact on self-medication ability, medication knowledge, compliance, and morale post-discharge.

Main Methods:

  • A randomized controlled trial involving 107 geriatric patients.
  • Patients were assigned to either an SMP with progressive medication responsibility or standard care.
  • Outcomes measured included self-medication ability, 1-month medication compliance, medication knowledge, and morale.

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Main Results:

  • The SMP did not significantly increase the proportion of patients able to self-medicate upon discharge.
  • Medication compliance and reduced medication errors were significantly improved in the SMP group at 1-month follow-up.
  • No significant differences in morale or medication knowledge were observed between groups, though both improved over time.

Conclusions:

  • Inpatient self-medication programs can enhance medication compliance in geriatric patients transitioning to community settings.
  • SMPs do not appear to improve patients' morale or medication knowledge beyond standard pharmacy counseling.
  • Cognitive limitations may hinder the ability of some patients to self-medicate effectively post-discharge.