Title: Capstone Project
Ripal Patel
Sacred Heart University
Abstract
Medication management is necessary to prevent harm to patient, reduce readmission rate and medication in-consistency in healthcare. My capstone project is based on medication management in healthcare. Here, in my first draft, I am going to discuss medication management of patients with multimorbidity. Multimorbidity effects 60% of primary care patients. Multi-morbidity is a major problem in health care and is related to outcomes. Addition to that, the presence of mental health conditions, such as depression and anxiety has further negative impact on clinical outcomes. Because of it is associated with polypharmacy, the development of interventions to boost medication management in patients with multimorbidity. Older people more than one diseases and they have multiple medications, so they have to know self The Behavior Change Wheel is a new approach for applying behavioral theory to interference development. Here, we describe how it the Behavior Change Wheel works to develop an intervention to improve medication management in multimorbidity. I found some good articles on multomorbidity from PubMed and CINAHL. THEORITICAL BACKGROUND In a present healthcare system that has expand around the management of chronic diseases. In 2014, the US Department of Health and Human Services recognized these challenges by stating the need to better equip clinicians in the management of multimorbidity, making specific reference to medication management. Multimorbidity leads to the prescription of multiple long-term medications. The polypharmacy is an independent risk factor for negative health outcomes such as adverse effects of drug interactions. For care givers, this creates a tension between keeping the number of medicines to a minimum while still prescribing what evidence-based guidelines supporter as being in the patient’s best interest. This is especially the case for general practitioners, who must correlative and the medications prescribed by multiple doctors involved in the care of a patient with multimorbidity. Over the past decades this gap is decrees by a new approach as the Behavioral Change Wheel. It describes behavioral change intervention and this model is based on capability, opportunity and motivation, it can provide understandings for why a particular behavior is performed or is not performed. Capability may be the physical skill, strength and stamina or psychological the knowledge or psychological skills to engage in the necessary mental processes. Opportunity may be physical or social. Motivation may be reflective by plans or evaluations or automatic. The behavioral analysis guides the choice of intervention strategies mostly to achieve behavioural change. Furthermore, the intervention functions have been linked to a taxonomy of 93 replicable behavioural change techniques. (Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, Eccles MP, Cane J, Wood CE Ann Behav Med. 2013 Aug; 46(1):81-95.) The Behaviour Change Wheel (Michie S, van Stralen MM, West R. …show more content…
Implement Sci. 2011 Apr 23; 6():42)
Select the target group
The general practitioner behaviours relating to medication management in multimorbidity are shown in following figure. ‘Maintaining the status quo’ was observed in all of the qualitative interviews practice guidelines which stands that patients receiving long-term medicines need medication reviews at regular intervals.
There are four more techniques social environment, action and planning, prompts and self-incentives.
Modifiable GP behaviours in medication management in multimorbidity identified in qualitative synthesis and interview study: ( Sinnott C, Mc Hugh S, Browne J, Bradley C. GPs' perspectives on the management of patients with multimorbidity: systematic review and synthesis of qualitative research. Sep 13; 3(9). )
Seeking Reliable Medication Information:
Patient mostly try to find medication information from pharmacists and doctors. Other less frequent medication information sources are family, friends, reference books, and nurses. Moreover, information sources selected based on accessibility, priority and the type of information needed. The each and every information available on the internet are not always fruitful. They need to use specific terms to get proper reliable information. Pharmacists has more knowledge about drugs, their uses and adverse effects on body, they are the trustable people to give information about drug interactions as per age group and all. Conclusion: The various study provides insights and challenges for multimorbidity patients, older group of people and healthcare providers in managing medications. There are few strategies for management of this population; to provide links for reliable information easily, improve communication between patients, caregivers and pharmacists
Ripal Patel
Sacred Heart University
Abstract
Medication management is necessary to prevent harm to patient, reduce readmission rate and medication in-consistency in healthcare. My capstone project is based on medication management in healthcare. Here, in my first draft, I am going to discuss medication management of patients with multimorbidity. Multimorbidity effects 60% of primary care patients. Multi-morbidity is a major problem in health care and is related to outcomes. Addition to that, the presence of mental health conditions, such as depression and anxiety has further negative impact on clinical outcomes. Because of it is associated with polypharmacy, the development of interventions to boost medication management in patients with multimorbidity. Older people more than one diseases and they have multiple medications, so they have to know self The Behavior Change Wheel is a new approach for applying behavioral theory to interference development. Here, we describe how it the Behavior Change Wheel works to develop an intervention to improve medication management in multimorbidity. I found some good articles on multomorbidity from PubMed and CINAHL. THEORITICAL BACKGROUND In a present healthcare system that has expand around the management of chronic diseases. In 2014, the US Department of Health and Human Services recognized these challenges by stating the need to better equip clinicians in the management of multimorbidity, making specific reference to medication management. Multimorbidity leads to the prescription of multiple long-term medications. The polypharmacy is an independent risk factor for negative health outcomes such as adverse effects of drug interactions. For care givers, this creates a tension between keeping the number of medicines to a minimum while still prescribing what evidence-based guidelines supporter as being in the patient’s best interest. This is especially the case for general practitioners, who must correlative and the medications prescribed by multiple doctors involved in the care of a patient with multimorbidity. Over the past decades this gap is decrees by a new approach as the Behavioral Change Wheel. It describes behavioral change intervention and this model is based on capability, opportunity and motivation, it can provide understandings for why a particular behavior is performed or is not performed. Capability may be the physical skill, strength and stamina or psychological the knowledge or psychological skills to engage in the necessary mental processes. Opportunity may be physical or social. Motivation may be reflective by plans or evaluations or automatic. The behavioral analysis guides the choice of intervention strategies mostly to achieve behavioural change. Furthermore, the intervention functions have been linked to a taxonomy of 93 replicable behavioural change techniques. (Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, Eccles MP, Cane J, Wood CE Ann Behav Med. 2013 Aug; 46(1):81-95.) The Behaviour Change Wheel (Michie S, van Stralen MM, West R. …show more content…
Implement Sci. 2011 Apr 23; 6():42)
Select the target group
The general practitioner behaviours relating to medication management in multimorbidity are shown in following figure. ‘Maintaining the status quo’ was observed in all of the qualitative interviews practice guidelines which stands that patients receiving long-term medicines need medication reviews at regular intervals.
There are four more techniques social environment, action and planning, prompts and self-incentives.
Modifiable GP behaviours in medication management in multimorbidity identified in qualitative synthesis and interview study: ( Sinnott C, Mc Hugh S, Browne J, Bradley C. GPs' perspectives on the management of patients with multimorbidity: systematic review and synthesis of qualitative research. Sep 13; 3(9). )
Seeking Reliable Medication Information:
Patient mostly try to find medication information from pharmacists and doctors. Other less frequent medication information sources are family, friends, reference books, and nurses. Moreover, information sources selected based on accessibility, priority and the type of information needed. The each and every information available on the internet are not always fruitful. They need to use specific terms to get proper reliable information. Pharmacists has more knowledge about drugs, their uses and adverse effects on body, they are the trustable people to give information about drug interactions as per age group and all. Conclusion: The various study provides insights and challenges for multimorbidity patients, older group of people and healthcare providers in managing medications. There are few strategies for management of this population; to provide links for reliable information easily, improve communication between patients, caregivers and pharmacists