Use this URL to cite or link to this record in EThOS:
Title: Pharmacist participation in the private nursing home team : a study of the implementation of pharmaceutical services, based on the USA consultant pharmacist model
Author: Sommerville, Hazel
ISNI:       0000 0001 3470 6114
Awarding Body: University of London
Current Institution: University College London (University of London)
Date of Award: 2002
Availability of Full Text:
Access from EThOS:
Full text unavailable from EThOS. Please try the link below.
Access from Institution:
The pharmaceutical needs of 79 patients in two private nursing homes of good average standard have been assessed. A set of instruments has been devised and used to evaluate the prescribing of medicines in terms of patient diagnoses, health status and the patterns of medicine administration. Following the collection and analysis of baseline data, a number of recommendations for changes were made to the GPs and the nursing staff. Five further medication reviews were made at monthly intervals and additional recommendations made. The acceptance and implementation of all recommendations and their outcomes were determined. A total of 52% of all recommendations were accepted, though this differed in each nursing home. Some of the barriers to success in effecting these changes were identified. Over the course of the study, there was a mean reduction in prescribing equivalent to 1.5 items per patient. In Nursing Home 2 there were significant differences in the prescribing of drugs for the alleviation of both constipation (P<0.006) and skin treatment (P<0.006) on an 'as required' basis. In Nursing Home 1, there were significant improvements in the patterns of medicine administration (P<0.05) by nursing staff. The prescribing of skin preparations appeared to rise overall by 3%, mainly due to the improved accuracy of recording these treatments. In both nursing homes, observed improvements in the health status of the patients included significant decreases in the incidence of health problems (P<0.05), pressure sores (P<0.05) and constipation (P<0.005). Following consultation with nursing staff, guidelines were agreed which formalised a protocol for the prescribing and administration of laxatives; and the discretionary use by nurses of wound care products. The mean time involvement by the pharmacist to initiate and continue the process of monthly medication review on an individual patient basis is estimated at 1.4 hours and 8 minutes respectively.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available