SAFE Medication Management for Patients with Physical Impairments of Stroke, Part One

Yetzer, Elizabeth A.; Blake, Karen; Goetsch, Nancy; Shook, Mary; Paul, Marilyn St.

doi:10.1002/rnj.194

Cited by 12 publications

(14 citation statements)

References 6 publications

(9 reference statements)

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“…Caregivers were concerned with the stroke survivors’ medication administration, fearing the adverse consequences of improper administration. 97 Engaging the caregivers during the stroke survivors’ recovery process, educating them on the intrinsic as well as the extrinsic factors related to falls, and the adverse side effects of medications can improve the survivors’ outcomes as their caregivers learn to manage these problems effectively.…”

Section: Discussionmentioning

confidence: 99%

Needs of Stroke Survivors as Perceived by Their Caregivers

Krishnan

Pappadis

Weller

et al. 2017

American Journal of Physical Medicine &Amp; Rehabilitation

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Objective Caregivers usually are not involved while planning the stroke survivor’s medical and rehabilitation goals and interventions. This review aimed to identify the needs of stroke survivors as perceived by their caregivers. Design A literature search from 2003 until 2014 was conducted using Medline, CINAHL, PsychINFO and Google Scholar. Sixty-six studies were included. Most studies excluded did not encompass caregivers’ perspectives. Four reviewers screened the titles, abstracts, and full texts of the articles for inclusion. The data extracted from these studies were synthetized into meta-themes. Results Fifty-two qualitative, ten quantitative survey, and four mixed methods studies were included in the final synthesis. The studies came from eleven countries. The data synthesis produced three meta-themes: a) body functional needs, including psychological function, physical function, cognitive function, and uncertainty related to function; b) activity and participatory needs, including healthy lifestyle, physical activities, speech, independence, cognitive activities, and uncertainty related to activities and participation; and c) environmental needs, encompassing support, services, safety, accommodation and accessibility, and uncertainty related to environmental factors. Conclusion This scoping review identified a range of needs of stroke survivors as perceived by their caregivers. Incorporating the caregiver’s preference and values into clinical decisions may improve outcomes among stroke survivors.

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Section: Discussionmentioning

confidence: 99%

Needs of Stroke Survivors as Perceived by Their Caregivers

Krishnan

Pappadis

Weller

et al. 2017

American Journal of Physical Medicine &Amp; Rehabilitation

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“…25 The Systematic, Accurate, Functional, Effective medication management program is designed to increase safety and decrease medication-related adverse events specifically for patients with stroke. 26 The program includes evaluating the function and needs of patients with stroke to develop strategies to assist patients and caregivers in managing medications.…”

Section: Nursing's Role In Successful Transitions Across Settingsmentioning

confidence: 99%

Nursing’s Role in Successful Transitions Across Settings

Camicia

Lutz

2016

Stroke

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“…The pill is then carried into the mouth via the liquid flow and the pill and the liquid mix is concurrently swallowed when the swallow reflex takes over. 21 Specially designed pill-swallowing straws have a similar mechanism providing a flow of liquid through the straw that suspends and carries the pill with the liquid as it enters the mouth and then is swallowed. 22 The difference between the two is that while the straws encourage the consumer to maintain central or chin-down head position, the use of cups is usually accompanied by a head back position ( Table 2 ).…”

Section: Methodsmentioning

confidence: 99%

A spoonful of sugar helps the medicine go down? A review of strategies for making pills easier to swallow

Forough¹,

Lau²,

Steadman³

et al. 2018

PPA

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Solid oral dosage forms such as tablets and capsules are generally the preferred method of drug delivery due to their convenience, cost, and acceptability. However, for many people, it can be a challenge to swallow solid oral medications, even those with healthy swallowing function. This review describes current strategies available to facilitate medication administration to otherwise healthy people with pill-swallowing difficulties. In general, restoring and maintaining the ability to swallow pills whole should ideally be the first choice in managing people with pill-swallowing difficulties. A number of strategies can potentially make it easier to swallow pills whole. These include postural adjustments, using pill-swallowing aids, and teaching pill-swallowing techniques. Where these are not successful or appropriate, then other approaches have to be considered using alternative formulations/routes of administration or deprescribing. If there is no other option, and it is not directly contraindicated for each specific medication dosage form, pills may be modified and mixed in foods and drinks to aid swallowing. In conclusion, people with pill-swallowing difficulties can benefit from a number of strategies designed to facilitate swallowing medications. However, these strategies should be further evaluated with regard to the evidence relating to both their efficacy and safety.

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SAFE Medication Management for Patients with Physical Impairments of Stroke, Part One

Cited by 12 publications

References 6 publications

Needs of Stroke Survivors as Perceived by Their Caregivers

Needs of Stroke Survivors as Perceived by Their Caregivers

Nursing’s Role in Successful Transitions Across Settings

A spoonful of sugar helps the medicine go down? A review of strategies for making pills easier to swallow

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