Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1717
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dc.contributorPicton, L.en_US
dc.contributorIlomaki, J.en_US
dc.contributorKeen, C.en_US
dc.contributorLalic, S.en_US
dc.contributorAdams, Beverlyen_US
dc.contributorClinnick, Lisaen_US
dc.contributorKirkpatrick, C.en_US
dc.contributorRyan-Atwood, T.en_US
dc.contributorTurner, J.en_US
dc.contributorBell, J. S.en_US
dc.date.accessioned2021-01-07T04:11:12Z-
dc.date.available2021-01-07T04:11:12Z-
dc.date.issued2020-
dc.identifier.govdoc01669en_US
dc.identifier.urihttp://hdl.handle.net/11054/1717-
dc.description.abstractObjective: To investigate administration of pro re nata (PRN) medications and nurse-initiated medications (NIMs) in Australian aged care services over a 12-month period. Design: Twelve-month longitudinal audit of medication administrations. Setting and participants: Three hundred ninety-two residents of 10 aged care services in regional Victoria, Australia. Methods: Records of PRN and NIM administration were extracted from electronic and hard copy medication charts. Descriptive statistics were used to calculate medication administration per person-month. Poisson regression was used to estimate predictors of PRN administration. Results: Over a median follow-up of 12 months (interquartile range 10-12 months), 93% of residents were administered a PRN medication and 41% of residents an NIM on 21,147 and 552 occasions, respectively. The mean number of any PRN administration was 5.85 per person-month. The most frequently administered PRN medications per person-month were opioids 1.54, laxatives 0.96, benzodiazepines 0.72, antipsychotics 0.48, paracetamol 0.46, and topical preparations 0.42. Three-quarters of residents prescribed a PRN opioid or PRN benzodiazepine and two-thirds of residents prescribed a PRN antipsychotic had the medication administered on 1 or more occasions over the follow-up. Conclusions and implications: Most residents were administered PRN medications. Administration was in line with Australian regulations and institutional protocols. However, the high frequency of PRN analgesic, laxative, and psychotropic medication administration highlights the need for regular clinical review to ensure ongoing safe and appropriate use.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2021-01-07T01:37:50Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2021-01-07T04:11:12Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2021-01-07T04:11:12Z (GMT). No. of bitstreams: 0 Previous issue date: 2020en
dc.titleRates of PRN medication administration in Australian residential aged care.en_US
dc.typeJournal Articleen_US
dc.type.specifiedArticleen_US
dc.bibliographicCitation.titleJournal of the American Medicial Directors Associationen_US
dc.bibliographicCitation.volume22en_US
dc.bibliographicCitation.issue1en_US
dc.bibliographicCitation.stpage117en_US
dc.bibliographicCitation.endpage123.e1en_US
dc.subject.healththesaurusAGED CAREen_US
dc.subject.healththesaurusNURSE-INITIATED MEDICATIONen_US
dc.subject.healththesaurusLONGITUDINALen_US
dc.subject.healththesaurusPRNen_US
dc.subject.healththesaurusPRO RE NATAen_US
dc.subject.healththesaurusNURSINGen_US
dc.identifier.doihttps://doi.org/10.1016/j.jamda.2020.04.033en_US
Appears in Collections:Research Output

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