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Abstract(s)
Esta dissertação explora a gestão dos serviços farmacêuticos em lares de idosos, centrando-se na polimedicação e nas suas implicações para os idosos residentes. À medida que a população envelhece, a prevalência de doenças crónicas e a complexidade dos regimes terapêuticos aumentam, tornando crítica a gestão farmacêutica eficaz nas instituições. O estudo propõe um modelo de apoio à migração de residentes idosos do Reino Unido, destacando as numerosas vantagens que esta comporta, incluindo serviços de saúde otimizados, melhoria na gestão da medicação
A investigação inclui uma revisão abrangente das práticas atuais e identifica os desafios como os riscos de interações medicamentosas adversas e a complexidade da gestão de múltiplos prescritores. O estudo avalia a eficácia de diferentes estratégias de gestão farmacêutica através de métodos qualitativos e quantitativos e explora como o modelo de migração proposto pode mitigar estes desafios. As principais conclusões sublinham a importância da gestão personalizada da medicação, da formação contínua e de sistemas de comunicação robustos. Está demonstrado que a implementação de registos eletrónicos e de sistemas de dispensa automatizados reduz os erros de medicação e aumenta significativamente a eficiência. Promover a colaboração interdisciplinar entre os prestadores de cuidados de saúde garante também uma abordagem holística aos cuidados dos residentes. Os indicadores de qualidade, como a incidência de morbilidade evitável relacionada com medicamentos, são essenciais para monitorizar e melhorar os protocolos de segurança dos medicamentos.
Concluindo, o modelo de migração proposto para os residentes idosos para o Reino Unido demonstra benefícios significativos, incluindo infraestruturas de saúde superiores e serviços farmacêuticos abrangentes. Ao adotar as melhores práticas e medidas de melhoria contínua da qualidade, os lares de idosos podem aumentar a segurança dos medicamentos, melhorar os resultados dos residentes e prestar melhores cuidados à população idosa.
This thesis explores the management of pharmaceutical services in nursing homes, focusing on polypharmacy and its implications for elderly residents. As the population ages, the prevalence of chronic diseases and the complexity of therapeutic regimens have increased, making effective pharmaceutical management in long-term care facilities critical. The study proposes a model supporting the migration of elderly residents from the UK, highlighting the numerous advantages this brings, including enhanced healthcare services, better medication management, and improved quality of life. The research includes a comprehensive review of current practices and identifies challenges such as the risks of adverse drug interactions and the complexity of managing multiple prescribers. The study evaluates the effectiveness of different pharmaceutical management strategies through qualitative and quantitative methods and explores how the proposed migration model can alleviate these challenges. Key findings emphasize the importance of personalized medication management, regular staff training, and robust communication systems. Implementing electronic health records and automated dispensing systems has been shown to reduce medication errors and enhance efficiency significantly. Fostering interdisciplinary collaboration among healthcare providers also ensures a holistic approach to resident care. The study also underscores the need for regular medication reviews and resident education to prevent adverse drug interactions and promote adherence. Quality indicators, such as the incidence of preventable drug-related morbidity, are essential for monitoring and improving medication safety protocols. In conclusion, managing polypharmacy in nursing homes requires a multifaceted approach integrating technology, education, and collaboration. The proposed migration model for elderly residents to the UK demonstrates significant benefits, including superior healthcare infrastructure and comprehensive pharmaceutical services. By adopting best practices and continuous quality improvement measures, nursing homes can enhance medication safety, improve resident outcomes, and provide better care for the elderly population.
This thesis explores the management of pharmaceutical services in nursing homes, focusing on polypharmacy and its implications for elderly residents. As the population ages, the prevalence of chronic diseases and the complexity of therapeutic regimens have increased, making effective pharmaceutical management in long-term care facilities critical. The study proposes a model supporting the migration of elderly residents from the UK, highlighting the numerous advantages this brings, including enhanced healthcare services, better medication management, and improved quality of life. The research includes a comprehensive review of current practices and identifies challenges such as the risks of adverse drug interactions and the complexity of managing multiple prescribers. The study evaluates the effectiveness of different pharmaceutical management strategies through qualitative and quantitative methods and explores how the proposed migration model can alleviate these challenges. Key findings emphasize the importance of personalized medication management, regular staff training, and robust communication systems. Implementing electronic health records and automated dispensing systems has been shown to reduce medication errors and enhance efficiency significantly. Fostering interdisciplinary collaboration among healthcare providers also ensures a holistic approach to resident care. The study also underscores the need for regular medication reviews and resident education to prevent adverse drug interactions and promote adherence. Quality indicators, such as the incidence of preventable drug-related morbidity, are essential for monitoring and improving medication safety protocols. In conclusion, managing polypharmacy in nursing homes requires a multifaceted approach integrating technology, education, and collaboration. The proposed migration model for elderly residents to the UK demonstrates significant benefits, including superior healthcare infrastructure and comprehensive pharmaceutical services. By adopting best practices and continuous quality improvement measures, nursing homes can enhance medication safety, improve resident outcomes, and provide better care for the elderly population.
Description
Trabalho Final de Mestrado Integrado, Ciências Farmacêuticas, 2024, Universidade de Lisboa, Faculdade de Farmácia.
Keywords
Pharmaceutical management; Nursing Homes; Polypharmacy; Medication Safety; Elderly Care; Medication Adherence; Migration Mode Nursing homes Polypharmacy Medication safety Elderly care Medication adherence Mestrado integrado - 2024