caa a22 4500 477058124 CHVBK 20180405111352.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/BF00226324 doi (NATIONALLICENCE)springer-10.1007/BF00226324 Elderly patients' problems with medication [Elektronische Daten] An in-hospital and follow-up study [T. Nikolaus, W. Kruse, M. Bach, N. Specht-Leible, P. Oster, G. Schlierf] Objectives: To examine medication problems during a stay in hospital and after discharge and to identify risk factors that contribute to poor compliance with medication a prospective observational study was carried out in an university-affiliated geriatic hospital and a patients' home. Patients: One hundred and nineteen patients admitted from home to the geriatric hospital underwent a comprehensive geriatric assessment. They were also tested in opening and removing tablets from various common medicine containers. Drug prescriptions before, during and after the hospital stay were recorded. Medication use at home was observed by a member of a hospital-based home intervention team. The patients' reports of their drug therapy was compared with those by their family doctors. Results: Of all tested patients 10.1% failed to open at least one container. This inability was associated with poor vision, impaired cognitive function and low manual dexterity. Compliance with prescribed medication was associated with cognitive function, ability to handle medication containers, number of prescribed drugs and recent changes in drug prescriptions. Of the patients only 39.5% had stable drug prescriptions during the 3-month study period. Doctor/patient agreement concerning drug therapy was low in all age groups. The agreement rate and patients' knowledge of their treatment was correlated with cognitive function and the number of prescribed drugs. Conclusion: Patients' ability to open and remove tablets from common commercial packages/containers should be tested routinely during a stay in hospital. Management of medication should be taught and supervised within the first few days after discharge from hospital. Springer-Verlag, 1996 Geriatric patient nationallicence medication use nationallicence functional capacity nationallicence geriatric assessment nationallicence compliance nationallicence Nikolaus T. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut Kruse W. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut Bach M. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut Specht-Leible N. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut Oster P. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut Schlierf G. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut European Journal of Clinical Pharmacology Springer-Verlag 49/4(1996-01-01), 255-259 0031-6970 49:4<255 1996 49 228 https://doi.org/10.1007/BF00226324 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00226324 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nikolaus T. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut NATIONALLICENCE 700 1- Kruse W. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut NATIONALLICENCE 700 1- Bach M. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut NATIONALLICENCE 700 1- Specht-Leible N. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut NATIONALLICENCE 700 1- Oster P. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut NATIONALLICENCE 700 1- Schlierf G. Geriatrisches Zentrum Bethanien am Klinikum der Universität Heidelberg, Rohrbacherstrasse 149, D-69126, Heidelberg, Germany aut NATIONALLICENCE 773 0- European Journal of Clinical Pharmacology Springer-Verlag 49/4(1996-01-01), 255-259 0031-6970 49:4<255 1996 49 228 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer