caa a22 4500 477126839 CHVBK 20180405111652.0 cr unu---uuuuu 170330e19970301xx s 000 0 eng 10.1023/A:1012093904190 doi (NATIONALLICENCE)springer-10.1023/A:1012093904190 Depression, Cognitive Impairment, and Understanding of Medication Directions in Hospitalized Elderly Patients [Elektronische Daten] [Shelly Gray, Mark Sager, Mitchell Lestico, M. Jalaluddin] Purpose. The objectives of this study were 1) to assess understanding of medication directions of drug therapy in a group of hospitalized elderly who were not receiving assistance with medication administration; and 2) to determine whether depression, cognitive impairment, age, and other characteristics are associated with patient understanding of medication directions. Methods. The sample consisted of 117 hospitalized elderly patients aged 70 years and older who were taking two or more medications prior to hospitalization and reported medication self-administration. Data collection included demographic characteristics, mood, cognition, and pre-admission medication use and knowledge. Results. Thirteen (11%) patients did not understand directions for two or more pre-admission medications. Being 80 years or older was associated with not understanding medication directions (OR = 6.2, p = .017). There was a trend for depressive symptoms to be associated with not understanding medication directions, however, this was not significant (OR = 3.9, p = .058). Conclusions. Although all individuals should be assessed for comprehension of their medication regimens, those over 80 years of age with depressive symptoms deserve increased attention. Alternative strategies may need to be developed to improve medication knowledge in the older, depressed hospitalized patient. Plenum Publishing Corporation, 1997 aged nationallicence drug therapy nationallicence self administration nationallicence depression nationallicence Gray Shelly Department of Pharmacy Practice, University of Washington, 98195, Seattle, Washington aut Sager Mark Department of Medicine, University of Wisconsin-Madison and Geriatrics Research Education and Clinical Center, William S. Middleton Memorial Veterans Hospital, 53706, Madison, Wisconsin aut Lestico Mitchell Department of Pharmacy, St. David's Health Care System, 78705, Austin, Texas aut Jalaluddin M. Department of Preventive Medicine, University of Wisconsin-Madison, 53706, Madison, Wisconsin aut Pharmaceutical Research Kluwer Academic Publishers-Plenum Publishers 14/3(1997-03-01), 316-319 0724-8741 14:3<316 1997 14 11095 https://doi.org/10.1023/A:1012093904190 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1012093904190 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gray Shelly Department of Pharmacy Practice, University of Washington, 98195, Seattle, Washington aut NATIONALLICENCE 700 1- Sager Mark Department of Medicine, University of Wisconsin-Madison and Geriatrics Research Education and Clinical Center, William S. Middleton Memorial Veterans Hospital, 53706, Madison, Wisconsin aut NATIONALLICENCE 700 1- Lestico Mitchell Department of Pharmacy, St. David's Health Care System, 78705, Austin, Texas aut NATIONALLICENCE 700 1- Jalaluddin M. Department of Preventive Medicine, University of Wisconsin-Madison, 53706, Madison, Wisconsin aut NATIONALLICENCE 773 0- Pharmaceutical Research Kluwer Academic Publishers-Plenum Publishers 14/3(1997-03-01), 316-319 0724-8741 14:3<316 1997 14 11095 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer