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Ageism and person centered care riverside

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Ageism and person centered care riverside

  1. 1. Creating a Person- Centered Approach to Medication Administration
  2. 2. Personal Transformation Marge Orzolek, Pharmacist Consultant Margarita.Orzolek@rivhs.com
  3. 3. Personal Decision to Support the Change Emmeline Gasink, MD
  4. 4. Evaluation of the Personalized Medication Program Amal Badawoud, PharmD
  5. 5. Compare the medication administration experience within Riverside Health System nursing homes and assisted living residences Facilities implementing a personalized medication program (n=3) with facilities using traditional medication administration (n=3) Goal
  6. 6. Methods ▪ Surveyed facility medication administration staff, nursing management, providers and pharmacists ▪ Collected data from facility and pharmacy records ▪ Approved by VCU and Riverside IRB
  7. 7. PMP Traditional P-value* # of Medication administration staff participants 14 8 Response rate 87.5% 66.7% Amount of time spent giving meds/treatments       0.061   30-60 minutes 2 0     1-2 hours 3 0     2-3 hours 4 0     3-4 hours 3 5     5+ hours 2 3   Time spent with residents doing things not RX       0.229   Less than 30 minutes 0 1     30 – 60 minutes 2 2     1-1.5 hours 2 3     1.5-2 hours 6 0     2-3 hours 1 1     3+ hours 3 1   Survey Findings
  8. 8. Survey Findings Medication Administration Staff (n=14) Director of nursing and nurse mentors (n=4) Providers (n=5) Pharmacist (n=2) Overall satisfaction with PMP Extremely satisfied (29%) Moderately satisfied (50%) Not satisfied or dissatisfied (14%) Moderately dissatisfied (7%) Extremely satisfied (100%) Extremely satisfied (40%) Moderately satisfied (60%) Extremely satisfied (50%) Moderately satisfied (50%) Perception of residents experience Extremely favorable (100%) Extremely favorable (40%) Favorable (40%) Not sure (20%) Perception of families experience Extremely favorable (50%) Favorable (50%) Extremely favorable (40%) Favorable (40%) Not sure (20%) Recommending the PMP to others Yes (86%) No (14%) Yes (100%) Yes (100%) Yes (100%)
  9. 9. Key Findings ▪ Most are satisfied with the program ― Spending more time engaged with residents and less time administering medications ▪ Almost all would recommend the program for other facilities

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