Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Christopher, C., Kc, B., Shrestha, S., Blebil, A. Q., Alex, D., Mohamed Ibrahim, M. I., & Ismail, N. Aging Medicine. https://doi.org/10.1002/agm2.12203
Omboni, S., McManus, R. J., Bosworth, H. B., Chappell, L. C., Green, B. B., Kario, K., … & Wakefield, B. J Hypertension https://doi.org/10.1161/HYPERTENSIONAHA.120.15873
Manias, E., Bucknall, T., Hughes, C., Jorm, C., & Woodward-Kron, R. BMC geriatric. https://doi.org/10.1186/s12877-019-1102-6
Correia, J. C., Lachat, S., Lagger, G., Chappuis, F., Golay, A., & Beran, D BMC Public Health. https://doi.org/10.1186/s12889-019-7842-6
Article Title and Year Published
Medication use problems among older adults at primary care: A narrative of literature review. 2022
Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension. 2020
Family involvement in managing medications of older patients across transitions of care: a systematic review.. 2019
Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low-and middle-income countries: a scoping review. 2019
Research Questions (Qualitative)/Hypothesis (Quantitative)
What are the medication use issues amongst older patients in primary care?
What are clinical usefulness and application and the present barriers and challenges for medicine in hypertension management?
Family play important role in the management of older patients’ medications in transition care.
What are the interventions for hypertension and diabetes mellitus at the primary and community healthcare level in low and middle-income nations?
Key Findings
This review demonstrates that medication use remains a significant issue among older adults in OECD countries. Several studies have identified medication use issues in older adults, such as a high incidence of adverse drug events and nonadherence to medication, inappropriate medication, polypharmacy, a lack of deprescribing, medication beliefs, and a lack of knowledge and awareness about medication use. Despite these issues, there appears to be a lack of interventions for older adults’ medication use problems, particularly at the primary care level.
Telemedicine is a viable option for assisting doctors and other care managers in providing effective care to hypertensive patients and optimizing their management. The available evidence supports its use in patients with difficult-to-treat hypertension or who are noncompliance with medication management.
While families actively engaged in strategies to ensure safe medication management with older patients, communication about medication plans of care across transitions tended to be haphazard and disorganized, and there was a lack of shared decision-making between families and health professionals.
This review demonstrates the variety and complexity of approaches tested to address HTN and DM in LMICs, as well as the elements of interventions that must be addressed in order to strengthen care delivery. Most studies provided little information about implementation processes, making replication difficult.
Recommendations
There is a need to have effective interventions in the primary care to address the issue of medication use problems.
More scientific evidence is required to demonstrate the efficacy of telemedicine in other specific subgroups, in addition to effective blood pressure control.
More research is needed to assess the efficacy of these strategies in terms of medication outcomes, to facilitate shared decision making between families and health professionals, and to clarify medication plans of care across transitions.
Study designs and evaluation techniques must be modified to include process evaluations rather than just effectiveness or outcome evaluations.
Explanation of How the Article Supports EBP/Capstone Project
The study is important for the capstone project since it reveals that medication usage issues in older adults require a comprehensive approach and a collaborative effort from healthcare providers and healthcare institutions hence a successful effort in promoting medication adherence.
The study is important for the capstone project as it reveals about the importance of telemedicine as it allows patients and healthcare professionals to exchange medical data over the Internet. It is used to improve patients’ access to care and to provide effective remote healthcare services. This helps in the promotion of medication adherence at home.
The study is important for the capstone study as it reveals the role played by family members in the management of older patients’ medications.
The study is important for the capstone project as it recommends some of the interventions to be in place to help in strengthening the delivery of healthcare.
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