Medication management during risk of dehydration: A qualitative study among elderly patients with impaired renal function and informal caregivers.

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  • Additional Information
    • Source:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 9513566 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1751-1402 (Electronic) Linking ISSN: 13814788 NLM ISO Abbreviation: Eur J Gen Pract Subsets: MEDLINE
    • Publication Information:
      Publication: London : Informa Healthcare
      Original Publication: [Amersfoort, The Netherlands] : Mediselect Pub., c1995-
    • Subject Terms:
    • Abstract:
      Background: Patients with impaired renal function are at an increased risk of dehydration due to vomiting, diarrhoea or fever (so-called sick days). Temporary medication adjustment during sick days is necessary and current initiatives and information materials for patients are available. However, the knowledge, experiences and information needs of patients and informal caregivers about sick day guidance are unknown.
      Aim: To gain insight into the understanding of safe medication use during periods of dehydration risk in elderly patients with impaired renal function and their informal caregivers.
      Design and Setting: Qualitative interview study with patients with impaired renal function and unrelated informal caregivers from three community pharmacies in the Netherlands.
      Method: The interviews were conducted by telephone or live by two researchers in November 2020-September 2021 and audiotaped and transcribed verbatim. The coding of transcripts was performed deductively and inductively in Nvivo 12, a thematic analysis was applied.
      Results: In total 12 patients and 11 unrelated informal caregivers were included. Three main themes were derived from the interview guide and subthemes emerged from the transcripts. The included patients and informal caregivers had limited knowledge about medication management during sick days. In contrast to patients, informal caregivers seemed interested in a medication management protocol for sick days.
      Conclusion: Patients with impaired renal function and informal caregivers have little knowledge about and experience with dehydration and safe use of medication during sick days. General practitioners and pharmacists should involve the care network, including informal caregivers, when implementing sick day guidance.
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    • Contributed Indexing:
      Keywords: Impaired renal function; dehydration; elderly; informal caregivers; sick day guidance
      Local Abstract: [plain-language-summary] Elderly patients and informal caregivers seem to have little knowledge about medication adjustments during sick days or heatwavesInformal caregivers appear to be more interested than patients in information about medication management on sick daysGPs should involve informal caregivers in providing information on medication management during risk of dehydration.
    • Publication Date:
      Date Created: 20241011 Date Completed: 20241011 Latest Revision: 20241019
    • Publication Date:
      20241019
    • Accession Number:
      PMC11486018
    • Accession Number:
      10.1080/13814788.2024.2413097
    • Accession Number:
      39392439