Publications by authors named "Remia Bruce"
Article Synopsis
- People with dementia often face medication-related risks due to cognitive impairments and multiple prescriptions, making medication safety interventions crucial.
- A study conducted in New South Wales, Australia, assessed the impact of a pharmacist-led medication reconciliation intervention on reducing polypharmacy, potentially inappropriate medications (PIMs), and anticholinergic burden among patients with dementia during hospital admissions.
- Results showed high rates of polypharmacy and PIMs at admission, but a significant decrease in PIMs and anticholinergic scores at discharge; however, no significant differences were found between the intervention and control sites, suggesting the need for larger studies to enhance medication safety for this vulnerable population.
Objective: To evaluate whether a safe medication strategy compared with usual care, provided to people with dementia during an unplanned admission, reduces readmissions to hospital and re-presentation to emergency departments within three months.
Methods: A prospective, controlled pre-/post-trial conducted at two regional hospitals in New South Wales, Australia.
Results: No treatment effect was seen for time to first re-presentation or readmission within three months (P = .
This study reports carer strain and coping with medications for people with dementia with an unplanned admission to hospital, and it evaluates the impact of a safe medication intervention on carer coping and carer strain. This was a quasi-experimental pre/post-controlled trial that included a survey of carers about managing medications for people with dementia after discharge. For 88 carers who completed surveys, 33% were concerned about managing medications, and 40% reported difficulties with medication management, including resistive behaviours by people with dementia.
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