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Management of Older Inpatients Who Refuse Nonpsychiatric Medication Within Birmingham and Solihull Mental Health NHS Foundation Trust: Audit.

Umotong, Eno (2016) Management of Older Inpatients Who Refuse Nonpsychiatric Medication Within Birmingham and Solihull Mental Health NHS Foundation Trust: Audit. The Journal of nervous and mental disease, 204 (12). pp. 950-954. ISSN 1539-736X.

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Official URL: http://journals.lww.com/jonmd/pages/articleviewer....

Abstract

The effects of poor medication compliance are well documented and include increased morbidity, early mortality, and financial costs to the society. According to national guidelines, when a competent patient refuses medication, the doctor on duty has a responsibility to ensure the patient understands their proposed course of action. The aims of this audit were to evaluate whether this consultation was taking place within older in-patient units across Birmingham and Solihull Mental Health NHS Foundation Trust when patients refuse nonpsychiatric medicines. Poor compliance was defined as more than five refusals of a nonpsychiatric medication over a 4-week period. A discussion with the duty doctor occurred in 75% of cases (27/36), which resulted in a change in prescription or compliance in 59% (16/27 patients). After patient refusal of medication, a consultation with the duty doctor is likely to improve compliance and uncover salient issues particularly in regards to capacity and drug suitability.

Item Type: Article
Subjects: WM Psychiatry. Mental health
WT Geriatrics. Elderly care
Divisions: Emergency Services > Elderly
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 02 Feb 2017 11:19
Last Modified: 02 Feb 2017 11:19
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1143

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