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Guião de boas práticas para a administração terapêutica medicamentosa em estruturas residenciais para pessoas idosas
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Este projeto de intervenção visa desenvolver um Guião de Boas Práticas para a Administração Terapêutica Medicamentosa em ERPI (Estruturas Residenciais para Pessoas Idosas), com o objetivo de otimizar a segurança e eficácia da medicação. O estudo aborda o envelhecimento demográfico em Portugal, a evolução das ERPIs e a importância de garantir o bem-estar e a qualidade de vida dos idosos institucionalizados. A metodologia utilizada combina análise documental, entrevistas semiestruturadas e um focus group com diversos profissionais (farmacêuticos, médicos, enfermeiros e auxiliares de ação direta) para diagnosticar desafios e identificar boas práticas. Os resultados apontam para a complexidade da administração de medicamentos em ERPI, destacando a falta de procedimentos uniformes, lacunas na formação dos profissionais, problemas de comunicação, práticas de risco como a trituração inadequada e a ocultação de medicamentos e fragilidades normativas. A polimedicação e a prescrição potencialmente desapropriada são também identificadas como preocupações significativas. O estudo conclui que é essencial implementar um Guião de Boas Práticas, acompanhado de formação contínua, registos eletrónicos uniformes e uma comunicação eficaz entre todos os intervenientes. A revisão terapêutica regular e a valorização do papel do farmacêutico são também cruciais. Ao investir na segurança da administração de medicação, as ERPI demonstram o seu compromisso com o bem-estar e a dignidade dos idosos.
This intervention project aims to develop a Guide to Best Practices for Medication Management in Residential Care Facilities for the Elderly (ERPI), with the goal of optimizing medication safety and efficacy. The study addresses demographic aging in Portugal, the evolution of residential care facilities for the elderly, and the importance of ensuring the well-being and quality of life of institutionalized older adults. The methodology used combines document analysis, semi-structured interviews, and a focus group with various professionals (pharmacists, physicians, nurses, and nursing assistants) to diagnose challenges and identify best practices. The results point to the complexity of medication administration in long-term care facilities, highlighting the lack of uniform procedures, gaps in professional training, communication problems, risky practices such as improper crushing and concealment of medications, and regulatory weaknesses. Polypharmacy and potentially inappropriate prescribing are also identified as significant concerns. The study concludes that it is essential to implement a Good Practice Guide, accompanied by ongoing training, standardized electronic records, and effective communication among all stakeholders. Regular medication reviews and valuing the role of the pharmacist are also crucial. By investing in medication administration safety, long term care facilities demonstrate their commitment to the well-being and dignity of older adults.
This intervention project aims to develop a Guide to Best Practices for Medication Management in Residential Care Facilities for the Elderly (ERPI), with the goal of optimizing medication safety and efficacy. The study addresses demographic aging in Portugal, the evolution of residential care facilities for the elderly, and the importance of ensuring the well-being and quality of life of institutionalized older adults. The methodology used combines document analysis, semi-structured interviews, and a focus group with various professionals (pharmacists, physicians, nurses, and nursing assistants) to diagnose challenges and identify best practices. The results point to the complexity of medication administration in long-term care facilities, highlighting the lack of uniform procedures, gaps in professional training, communication problems, risky practices such as improper crushing and concealment of medications, and regulatory weaknesses. Polypharmacy and potentially inappropriate prescribing are also identified as significant concerns. The study concludes that it is essential to implement a Good Practice Guide, accompanied by ongoing training, standardized electronic records, and effective communication among all stakeholders. Regular medication reviews and valuing the role of the pharmacist are also crucial. By investing in medication administration safety, long term care facilities demonstrate their commitment to the well-being and dignity of older adults.
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Guião de boas práticas Administração terapêutica medicamentosa Polimedicação Estruturas residenciais para pessoas idosas (ERPI) Good practice guide Therapeutic drug administration Polypharmacy Residential care facilities for the elderly
Contexto Educativo
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Licença CC
Sem licença CC