ageism and person centered care riverside
TRANSCRIPT
Creating a Person-Centered Approach to
Medication Administration
Personal Decision to Support the Change
Emmeline Gasink, MD
Evaluation of the Personalized Medication Program
Amal Badawoud, PharmD
Compare the medication administration experience within Riverside Health System nursing homes and assisted living residences
Facilities implementing a personalized medication program (n=3) with facilities using traditional medication administration (n=3)
Goal
Methods
▪ Surveyed facility medication administration staff, nursing management, providers and pharmacists
▪ Collected data from facility and pharmacy records
▪ Approved by VCU and Riverside IRB
PMP Traditional P-value*
# of Medication administration staff participants 14 8Response rate 87.5% 66.7%Amount of time spent giving meds/treatments 0.061
30-60 minutes 2 0 1-2 hours 3 0 2-3 hours 4 0 3-4 hours 3 5 5+ hours 2 3 Time spent with residents doing things not RX 0.229 Less than 30
minutes 0 1
30 – 60 minutes 2 2 1-1.5 hours 2 3 1.5-2 hours 6 0 2-3 hours 1 1 3+ hours 3 1
Survey Findings
Survey FindingsMedication Administration Staff (n=14)
Director of nursing and nurse mentors (n=4)
Providers (n=5)
Pharmacist (n=2)
Overall satisfaction with PMP
Extremely satisfied (29%) Moderately satisfied (50%) Not satisfied or dissatisfied (14%) Moderately dissatisfied (7%)
Extremely satisfied (100%)
Extremely satisfied (40%) Moderately satisfied (60%)
Extremely satisfied (50%) Moderately satisfied (50%)
Perception of residents experience
Extremely favorable (100%)
Extremely favorable (40%) Favorable (40%) Not sure (20%)
Perception of families experience
Extremely favorable (50%) Favorable (50%)
Extremely favorable (40%) Favorable (40%) Not sure (20%)
Recommending the PMP to others
Yes (86%) No (14%)
Yes (100%) Yes (100%) Yes (100%)
Key Findings
▪ Most are satisfied with the program
― Spending more time engaged with residents and less time administering medications
▪ Almost all would recommend the program for other facilities