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Medication Records (medication + record)
Selected AbstractsEffect of Autogenic Training on Drug Consumption in Patients With Primary Headache: An 8-Month Follow-up StudyHEADACHE, Issue 3 2003Terezia Zsombok MD Objective.,To examine the effects of Schultz-type autogenic training on headache-related drug consumption and headache frequency in patients with migraine, tension-type, or mixed (migraine plus tension-type) headache over an 8-month period. Background.,Behavioral treatments often are used alone or adjunctively for different types of headache. There are, however, only a few studies that have compared the efficacy and durability of the same treatment in different types of primary headache, and the effects of treatment on headache-related drug consumption rarely have been assessed even in these studies. Methods.,Twenty-five women with primary headache (11 with mixed headache, 8 with migraine, and 6 with tension-type headache) were evaluated via an open-label, self-controlled, 8-month, follow-up study design. After an initial 4 months of observation, patients began learning Schultz-type autogenic training as modified for patients with headache. They practiced autogenic training on a regular basis for 4 months. Based on data from headache diaries and daily medication records, headache frequencies and the amounts of analgesics, "migraine-specific" drugs (ergots and triptans), and anxiolytics taken by the patients were compared in the three subgroups over the 8-month period. Results.,From the first month of implementation of autogenic training, headache frequencies were significantly reduced in patients with tension-type and mixed headache. Significant reduction in frequency was achieved in patients with migraine only from the third month of autogenic training. Decreases in headache frequencies were accompanied by decreases in consumption of migraine drugs and analgesics resulting in significant correlations among these parameters. Reduction in consumption of anxiolytic drugs was more rapid and robust in patients with tension-type headache compared to patients with migraine, and this outcome failed to show any correlation with change in headache frequency. Conclusion.,Schultz-type autogenic training is an effective therapeutic approach that may lead to a reduction in both headache frequency and the use of headache medication. [source] Ensuring seamless care at hospital discharge: a national surveyJOURNAL OF CLINICAL PHARMACY & THERAPEUTICS, Issue 5 2000J. Sexton MSc BPharm MCPP MRPharmS Aim: To identify the services that hospital pharmacies were providing in 1999 to facilitate seamless care upon patient discharge. Design: Postal questionnaire containing closed and open questions. Subjects and setting: U.K. Trust hospitals. Questionnaire addressed to Chief Pharmacists to be completed by themselves or most appropriate deputy, then returned anonymously in prepaid envelope. Results: The response rate was 73·4% (163/222). 71·2% of responses came from general hospitals and 23·3% from teaching hospitals. Junior medical staff members were responsible for preparing virtually all discharge prescriptions, which were checked against the ward prescription chart by pharmacists in three-quarters of U.K. Trusts. Hospitals used a wide variety of methods to communicate information about medicine regimens to GPs. There was also wide variation in the provision of discharge counselling, telephone ,help-lines' and clear medication records to patients. Few hospitals involved community pharmacies routinely in the discharge process. Conclusion: There is still wide variation within hospital pharmacy practice in meeting the medicines-related needs of patients at discharge. [source] Discrepancies between GPs' and psychiatrists' medication recordsPROGRESS IN NEUROLOGY AND PSYCHIATRY, Issue 6 2008Julie Robinson MRCPsych Clear communication between primary and secondary care is essential to prevent prescribing errors, especially in the case of psychiatry where medication is frequently altered and prescribing may be the responsibility of either the GP or the specialist. Here, Dr Robinson describes an audit carried out at the local elderly day treatment service to examine the discrepancies between GPs' records of medication and those of the day service, and to investigate how improvements could be made. Copyright © 2008 Wiley Interface Ltd [source] Review of psychotropic medication in Tasmanian residential aged care facilitiesAUSTRALASIAN JOURNAL ON AGEING, Issue 2 2010Juanita Westbury Aim:, To examine psychotropic medication review practices in residential aged care facilities. Methods:, Psychotropic medicine use data were collected from residents from 40 residential aged care facilities throughout Tasmania. As an indication of review practices, the measure was repeated at 33 of the original facilities a year later. Results:, A total of 2389 residents' medication records were examined in 2006. Regular doses of antipsychotics and benzodiazepines were taken by 42% and 21% of residents, respectively. Medication data were available for 1307 of the residents in 2007. Over 60% were taking the same antipsychotic or benzodiazepine agent, at the same dose in 2007, as they were in 2006. Dosage reduction or cessation occurred in less than a quarter of the residents. Conclusion:, The utilisation of psychotropic medication is high in Tasmanian residential aged care facilities. Attempts to reduce psychotropic doses happen infrequently. Further research is required to establish the barriers to appropriate psychotropic medication review in this setting. [source] | ||||||||||