Lam Annie Y, Li Marie Ann
Department of Pharmacy, University of Washington, Seattle, WA 98195, USA.
Consult Pharm. 2007 Apr;22(4):312-9. doi: 10.4140/tcp.n.2007.312.
Describe the prevalence of diagnoses and prescribed medications in an assisted living facility for one month in 2001 and 2004.
A descriptive, cross-sectional report.
An assisted living facility in Seattle, Washington.
Assisted living facility residents.
In March 2001 and January 2004, charts of all the assisted living facility residents were reviewed. Cross-sectional comparisons of demographics, total and average numbers of charted diagnoses, and prescribed medications were conducted. Prevalent diagnoses and medications used were identified. Among the residents present in both periods, longitudinal comparisons of treatment outcomes for hypertension (HTN) and diabetes mellitus (DM) were assessed.
Changes in demographics, diagnoses, medications, and blood pressure and blood glucose readings.
Charts of 52 (2001) and 54 (2004) residents were reviewed. HTN, DM, and gastrointestinal (GI) disease were the most prevalent diagnoses during both time periods, although the prescribed medications for these conditions were different in 2001 and 2004. The per-resident numbers of diagnoses and medications averaged 7.2 +/- 3.3 and 9.1 +/- 4.7, respectively, in 2004, compared with 5.1 +/- 1.9 and 6.4 +/- 3.6 in 2001. Among 11 residents who lived in the assisted living facility during both data-collection months, the per-resident averages were 5.2 +/- 2.2 diagnoses and 8 +/- 3.9 medications in 2001, compared with 7.9 +/- 2.9 and 11.1 +/- 5.1, respectively, in 2004. The average blood pressure readings among these residents improved in 2004 over those in 2001, though no improvement was seen in the average blood glucose readings.
To address the changing needs of assisted living facility residents over time, active ongoing monitoring and assessment of residents' medication therapies by pharmacists are indicated.
描述2001年和2004年某辅助生活设施中一个月内的诊断情况和所开药物。
描述性横断面报告。
华盛顿州西雅图的一家辅助生活设施。
辅助生活设施居民。
2001年3月和2004年1月，对所有辅助生活设施居民的病历进行审查。对人口统计学、记录的诊断总数和平均数以及所开药物进行横断面比较。确定常见诊断和所用药物。在两个时期都居住在该设施的居民中，评估高血压（HTN）和糖尿病（DM）治疗结果的纵向比较。
人口统计学、诊断、药物以及血压和血糖读数的变化。
审查了2001年52名和2004年54名居民的病历。高血压、糖尿病和胃肠道疾病在两个时期都是最常见的诊断，尽管2001年和2004年针对这些病症所开的药物有所不同。2004年每位居民的诊断数和用药数平均分别为7.2±3.3和9.1±4.7，而2001年分别为5.1±1.9和6.4±3.6。在两个数据收集月都居住在辅助生活设施的11名居民中，2001年每位居民的平均诊断数为5.2±2.2，用药数为8±3.9，而2004年分别为7.9±2.9和11.1±5.1。这些居民的平均血压读数在2004年比2001年有所改善，但平均血糖读数没有改善。
为了满足辅助生活设施居民随时间变化的需求，药师应对居民的药物治疗进行积极持续的监测和评估。
