Research Article
Medication Monitoring for People with Dementia in Care Homes: The Feasibility and Clinical Impact of Nurse-Led Monitoring
Table 1
Problems identified for the first time by the WWADR profile and problems noted as ameliorated at follow-up (
).
| | Problem | New problem at first use | Ameliorated at follow-up |
| | Postural hypotension | 2 | 1 | | Girth | 1 | 0 | | Hand tremor | 3 | 2 | | Feet shuffling | 2 | 0 | | Abnormal movements | 4 | 2 | | Posture | 6 | 2 | | Gait | 6 | 3 | | Balance/coordination | 8 | 2 | | Bleeding or bruising | 1 | 1 | | Cognitive decline | 5 | 3 | | Concentration declining | 5 | 3 | | Convulsions | 3 | 2 | | Self-harm/violence | 1 | 1 | | Irritability or aggression | 1 | 0 | | Behaviour | 2 | 1 | | Restlessness or pacing | 3 | 0 | | Sleep problems/insomnia | 4 | 3 | | Sleep/sedation | 5 | 2 | | Confusion | 3 | 1 | | Low energy, weakness, fatigue, apathy | 1 | 1 | | Mood fluctuations | 5 | 2 | | Agitation, anxiety, nervousness | 4 | 0 | | Hyperactivity | 1 | 0 | | Urination | 1 | 1 | | Constipation | 4 | 2 | | Rash (+/− itching) | 1 | 0 | | Swelling/oedema, particularly pressure areas | 2 | 1 | | Sweating, particularly pressure areas | 1 | 0 | | “Snacking” between meals | 2 | 2 | | Drinking less than 1 pint of milk per day | 10 | 3 | | Drinking less than 2 litres per day | 5 | 4 | | Access to sugar free drinks | 10 | 3 | | Swallowing | 1 | 0 | | Indigestion/heartburn | 3 | 2 | | Teeth/dentures/mouth | 1 | 0 | | Dentist not seen in last 12 months | 9 | 5 | | Optician not seen in last 12 months | 3 | 1 | | Dark glasses not worn in bright sunlight | 10 | 0 | | Pain | 2 | 0 |
| | Total | 141 | 56 |
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