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Self Administration of Medicines

Self Administration of Medicines. Key Slides. What is Self Administration?. ‘The process of patients administering their own medicines.’ Review of prescribing, supply and administration of medicines. Department of Health (1999)

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Self Administration of Medicines

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  1. Self Administration of Medicines Key Slides

  2. What is Self Administration? ‘The process of patients administering their own medicines.’ Review of prescribing, supply and administration of medicines.Department of Health (1999) ‘The NMC welcomes and supports the self-administration of medicinal products and the administration of medication by carers wherever it is appropriate.’ Standards for Medicines Management. Nursing and Midwifery Council (2007) http://www.nmc-uk.org/aFrameDisplay.aspx?DocumentID=3251

  3. Why introduce Self Administration of Medicines? Self administration of medicines: • Recommended by the Audit Commission • Audited through the Acute Hospitals Portfolio by the Healthcare Commission • www.healthcarecommission.org.uk A Spoonful of Sugar - Medicines Management in NHS Hospitals. Audit Commission (2001)

  4. Benefits of Self Administration to Patients • Patients gain a better understanding of their medicines • Improves patient education and concordance • Improves communication • Enables timely discussion of changes to patients medicines • Encourages familiarity with medicines • Integral part of rehabilitation • Increased patient empowerment • Practice in a safe environment

  5. Benefits of Self Administration to relatives & carers • Reduction in anxiety • Involvement in the patients treatment • Improved awareness of patients ability to cope with medicines • Improved knowledge • Improved communication

  6. Benefits of Self Administration to Hospital Trusts • Highlights needs for discharge • Improves medicines compliance after discharge • Identifies patients with problems managing their medicines • Potential reduction in valuable nursing time spent administering medicines(Semple, J.S. et.al., ‘The effect of self-administration and reuse of patients’ own drugs on a hospital pharmacy’, Pharmaceutical Journal, Vol 255, July 22 1995 ) • Potential to reduce the number of re-admissions due to problems with medicines

  7. Benefits of Self Administration to Primary & Community Care Teams • Multi disciplinary team working across the interface will improve understanding of patients needs • Increased potential for patients continuing improved self-management of medicines in the community • Helps medicines to be taken at the right time • Perhaps reduction in the requirement of compliance aids such as dosette boxes?

  8. Assessment for SAM • Staff must be competent to assess • The assessor must be aware of their accountability in the assessment process • Patient information leaflet • Patient consent • Levels of assessment • Ability to withdraw • On going assessment • Documentation

  9. Questions to consider • What is SAM? • Why is SAM good? • What will be required to set up SAM? • Will it take extra time to do SAM? • Will I get my medicines? • What if I don’t want to participate? • Who is accountable?

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