TY - JOUR
T1 - Trajectories of pro re nata (PRN) medication prescribing and administration in long-term care facilities
AU - Sharma, Monica
AU - Wong, Xin Yee
AU - Bell, J. Simon
AU - Corlis, Megan
AU - Hogan, Michelle
AU - Sluggett, Janet K.
N1 - Funding Information:
JKS is supported by a National Health and Medical Research Council (NHMRC) Early Career Fellowship (grant number APP1156439). JSB is supported by an NHMRC Boosting Dementia Research Leadership Fellowship (grant number APP1140298). This study utilized data from the SIMPLER study, which was funded by the NHMRC Cognitive Decline Partnership Centre (CDPC). The CDPC received support from the NHMRC and funding partners including Helping Hand Aged Care, HammondCare, Brightwater and Dementia Australia.
Funding Information:
JKS was an embedded researcher within Helping Hand Aged Care during 2017–19. MC and MH report employment by Helping Hand Aged Care in the last 36 months. JSB and JKS report grant funding from Resthaven Inc. and the Australian Government Aged Care Quality Agency in the last 36 months.
Funding Information:
JKS is supported by a National Health and Medical Research Council (NHMRC) Early Career Fellowship (grant number APP1156439 ). JSB is supported by an NHMRC Boosting Dementia Research Leadership Fellowship (grant number APP1140298 ). This study utilized data from the SIMPLER study, which was funded by the NHMRC Cognitive Decline Partnership Centre (CDPC) . The CDPC received support from the NHMRC and funding partners including Helping Hand Aged Care, HammondCare, Brightwater and Dementia Australia.
Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2021/8
Y1 - 2021/8
N2 - Background: Little is known about changes in pro re nata (PRN) medication prescribing and administration in residential aged care facilities (RACFs) over time. Objective: To determine the prevalence and factors associated with PRN medication administration in RACFs and examine changes over 12-months. Methods: Secondary analyses utilizing data from the SIMPLER randomized controlled trial (n = 242 residents, 8 RACFs) was undertaken. PRN medication data were extracted from RACF medication charts. Factors associated with PRN medication administration in the preceding week were explored using multivariable logistic regression. Results: At baseline, 211 residents (87.2%) were prescribed ≥1 PRN medication, with 77 (36.5%) administered PRN medication in the preceding week. PRN administration was more likely in non-metropolitan areas, and less likely among residents with more severe dementia symptoms and greater dependence with activities of daily living. No significant differences in overall PRN prescribing or administration in 162 residents alive at 12-month follow-up were observed. Conclusions: Despite being frequently prescribed, the contribution of PRNs to overall medication use in RACFs is small. PRN prescribing and administration was relatively static over 12-months despite likely changes in resident health status over this period, suggesting further exploration of PRN prescribing in relation to resident care needs may be warranted.
AB - Background: Little is known about changes in pro re nata (PRN) medication prescribing and administration in residential aged care facilities (RACFs) over time. Objective: To determine the prevalence and factors associated with PRN medication administration in RACFs and examine changes over 12-months. Methods: Secondary analyses utilizing data from the SIMPLER randomized controlled trial (n = 242 residents, 8 RACFs) was undertaken. PRN medication data were extracted from RACF medication charts. Factors associated with PRN medication administration in the preceding week were explored using multivariable logistic regression. Results: At baseline, 211 residents (87.2%) were prescribed ≥1 PRN medication, with 77 (36.5%) administered PRN medication in the preceding week. PRN administration was more likely in non-metropolitan areas, and less likely among residents with more severe dementia symptoms and greater dependence with activities of daily living. No significant differences in overall PRN prescribing or administration in 162 residents alive at 12-month follow-up were observed. Conclusions: Despite being frequently prescribed, the contribution of PRNs to overall medication use in RACFs is small. PRN prescribing and administration was relatively static over 12-months despite likely changes in resident health status over this period, suggesting further exploration of PRN prescribing in relation to resident care needs may be warranted.
KW - Long-term care
KW - Medication administration
KW - Medication management
KW - Nursing homes
KW - Pro re nata
KW - Residential aged care
UR - http://www.scopus.com/inward/record.url?scp=85096869000&partnerID=8YFLogxK
U2 - 10.1016/j.sapharm.2020.11.003
DO - 10.1016/j.sapharm.2020.11.003
M3 - Article
C2 - 33223395
AN - SCOPUS:85096869000
SN - 1551-7411
VL - 17
SP - 1463
EP - 1468
JO - Research in Social and Administrative Pharmacy
JF - Research in Social and Administrative Pharmacy
IS - 8
ER -