Dosisdispenseret medicin i Aabenraa Kommune

Præsentationer af emnet: "Dosisdispenseret medicin i Aabenraa Kommune"— Præsentationens transcript:

1 Dosisdispenseret medicin i Aabenraa Kommune
Farmakonom Mette Frost Johansen

2 Hvad er dosisdispenseret Medicin?
Små medicinposer i en lang strimmel Hver pose indeholder medicin til et indtagelsestidspunkt Poserne er forsynet med borgers navn, cpr.nr., tidspunkt og dato for medicinindtagelse Pakkes og udleveres typisk til en periode på 14 dage Aabenraa, like most Danish municipalities, is facing a number strategic challenges – challenges with respect to providing social and health care to our citizens: We face an increasing demographic, structural and economic set of challenges: Including a substantial growth in the number of 65+/ 80+ elderly people requiring increased care. And new tasks following the new specialized hospital structure. We have e.g. seen a shortening of the duration of hospitalization by 19% and a 28% reduction in hospital beds from , resulting in some cases in the need for specialized nursing care or rehabilitation before the patient is ready to master own life back home. We face a growing complexity of health-related and lifestyle problems, such as obesity, mental health problems, and a growing number of people with chronic diseases and multimorbidity. Addressing these problems is important both for the individual and to avoid rising costs in other areas (e.g. special programmes to prevent drop of of school for young people with mental problems, or tailored initiatives to avoid loss of productivity and taxpayer money due to health-related unemployment) Finally, we face a general expansion of municipal tasks and rising expectations with respect to delivering a wide range of social and health services to a very diverse group of recipients …. All of which is to be tackled within zero-growth or declining budgets!

3 Hvilke fordele oplever vi som medarbejdere?
Vi bruger tiden på det, der er vigtigt – direkte kontakt med borgerne Risiko for utilsigtede hændelser i form af fejldosering mindskes Vi undgår overbelastning af hånd- og fingerled ved dosering af især blisterpakket medicin In a municipal context, person-centered care is a basic philosophy of care, centered around the individual – in which the wishes for the future, and the needs and resources of the individual define the process and the approach tailored to each individual – (and) in which individuals are supported and encouraged to make informed decisions about their treatment and health management. It is a holistic process that is not only responsive to physical abilities and medical needs, but also to the individual’s social and psychological abilities, preferences and lifestyle. Person-centered care thus becomes a way of understanding healthcare that empowers and engages the citizens in their own healthcare journey and brings healthcare up to date with the needs of service-users today. From the perspective of the healthcare sector as a whole, for person-centred care to become a reality - the healthcare sector needs: To adopt a common, more holistic and value-based approach to the individual, focusing our efforts on the perceived value and effects of the combined initiatives across each sector in support of the individual citizen’s wishes and needs. (We need) To develop common language and a common culture that facilitate a greater role for the individual citizen in the process, as well as a closer cross-functional and cross-professional cooperation together with the individual citizens. [Finally, as a consequences of the person-centered approach – I believe we will also see the development of a new balance in the roles and responsibilities between the specialized hospitals, the municipalities and the general practitioners: With the municipalities (and GPs) taking on tasks and responsibilities close to the daily life and home of the individual, and tasks not requiring highly specialized treatment at our new and highly Specialized hospitals].

4 Hvilke fordele oplever borgerne?
Korrekt medicin Let at huske Opdager glemte doser Større selvhjulpenhed Tryghed for pårørende Mindre medicinlager i hjemmet – risiko for fejlbrug og misbrug mindskes

5 Hvilke fordele er der for samfundet?
Giver et samlet overblik over medicin ordineret af egen læge, speciallæge og sygehuslæge Bedre compliance sparer det danske samfund for milliarder af kroner Mindre medicin går til spilde. Der indleveres medicin til destruktion for over 100 millioner om året Kommunerne sparer samlet set millioner af kroner om året

6 Hvornår er det en god løsning?
Stabilt medicinerede patienter, der har brug for hjælp til at håndtere deres medicin Fx. ældre over 65 år, der bruger ca. halvdelen af den medicin, der bliver ordineret Yngre psykisk syge eller andre patientgrupper, der bruger meget medicin

7 Hvordan bruger vi det i sygeplejen?
Overgang fra manuelt doseret medicin til dosisdispenseret medicin Besøg af sygeplejersken til opfølgning og tjek af den dispenserede medicin i samråd med læge og/eller apotek Dette gøres hver 12. uge

8 Hvad er udfordringerne?
Manglende eller forkert information om ordinationsændringer Apoteket har ikke umiddelbart adgang til lægemiddelordinationerne på FMK. Pakkeperiode på 14 dage kan give udfordringer

9 Hvis dosisdispenseret medicin skal lykkes…
Sundhedspersonale (læger, sygeplejersker, apotekere) forstår netop deres ansvar og rolle i forløbet Hurtig og præcis kommunikation af ændringer i borgerens medicin mellem de forskellige sundhedspersoner Oplæring af borger i anvendelsen af dosisdispenseret medicin