Drug administration guides in dysphagia

Nurs Times. 2012 May;108(21):15-7.

Abstract

Background: Patients with dysphagia are more likely to suffer medication administration errors than those without swallowing difficulties.

Aim: To evaluate the use of individualised medication administration guides (I-MAGs) for patients with dysphagia on one stroke ward over six months.

Method: A specialist pharmacist in dysphagia designed a software package supported with data on national guidelines on administering medicines to this group, which enabled the pharmacist to create I-MAGs. Once the pilot was completed, a questionnaire was given to all nurses, pharmacists and speech and language therapists who had used the guides.

Results: Of 26 health professionals approached, 19 returned questionnaires. Eight (62%) nurses felt more confident in their practice when I-MAGs were in place.

Conclusion: I-MAGs were well received and supported individualised care. However, they needed additional pharmacist input and greater nursing time. Research to determine the guides' cost-effectiveness is needed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Deglutition Disorders / drug therapy*
  • Deglutition Disorders / nursing
  • Education, Nursing, Continuing
  • Humans
  • Nursing Staff, Hospital
  • Practice Guidelines as Topic*
  • Surveys and Questionnaires
  • United Kingdom