Comprehension deficits among older patients in a quick diagnostic unit
Lisa Nebelin Hvidt,1,2 Kristian Nebelin Hvidt,3 Kim Madsen,1 Thomas A Schmidt11Department of Emergency Medicine, Holbæk University Hospital, Holbæk, 2Department of Geriatrics, Gentofte University Hospital, Copenhagen, 3Division of Cardiology, Department of Medicine, Holb&aeli...
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Dove Medical Press
2014
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oai:doaj.org-article:e774909c554648888e4ab79e141f80fa2021-12-02T00:36:39ZComprehension deficits among older patients in a quick diagnostic unit1178-1998https://doaj.org/article/e774909c554648888e4ab79e141f80fa2014-04-01T00:00:00Zhttps://www.dovepress.com/comprehension-deficits-among-older-patients-in-a-quick-diagnostic-unit-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Lisa Nebelin Hvidt,1,2 Kristian Nebelin Hvidt,3 Kim Madsen,1 Thomas A Schmidt11Department of Emergency Medicine, Holbæk University Hospital, Holbæk, 2Department of Geriatrics, Gentofte University Hospital, Copenhagen, 3Division of Cardiology, Department of Medicine, Holbæk University Hospital, Holbæk, DenmarkBackground: Higher prevalence of multiple illnesses and cognitive impairment among older patients pose a risk of comprehension difficulties, potentially leading to medication errors. Therefore, the objective of this study was to investigate comprehension of discharge ­instructions among older patients admitted to a Quick Diagnostic Unit (QDU).Methods: One hundred and two patients discharged from the QDU answered a questionnaire covering understanding of their hospitalization and discharge plan. Patients’ ability to recall discharge instructions and awareness of comprehension deficits, ie, ability to identify the misconceived information, were evaluated by comparing the questionnaires with the discharge letters. The population was divided into an older group (age ≥65 years) and a younger group.Results: The older group (n=40) was less able to recall correct medication instructions when compared to the younger group (54% versus 78%, respectively; P=0.02). In multiple logistic regression analysis, correct recall of medication instructions was 4.2 times higher for the younger group compared to the older group (odds ratio 4.2, 95% confidence interval 1.5–11.9, P=0.007) when adjusted for sex and education. The older patients were less aware of their own comprehension deficits, and in respect to medication instructions awareness decreased 6.1% for each additional year of age (odds ratio 0.939, 95% confidence interval 0.904–0.98, P=0.001) when adjusted for sex and education.Conclusion: Older patients were less able to recall correct medication instructions and less aware of their comprehension deficits after discharge from a QDU. The findings of the ­present study emphasize the importance of thorough communication and follow-up when treating older patients.Keywords: geriatrics, communication, discharge information, medicationHvidt LNHvidt KNMadsen KSchmidt TADove Medical PressarticleGeriatricscommunicationcomprehensiondischarge informationmedicationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 705-710 (2014) |
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DOAJ |
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DOAJ |
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EN |
| topic |
Geriatrics communication comprehension discharge information medication Geriatrics RC952-954.6 |
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Geriatrics communication comprehension discharge information medication Geriatrics RC952-954.6 Hvidt LN Hvidt KN Madsen K Schmidt TA Comprehension deficits among older patients in a quick diagnostic unit |
| description |
Lisa Nebelin Hvidt,1,2 Kristian Nebelin Hvidt,3 Kim Madsen,1 Thomas A Schmidt11Department of Emergency Medicine, Holbæk University Hospital, Holbæk, 2Department of Geriatrics, Gentofte University Hospital, Copenhagen, 3Division of Cardiology, Department of Medicine, Holbæk University Hospital, Holbæk, DenmarkBackground: Higher prevalence of multiple illnesses and cognitive impairment among older patients pose a risk of comprehension difficulties, potentially leading to medication errors. Therefore, the objective of this study was to investigate comprehension of discharge ­instructions among older patients admitted to a Quick Diagnostic Unit (QDU).Methods: One hundred and two patients discharged from the QDU answered a questionnaire covering understanding of their hospitalization and discharge plan. Patients’ ability to recall discharge instructions and awareness of comprehension deficits, ie, ability to identify the misconceived information, were evaluated by comparing the questionnaires with the discharge letters. The population was divided into an older group (age ≥65 years) and a younger group.Results: The older group (n=40) was less able to recall correct medication instructions when compared to the younger group (54% versus 78%, respectively; P=0.02). In multiple logistic regression analysis, correct recall of medication instructions was 4.2 times higher for the younger group compared to the older group (odds ratio 4.2, 95% confidence interval 1.5–11.9, P=0.007) when adjusted for sex and education. The older patients were less aware of their own comprehension deficits, and in respect to medication instructions awareness decreased 6.1% for each additional year of age (odds ratio 0.939, 95% confidence interval 0.904–0.98, P=0.001) when adjusted for sex and education.Conclusion: Older patients were less able to recall correct medication instructions and less aware of their comprehension deficits after discharge from a QDU. The findings of the ­present study emphasize the importance of thorough communication and follow-up when treating older patients.Keywords: geriatrics, communication, discharge information, medication |
| format |
article |
| author |
Hvidt LN Hvidt KN Madsen K Schmidt TA |
| author_facet |
Hvidt LN Hvidt KN Madsen K Schmidt TA |
| author_sort |
Hvidt LN |
| title |
Comprehension deficits among older patients in a quick diagnostic unit |
| title_short |
Comprehension deficits among older patients in a quick diagnostic unit |
| title_full |
Comprehension deficits among older patients in a quick diagnostic unit |
| title_fullStr |
Comprehension deficits among older patients in a quick diagnostic unit |
| title_full_unstemmed |
Comprehension deficits among older patients in a quick diagnostic unit |
| title_sort |
comprehension deficits among older patients in a quick diagnostic unit |
| publisher |
Dove Medical Press |
| publishDate |
2014 |
| url |
https://doaj.org/article/e774909c554648888e4ab79e141f80fa |
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AT hvidtln comprehensiondeficitsamongolderpatientsinaquickdiagnosticunit AT hvidtkn comprehensiondeficitsamongolderpatientsinaquickdiagnosticunit AT madsenk comprehensiondeficitsamongolderpatientsinaquickdiagnosticunit AT schmidtta comprehensiondeficitsamongolderpatientsinaquickdiagnosticunit |
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