Navigation Links
Surgical patients more likely to follow medication instructions

A study in the July issue of Anesthesiology revealed that patients who receive a simple, multicolor, standardized medication instruction sheet before surgery are more likely to comply with their physician's instructions and experience a significantly shorter post-op stay in recovery. These findings are important because surgical patients often fail to follow their doctor's medication instructions for preexisting conditions such as diabetes and hypertension on the day they are having surgery a costly mistake that can lead to surgery cancellation, complications and longer hospital stays.

"Certain long-term medications should be continued on the day of surgery, and some should be temporarily stopped, but there is no consistency in how patients receive medication instructions before surgery," said Thomas Vetter, M.D., M.P.H., ASA member and study lead author, Department of Anesthesiology, School of Medicine, University of Alabama at Birmingham. "Physician anesthesiologists are responsible for assessing and optimizing patients' preoperative medications, including maximizing their compliance with physicians' instructions. Our effort to enhance patients' understanding of medication use before surgery is important and can increase patient satisfaction by more actively engaging them in their own health care."

The study compared 519 surgical patients who were given preoperative medication instructions through traditional methods (annotated or highlighted portions of the patient's electronic medical record, or verbal instructions) and 531 patients who were given a written, standardized preoperative medication instruction sheet, which was presented and verbally reviewed with patients. The instruction sheet listed all of the medications the patient was instructed to take on the day of surgery (e.g., beta-blocker, etc.), the medications the patient should not take (e.g., blood-thinner, etc.), and the medications that could be taken as needed (e.g., opioid, etc.). The instruction sheet included multicolor graphics to further improve patient recall and compliance.

Researchers found that 74 percent of patients who received an instruction sheet were compliant with their medication instructions on the day of surgery, versus 60 percent of patients in the control group. Patients were also less likely to stay in recovery after surgery for more than 90 minutes when an instruction sheet was administered. Interestingly, African-Americans, older adults (over 65) and patients with more than one chronic disease had lower medication compliance, the authors note.

"Physician anesthesiologists and nurse practitioners typically deliver a lot of verbal information to patients preoperatively, often exceeding patients' short-term memory," said Dr. Vetter. "Our findings show that providing patients with a standardized instruction sheet, both written and verbally, with simple language can improve compliance significantly. However, we speculate that a more concerted effort may be required to improve preoperative medication compliance in certain patients such as the geriatric population."

Contact: Theresa Hill
American Society of Anesthesiologists

Related medicine news :

1. In children born with severe heart defect, surgical management has little effect on neuro outcomes
2. Nonsurgical Method to Measure Brain Pressure Shows Promise
3. Study examines medicare use for Mohs micrographic surgery and surgical excision for skin cancer
4. New surgical technique for removing inoperable tumors of the abdomen
5. Surgical excision unnecessary in some patients with benign papillomas
6. Boston researcher, surgical oncologist receives national award
7. Surgical removal of abdominal fat reduces skin cancer in mice
8. Surgical Residents Often Fatigued, Study Confirms
9. Study finds Massachusetts health reform leads to increased inpatient surgical procedures
10. Surgical sling reduces risk of weakened bladder control after prolapse surgery, U-M study says
11. DRE Medical Equipment Unveils FX-300+ Surgical Headlight and Light Source
Post Your Comments:
Related Image:
Surgical patients more likely to follow medication instructions
(Date:11/27/2015)... ... November 27, 2015 , ... A team of Swiss doctors has ... it. Surviving Mesothelioma has just posted the findings on the website. Click here ... the cases of 136 mesothelioma patients who were treated with chemotherapy followed by EPP ...
(Date:11/27/2015)... CA (PRWEB) , ... November 27, 2015 , ... Lizzie’s ... , The company is offering customers 10% off of their purchase of lice treatment ... treatment at full price. According to a company spokesperson. “Finding lice is a sure ...
(Date:11/27/2015)... ... ... Herpes-only dating community in the world, revealed that over 50% of its members are under ... under the age of 50 – or 67% of the population - are infected with ... infection . , "The data shocks us highly!" said Michelle Li, Co-Founder of the ...
(Date:11/27/2015)... ... November 27, 2015 , ... A simply groundbreaking television series, "Voices in America", ... delves into an array of issues that are presently affecting Americans. Dedicated to providing ... this show is changing the subjects consumers focus on, one episode at a time. ...
(Date:11/27/2015)... ... November 27, 2015 , ... CBD College ... Allied Health Education Programs (CAAHEP) awarded accreditation to its Diagnostic Medical Sonography program. CBD ... colleges, as only one of twelve colleges and universities in the state of California ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... DUBLIN , Nov. 25, 2015 /PRNewswire/ ... announced the addition of the "Global ... to their offering. --> ... "Global Brain Monitoring Devices Market 2015-2019" ... Research and Markets ( ) ...
(Date:11/25/2015)... , Nov. 25, 2015  Amgen (NASDAQ: ... License Application (BLA) with the United States ... ABP 501, a biosimilar candidate to Humira ® ... biosimilar application submitted to the FDA and represents Amgen,s ... Sean E. Harper , M.D., executive vice president ...
(Date:11/25/2015)... 2015  Linden Care, LLC, a retail specialty pharmacy ... patients suffering from chronic pain, said today that it ... Order (TRO) enjoining Express Scripts from unilaterally terminating the ... --> --> The company said ... options. --> --> ...
Breaking Medicine Technology: