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:10/13/2015)... NC (PRWEB) , ... October 13, 2015 , ... Scientists ... versus tissue biopsy in 18 patients with or without mesothelioma. Surviving Mesothelioma has just ... , The doctors from PhenoPath Laboratories in Seattle and the University of British ...
(Date:10/13/2015)... ... October 13, 2015 , ... ... new School of Nursing. Dr. McLeod—who earned her Doctor of Nursing Practice from ... education that has spanned four decades. , Dr. McLeod’s long and successful nursing ...
(Date:10/13/2015)... ... 13, 2015 , ... Breathing is one of the human ... According to T’ai Chi (also spelled “Taiji”) and Qigong Grand-masters Steven Aung, MD, ... with the 7,000 year old tradition they teach, can improve health, increase energy ...
(Date:10/13/2015)... ... 2015 , ... In an ongoing effort to provide the ... Texas, child development and pediatric therapy center, is working with TRICARE to emphasize ... options for receiving this kind of care for affected children. Because of concerns ...
(Date:10/13/2015)... Alpharetta, Georgia (PRWEB) , ... October 13, 2015 ... ... their leadership team: Debbie Vereb has been named the organization’s Executive Vice ... Tony Gerena, have been hired to key leadership roles in the company. , ...
Breaking Medicine News(10 mins):
(Date:10/12/2015)... Center for Innovation announced today that Elizabeth ... th recipient of the CME Group Melamed-Arditti Innovation ... Theranos , to change health care from reactive to proactive, ... care. CME Group will present the award at the eighth ... Naples, Florida , on Tuesday, November 17. ...
(Date:10/12/2015)... PUNE, India , October 12, 2015 ... new market research report "Spirometer Market by Product (Hand-held, Table-top, ... (Hospital, Clinic, Homecare), Application, & Geography - Global Forecast to ... reach USD 858.6 Million by 2020, at a CAGR of ... data Tables and 128 F igures spread th ...
(Date:10/12/2015)... ) ... "Personalized Medicine, Targeted Therapeutics and Companion Diagnostic ... Industry Trends, Technologies, Participants, and Environment" ... ) has announced the addition of ... Companion Diagnostic Market to 2019 - Strategic ...
Breaking Medicine Technology: