MEDIKAMIG - POLYPHARMACY AND DRUG MISUSE IN PEOPLE WITH DEMENTIA AND A MIGRATION BACKGROUND
Polypharmacy often occurs in the elderly and is associated with the risk of dementia worsening, falls and other undesirable side effects. People with dementia are at greater risk of mistaking medication or having benzodiazepines prescribed longer than recommended. For people with a migration background, language barriers and the loss of the second language of the target country make wrong medication more likely.
In a qualitative study, 10 chronically ill patients, 10 nursing relatives and 10 experts were interviewed. The interviews were analyzed with structuring qualitative content analysis.
The results show that the topic of medication causes a lot of uncertainty and distrust among the caring relatives of dementia patients. Symptoms are attributed to medication, which leads to difficulties with the work alliance with the medication prescribing physicians.
Regular, outreach, professional support from a interprofessional and networked care team is needed to reduce uncertainties with medication management, strengthen health lietracy and improve working alliances of patients and relatives with professionals. In addition, specialized dementia units are needed to ensure an adequate recruitment of mediation and to reduce polypharmacy.