The Canadian nurse
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With more and more people choosing to die at home, palliative care is an increasingly important field. The challenge for those of us working in the field is to develop a comprehensive system of care that will provide high quality, in-home support. Such support involves a large network of formal and informal caregivers--family members, caregiving friends, homemakers and a variety of health care providers--who collaborate together and with the individual to provide holistic care. Thus, co-ordination, collaboration and communication are essential if this network is to meet the physical, psychological, social and spiritual needs of the dying and their families.
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Seniors take three times as many drugs as the general population and are the group most vulnerable to the adverse effects of drug therapy. For this reason, it is extremely important that they receive support to help them understand and manage their medications. To highlight the major problems in managing medication, determine the risk factors and prevent overdosing of psychotropic drugs in seniors, the authors carried out a study of 549 senior rural residents living at home. ⋯ Close to half the respondents (42.6%) reported occasionally forgetting whether they had taken their medication. The findings also indicate that the respondents' sex, their perception of their personal state of health, the population density, and the depression index are all major variables that significantly relate to use of psychotropic drugs. All of the findings identify the specific needs of seniors and suggest a focus for nursing intervention.