Translating Research into Practice Essays
Introduction A financial burden such as the cost of medication can cause decreased compliance, increased complications and sometimes death . In
2005, a national study showed that 90 percent of the elderly take up to five prescription drug medications daily, thus, placing a tremendous financial
burden on the elderly causing the decrease in dose or the refusal to get the prescription filled (Safran et al, 2005). The cost of medication on the
elderly has been identified before, however, little has been done to assist the elderly in this endeavor. The purpose of this paper is to identify 3 best
practice interventions to assist the elderly with medication cost and enhance compliance. Identifying Problem In 2005, twenty–six percent of...show
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Search Criteria The University of Alabama Biomedical Library was searched for relevant studies . This search included COCHRANE Database
of Systematic Reviews, OVID database and EBSCO database. Another search was done using Google search, National Guidelines Clearinghouse,
and Agency for Health Research. Reviewed articles references were used to obtain more studies. Keywords for all searches included: medication,
medication cost, drug, drug cost, elderly, aged, nonadherence, and noncompliance ( See Appendix A). All the studies were less than 5 years old,
expert opinions, practice guidelines were reviewed and those related to interventions to assist the elderly with medication cost were selected.
Levels of Evidence A preliminary search yielded 10 studies, and reviews (Appendix B). Two Level1 studies were systematic reviews. One of the
studies was a well controlled randomized study, which is a Level II. Six of the studies were nonrandomized, well controlled studies that were Level
III. No evidence found at this time was a Level IV, V, VI, or VII. Grade of Recommendations Each study was graded on the relativity to clinical
practice. A tool established by DiCenso, Guyatt, and Ciliska, and the Canadian Task Force on Preventative Health Services was modified for use in
this research (Appendix C). According to the graded research, a
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