Medication Management of Adult Patients Admitted to Hospital with Epilepsy, Seizure or Convulsion

Background: An inpatient medication chart review at the Gold Coast Hospital identified shortcomings with the prescribing and monitoring of antiepileptic medications. Aim: To evaluate medication management of patients with epilepsy, seizure or convulsion; to map their transition through the health sy...

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Main Authors: Walker, M., McGovern, T., Hattingh, Laetitia, Hall, T.
Format: Journal Article
Published: Society of Pharmacy Practice and Research 2012
Online Access:http://hdl.handle.net/20.500.11937/12805
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author Walker, M.
McGovern, T.
Hattingh, Laetitia
Hall, T.
author_facet Walker, M.
McGovern, T.
Hattingh, Laetitia
Hall, T.
author_sort Walker, M.
building Curtin Institutional Repository
collection Online Access
description Background: An inpatient medication chart review at the Gold Coast Hospital identified shortcomings with the prescribing and monitoring of antiepileptic medications. Aim: To evaluate medication management of patients with epilepsy, seizure or convulsion; to map their transition through the health system; and to identify lifestyle behaviours that may lead to overt risks for seizure occurrence. Method: A retrospective observational audit of adult patients (16 years and over) admitted to hospital with a diagnosis of epilepsy, seizure or convulsion from 1 to 31 January 2012. Results: Majority of the 62 episodes of care investigated involved patients who were discharged directly from the ED (68%). Only 30% of all patients discharged from an inpatient unit received a discharge medication record from a pharmacist. Non-adherence with antiepileptic medications, alcohol and/or recreational drug use and prescription medication misuse were identified as overt risks for seizure occurrence. Conclusion: Valuable insights were gained into the management of seizure patients. The role of the ED pharmacist was reviewed to focus on high-risk seizure patients. An increase in the provision of discharge medication records and patient education on the overt risks for seizure occurrence is needed.
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spelling curtin-20.500.11937-128052017-02-28T01:34:05Z Medication Management of Adult Patients Admitted to Hospital with Epilepsy, Seizure or Convulsion Walker, M. McGovern, T. Hattingh, Laetitia Hall, T. Background: An inpatient medication chart review at the Gold Coast Hospital identified shortcomings with the prescribing and monitoring of antiepileptic medications. Aim: To evaluate medication management of patients with epilepsy, seizure or convulsion; to map their transition through the health system; and to identify lifestyle behaviours that may lead to overt risks for seizure occurrence. Method: A retrospective observational audit of adult patients (16 years and over) admitted to hospital with a diagnosis of epilepsy, seizure or convulsion from 1 to 31 January 2012. Results: Majority of the 62 episodes of care investigated involved patients who were discharged directly from the ED (68%). Only 30% of all patients discharged from an inpatient unit received a discharge medication record from a pharmacist. Non-adherence with antiepileptic medications, alcohol and/or recreational drug use and prescription medication misuse were identified as overt risks for seizure occurrence. Conclusion: Valuable insights were gained into the management of seizure patients. The role of the ED pharmacist was reviewed to focus on high-risk seizure patients. An increase in the provision of discharge medication records and patient education on the overt risks for seizure occurrence is needed. 2012 Journal Article http://hdl.handle.net/20.500.11937/12805 Society of Pharmacy Practice and Research restricted
spellingShingle Walker, M.
McGovern, T.
Hattingh, Laetitia
Hall, T.
Medication Management of Adult Patients Admitted to Hospital with Epilepsy, Seizure or Convulsion
title Medication Management of Adult Patients Admitted to Hospital with Epilepsy, Seizure or Convulsion
title_full Medication Management of Adult Patients Admitted to Hospital with Epilepsy, Seizure or Convulsion
title_fullStr Medication Management of Adult Patients Admitted to Hospital with Epilepsy, Seizure or Convulsion
title_full_unstemmed Medication Management of Adult Patients Admitted to Hospital with Epilepsy, Seizure or Convulsion
title_short Medication Management of Adult Patients Admitted to Hospital with Epilepsy, Seizure or Convulsion
title_sort medication management of adult patients admitted to hospital with epilepsy, seizure or convulsion
url http://hdl.handle.net/20.500.11937/12805