[Autoimmune polyendocrine syndrome (APS). Chief symptoms depend on involved organs].
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Biomedical subjects
Publications and source records attributed to L Käser.
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Considering the constant increase of medication costs in medical institutions we analysed in a Swiss municipal nursing home whether medication in geriatric long term patients can be reduced without compromising quality of life. To document these effects we applied two established questionnaires on different issues of quality of life; the interviews with the patients and with the nursing staff were performed as a pre-post-comparison of the 3-month intervention. The new geriatric medication concept allowed a decreased daily medication as well as a 23% reduction of the medication costs at an average. In comparison to a previous group of control this study showed no reduction in quality of life for nursing home residents but even a stabilisation yielding to an actual improvement of quality of life.
To analyse drug therapy knowledge of prescribed drugs and self-administered medicinal products we interviewed 222 ambulatory cardiovascular patients. Spontaneous mentions of drugs (at least 3 preparations on average) were completed later on specific questioning. 40% of patients once interrupted their therapy due to adverse drug reactions. Most patients knew the labels of their medicaments but the effects and indications only in 50%. Nevertheless 70% were satisfied with the informations of the physician. Drugs available over the counter were consumed in many of the respondents: 50% consumed analgetics, and--mainly female patients--25% sedatives and 15% laxatives or diuretics. We conclude that specific questioning on self-administation of OTC preparations or formerly prescribed drugs results in an improved overview of medication and a better handling of polymedication and drug compliance.