Therapeutic Drug Monitoring: A Case Study

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Therapeutic Drug Monitoring of Psychotropic Drugs for Dementia Residents

As per World health organization (2015), there are 47.5 million people who has dementia and there are 7.7 million new cases every year. In our dementia care unit, our residents will receive benevolent expert care to prolong and fulfil their quality of life. As a newly appointed operations management team in our dementia care facility, we continuously aim to provide and improve our quality of care to our dementia residents and talking about continuity of care, we have this transformation to do with the service that we are rendering. This focuses on the therapeutic drug monitoring of psychotropic drugs for them. This transformation will allow us to widen the care that
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However, objective and subjective assessment alone is not enough to justify if such drug therapy is working effectively. And with too many medications that are given it will mean that there will also an increase in the events of adverse reaction most especially in their fragile age.
Therefore, as a team we recognized a need to add a plan on how to monitor for the effectiveness of psychotropic drugs through therapeutic drug monitoring. In therapeutic drug monitoring, drug level will be checked in the blood either before, after or during the medication treatment. In this way, our unit will be able to recognize for any drug overdose or toxicity so as to provide a more competent and efficient quality care to our dementia residents.
On the next page, the service delivery and process mapping of the organization will be discussed. And as we move along with the topic, we will be able to know what transformation there will be compared to the usual framework of the dementia care unit here in New Zealand such as that of Shelly Beach Lodge, Dementia Care
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The inputs are manpower, residents, medications, legalities, time, knowledge, and facilities. Homecare staffs are responsible on giving out medications to the residents. Medications should be given based on doctor’s carried out order. According to Ministry of Health of New Zealand five R’s must be apply when administering medications to residents. The five R’s are: right resident, right medicine, right dose, right time, and right route (Ministry of Health, 2011). Healthcare and institutional legalities should be considered when providing care to residents. Knowledge on provision of care and history of patient’s clinical data encompasses in planning of

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