학술논문

Multi-Drug Regimens in Pediatric Liver Transplant Patients.
Document Type
Article
Source
Pediatric Nursing; Sep/Oct2023, Vol. 49 Issue 5, p237-242, 6p
Subject
Education of nurse practitioners
Occupational roles
Continuing education units
Families
Patient education
Diffusion of innovations
Polypharmacy
Postoperative care
Patients
Immunosuppression
Family-centered care
Medication therapy management
Drug administration
Drugs
Pediatric nursing
Nurses
Liver transplantation
Patient compliance
Medication reconciliation
Transplantation of organs, tissues, etc.
Medical needs assessment
Language
ISSN
00979805
Abstract
Children are prescribed a complex multi-drug regimen, composed of numerous essential medications, following a liver transplantation. Several of these medications continue to be necessary for the remainder of the patient's life. Nonadherence is a major concern in this population. Strict compliance with the intricate regimen is crucial for maintenance of graft functioning. Current literature regarding the role of inpatient clinical nurses in positively influencing medication adherence, specifically with pediatric liver transplant patients, is extremely limited. Further research is needed to standardize and clarify responsibilities of the pediatric nurse in this realm. With additional resources and training, the clinical nurse can play a critical role in family-centered medication education to promote medication regimen adherence upon discharge from the hospital setting and continuing indefinitely. The clinical nurse should employ tailored, creative, and targeted teaching approaches based on the individual family's needs and child developmental stages. Systems-wide change and the need for an innovative model that allows clinical nurses to spearhead medication-regimen education in the pediatric transplant population are needed. Patients and families need extensive education and continued reinforcement on medication administration and the importance of each medication, which clinical nurses are well-suited to provide. [ABSTRACT FROM AUTHOR]