NSLHD News March 11 2022

Research shows your age and sex influence the impact of medications A new study by

researchers at the Kolling Institute will directly guide the use of medications by older Australians after it identified the profound adverse effects of taking multiple medications. The study follows

Trang Tran, Professor Sarah Hilmer and Dr John March

the impacts were greater with females than males, confirming that gender can influence outcomes, particularly the effect of medications on physical and cognitive performance,” she said. “Part of the strength of this research is due to the consistent monitoring involved, with behaviour patterns recorded continuously for 23 hours in both night and day settings. “Our research represents an important body of work which we hope will highlight the need to consider age and sex when prescribing or managing multiple medication use in patients. “It will provide evidenced- based information to help clinicians understand the global effects of multiple medication use and individual susceptibility.” Members of the nursing community have welcomed the research, with clinical ranked 27th in the hospital rankings for Australia. RNSH was one of just seven Australian hospitals to make this year’s top 250 hospitals global list. After such a challenging year with the COVID-19 pandemic, the results are a testament to our staff who have worked

nurse consultant Allyson Waird, from the Aged Care, Delirium and Dementia units at RNS and Ryde hospitals, saying the new findings provide valuable information. “The clinical importance of unsettled, agitated or aggressive behaviours by patients, especially later in the day, should never be underestimated,” she said. “Such behaviours may be due to a number of factors, not the least of which is medications, and should always be investigated. “Whilst nurses are aware of addressing unmet needs as a person-centred strategy when caring for these patients, it is also imperative that medications be reviewed.” The study, which has been published in Scientific Reports, builds on Professor Hilmer’s internationally significant research fostering the safe use of medications across the hospital, aged care and community settings. tirelessly to deliver safe and quality healthcare to our patients every day. NSLHD Chief Executive Deb Willcox said: “thank you to all of our staff who every day make a difference to our patients through the outstanding care you provide.”

the latest figures which show around 50 per cent of Australians over 75 years take five or more medications every day to treat multiple chronic illnesses. The trend is leading to an increased risk of geriatric syndromes, including functional and cognitive impairments. Concerned by the growing number of adverse issues, Professor Sarah Hilmer and her team from the Laboratory of Ageing and Pharmacology used a preclinical model to assess the impact of multiple medications on physical activities. Trang Tran, the PhD student who led the paper, said the research identified significant adverse impacts, including a reduction in physical movement such as walking speed and behavioural changes similar to a drug- induced delirium prior to sleep. “Interestingly, some of

The best hospitals in the world Northern Sydney Local Health District is proud to announce that Royal North Shore

Hospital has been ranked the third best hospital in Australia, and number 136 in the world, in Newsweek’s 2022 World’s Best Hospitals list. It is joined by Hornsby Ku- ring-gai Hospital which was

NSLHDNEWS | ISSUE 4 | 11 MARCH 2022

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