a
1
2
3
4
5
6
7
8
Contact
Open Hours
LOGIN/LOGOUT
Vaccines
Destinations
BLOG
What we have to say about your health and well being
22
Apr 2019
Is there still a place for Monitored Dosage Systems in Care Homes?

There was a time when Monitored Dosage Systems (often referred to as multi-compartment compliance aids) were part of everyday life in care homes. In recent years, things have changed. Research has highlighted several areas where Monitored Dosage Systems (MDSs) fall short. This has forced care homes to rethink their medication administration processes.

Guidance from the Royal Pharmaceutical Society states; “The use of original packs of medicines, supported by appropriate pharmaceutical care, should be the preferred intervention for the supply of medicines in the absence of a specific need for a multi-compartment aid in all settings.”

Unfortunately, moving every patient from MDS to original packaging isn’t an overnight process, and MDSs may still be the best option for some individuals. In this article, we look at the advantages and disadvantages of using an MDS, and give advice about how your care home can make the transition to original packaging.

Advantages of MDS

An MDS is a very visual way of managing medicine and can be useful to enable self-management of medicines and promote independence for patients.

Patients who are visually impaired or have difficulty reading might find it easier to have medicines already prepared. Those who struggle with pushing pills from blister packs also find it easier to have them in MDS trays.


Disadvantages of MDS

Perhaps one of the biggest concerns about MDSs is the scope for human error, not to mention the risk of destabilising medicines through exposure to moisture, light, contamination from other medicines or bacteria.

MDSs work well for pills and tablets and have even been adapted for some liquids. However, many medicines cannot be dispensed into MDSs due to their unstable nature. MDSs are also unsuitable for “as required” medication or medicines where the dose varies (such as Warfarin). It can cause confusion if patients have medicines in both MDS trays and original packaging.

An advantage of original packaging is that it comes with the Patient Information Leaflet (PIL) which can be consulted by both care staff and patients if there are any concerns. This helps patients feel more knowledgeable about the medicines they are taking and increases autonomy and choice.

How to move away from MDS

The first stage of moving from MDSs to original packaging is speaking to your pharmacist. They will be able to advise and assist you in making the transition as seamless as possible.

The next step is training staff and helping them understand the benefits to patients. If there is resistance to change, it can make the process unnecessarily difficult. It is important to get your team on board before the change takes place and alleviate concerns in advance. You will also have some patients who are wary of change, and they will need reassurance.

It can be extremely beneficial to install individual medicine cabinets in each patient’s room. This reduces the need for drug trolleys and makes storage easier.

Many care homes adopt a gradual transition, rather than changing all patients over at once. This will be dependent on the size of your care home and the number of patients affected by the changes.

Working with Homecare Pharmacy

The good news is that you don’t have to make the transition without support. At Homecare Pharmacy, we can provide full training and guidance to you and your staff and work with you to transition to original packaging with very little disruption. Whether you have already started making the change, are thinking about changing, or just want more information about the move away from MDSs, we’d love to hear from you. Give us a call and find out how we can help you provide better care for your patients.

CONTACT
Unit E Knaresborough Technology Park, Manse Lane
Knaresborough
North Yorkshire
HG5 8LF
01845 578879
Contact Us
INFORMATION
Company Registration:
08204583
Premises GPhC Number:
9010986
Superintendant:
Jason Baskind (2047727)
OPENING HOURS
Cookie Policy
Privacy Policy
Terms And Conditions
Copyright 2019
Shopping
CORONAVIRUS
Latest Advice
Symptoms
The most common symptoms of coronavirus (COVID-19) are recent onset of:
  • New continuous cough and/or
  • High temperature
  • loss or change to your sense of smell or taste  

For most people, coronavirus (COVID-19) will be a mild illness If you have coronavirus symptoms:
  • Do not go to a GP surgery, pharmacy or hospital
  • You do not need to contact 111 to tell them you're staying at home
  • Testing for coronavirus is not needed if you're staying at home
  • Plan ahead and ask others for help to ensure that you can successfully stay at home and consider what can be done for vulnerable people in the household
  • Ask your employer, friends and family to help you to get the things you need to stay at home
  • Wash your hands regularly for 20 seconds, each time using soap and water, or use hand sanitiser
  • If you feel you cannot cope with your symptoms at home, or your condition gets worse, or your symptoms do not get better after 7 days, then use the NHS 111 online coronavirus service. If you do not have internet access, call NHS 111. For a medical emergency dial 999
  • Visit NHS 111 Online for more information

Stay at Home
  • If you live alone and you have symptoms of coronavirus illness (COVID-19), however mild, stay at home for 7 days from when your symptoms started. (See ending isolation section below for more information)
  • If you live with others and you or one of them have symptoms of coronavirus, then all household members must stay at home and not leave the house for 14 days. The 14-day period starts from the day when the first person in the house became ill
  • It is likely that people living within a household will infect each other or be infected already. Staying at home for 14 days will greatly reduce the overall amount of infection the household could pass on to others in the community
  • For anyone in the household who starts displaying symptoms, they need to stay at home for 7 days from when the symptoms appeared, regardless of what day they are on in the original 14 day isolation period. (See ending isolation section below for more information
  • If you can, move any vulnerable individuals (such as the elderly and those with underlying health conditions) out of your home, to stay with friends or family for the duration of the home isolation period
  • If you cannot move vulnerable people out of your home, stay away from them as much as possible
Find out more about UK Gov Coronavirus Response
Don't show this again
Shopping Cart
In Store
Online