This prospective ‘before and after’ record review explored the clinical gains from nurse-led medicines’ monitoring using the West Wales Adverse Drug Reaction (WWADR) Profile for Mental Health Medicines on two occasions, 1 month apart. The Profile checks for signs and symptoms of possible ADRs and lists remedial actions on 1 page that is shared amongst the healthcare team; using the Profile, we identified 12.7 (mean) previously undocumented medicine-related problems per participant and 4.9 per participant were ameliorated by second review. Practice changes included: reduction of sedatives, new analgesia, new care plans for oral hygiene and constipation.
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