Author:
Block Laura M.,Maust Donovan T.,Roberts Tonya J.
Abstract
Deprescribing is a common practice in the care of older adults, including those living in nursing homes (NHs). Deprescribing represents an individualized approach to optimizing medication use; it considers the risks, benefits, and goals of an individual, and can mitigate the effects of polypharmacy and potentially inappropriate medications. In NH settings, prescribing practices are shaped directly and indirectly by historical and contemporaneous policies at federal, state, and local levels, which have primarily targeted chemical restraints and unnecessary medications. Understanding these policies, their impact, and potentially unintended consequences is essential for gerontological nursing to transition toward individualized practices and approaches to deprescribing. [
Journal of Gerontological Nursing, 49
(9), 15–20.]
Subject
Gerontology,General Nursing
Reference35 articles.
1. American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults
2. A nurse practitioner led protocol to address polypharmacy in long-term care
3. Centers for Medicare & Medicaid Services. (2012). CMS announces partnership to improve dementia care in nursing homes. https://www.cms.gov/newsroom/press-releases/cms-announces-partnership-improve-dementia-care-nursing-homes#:∼:text=CMS%20ANNOUNCES%20PARTNERSHIP%20TO%20IMPROVE%20DEMENTIA%20CARE%20IN%20NURSING%20HOMES,-May%2030%2C%202012&text=Today%2C%20Centers%20for%20Medicare%20%26%20Medicaid,medications%20for%20nursing%20home%20patients
4. Centers for Medicare & Medicaid Services. (2016). Medicare and Medicaid programs; Reform of requirements for long-term care facilities. https://www.federalregister.gov/documents/2016/10/04/2016-23503/medicare-and-medicaid-programs-reform-of-requirements-for-long-term-care-facilities
5. Centers for Medicare & Medicaid Services. (2023). State operations manual appendix PP – Guidance to surveyors for long term care facilities. https://www.cms.gov/medicare/provider-enrollment-and-certification/guidanceforlawsandregulations/downloads/appendix-pp-state-operations-manual.pdf
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献