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Related Experiment Videos

Longitudinal prescribing patterns in a nursing home population.

S J Wayne1, R L Rhyne, M Stratton

  • 1Department of Family, Community, and Emergency Medicine, University of New Mexico School of Medicine, Albuquerque 87131.

Journal of the American Geriatrics Society
|January 1, 1992
PubMed
Summary

Nursing home residents received more medications over time, particularly as-needed (PRN) prescriptions. This study analyzed patient characteristics and medication changes during the first three months of nursing home care.

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Area of Science:

  • Geriatric Medicine
  • Pharmacology
  • Health Services Research

Background:

  • Medication management in nursing homes is complex.
  • Understanding prescribing patterns is crucial for patient safety.

Purpose of the Study:

  • To document patient characteristics associated with initial medication prescriptions in nursing homes.
  • To analyze changes in medication prescribing patterns within the first three months of residency.

Main Methods:

  • A one-year admission cohort study was conducted in three university-affiliated nursing homes.
  • Data included patient demographics, functional status, mental status, diagnoses, and prescribed medications (scheduled and PRN) at admission and three months.
  • Eighty-one new admissions were analyzed.

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Main Results:

  • Older patients and women received fewer scheduled medications. A positive association was found between the number of diagnoses and scheduled medications.
  • No significant associations were observed between prescribed medications and mental status or functional level.
  • The average total number of medications increased significantly from 4.7 at admission to 6.2 at three months, driven by a rise in PRN medications.

Conclusions:

  • Medication prescribing patterns differ between scheduled and PRN categories in nursing home residents.
  • Consistent monitoring points are valuable for assessing medication use in this population.
  • Distinguishing between PRN and scheduled medications is essential for future research.