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    A one-month medication review in a nursing home identified necessary medication adjustments. This systematic approach, using the Stopp and Start program, optimized drug regimens for elderly patients, reducing psychotropic medications.

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    Area of Science:

    • Geriatric Medicine
    • Pharmacology
    • Nursing Home Care

    Background:

    • Polypharmacy is a significant concern in nursing home residents, increasing the risk of adverse drug events.
    • Regular medication reviews are crucial for optimizing treatment and ensuring patient safety in geriatric populations.
    • The Stopp and Start program provides a framework for deprescribing and optimizing medication use in older adults.

    Purpose of the Study:

    • To conduct a systematic medication review for nursing home residents over a one-month period.
    • To identify opportunities for medication optimization using the Stopp and Start criteria.
    • To evaluate the impact of medication review on prescribed drug regimens, particularly psychotropic and osteoporosis medications.

    Main Methods:

    • A systematic review of all resident medications was performed.
    • Comprehensive patient examinations, including laboratory tests and further investigations, were conducted.
    • Medication data was analyzed, and adaptations were made based on the Stopp and Start program recommendations.

    Main Results:

    • Medication regimens were adapted, with increases in medications for osteoporosis prevention.
    • A reduction in psychotropic medications was observed.
    • The review process facilitated targeted medication adjustments for chronic conditions.

    Conclusions:

    • Systematic medication reviews, conducted biannually, are effective in managing and adapting chronically used medications in nursing home residents.
    • The Stopp and Start program is a valuable tool for optimizing medication use in psycho-geriatric patients.
    • Regular medication reviews contribute to improved patient care and safety in long-term care settings.