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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

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Polypharmacy in Nursing Homes.

Elaine Roh¹, Esteban Cota², Jason P Lee²

¹Department of Internal Medicine, Division of Geriatrics, University of California, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA 90095, USA.

Clinics in Geriatric Medicine

|October 9, 2022

Summary

Nursing home residents often face polypharmacy, the use of multiple medications. This review outlines strategies to manage medication overload in older adults.

Keywords:

Adverse drug events/reactions Deprescribing Drug–drug interactions Frail Nursing home Potentially inappropriate medications

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Area of Science:

Gerontology
Pharmacology
Healthcare Management

Background:

Older adults in nursing homes represent a vulnerable population.
Polypharmacy is a significant issue in this demographic, increasing risks.
Understanding the context of nursing home care is crucial.

Purpose of the Study:

To provide a background on older adults residing in nursing homes.
To review key strategies for addressing polypharmacy.
To improve medication management for this population.

Main Methods:

Literature review of existing studies on polypharmacy in nursing homes.
Analysis of current practices in medication management.
Synthesis of evidence-based recommendations.

Main Results:

Identification of common risk factors for polypharmacy in nursing home residents.
Overview of effective interventions to reduce inappropriate medication use.
Discussion of challenges in implementing medication management strategies.

Conclusions:

Polypharmacy in nursing homes requires targeted interventions.
A multidisciplinary approach is essential for safe medication use.
Addressing polypharmacy can enhance the quality of life for older adults.