Medication use in nursing homes for elderly people

Furniss, Lee; Craig, Sarah; Burns, Alistair

doi:10.1002/(sici)1099-1166(199807)13:7<433::aid-gps798>3.0.co;2-9

Cited by 72 publications

(31 citation statements)

References 43 publications

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“…Nursing home residents usually suffer from multiple medical problems leading to long term drug treatment, [1][2][3][4] and multiple drug use combined with ageing related pharmacokinetic and pharmacodynamic changes increases the risk of adverse drug reactions. [4][5][6] Drug misadventures are major reasons for admissions to hospital and death in the elderly.…”

mentioning

confidence: 99%

Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study

Ruths

Straand²,

Nygaard³

2003

Quality and Safety in Health Care

108

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Aim: Based on a multidisciplinary review of drug use in nursing home residents, this study aimed to identify the most frequent clinically relevant medication problems and to analyse them according to the drugs involved and types of problems. Methods: Cross sectional study auditing drug use by 1354 residents in 23 nursing homes in Bergen, Norway. Data were collected in 1997. A physician/pharmacist panel performed a comprehensive medication review with regard to indications for drug use and active medical conditions. The drug related problems were subsequently classified according to the drugs involved and types of problems (indication, effectiveness, and safety issues). Results: 2445 potential medication problems were identified in 1036 (76%) residents. Psychoactive drugs accounted for 38% of all problems; antipsychotics were the class most often involved. Multiple psychoactive drug use was considered particularly problematic. Potential medication problems were most frequently classified as risk of adverse drug reactions (26%), inappropriate drug choice for indication (20%), and underuse of beneficial treatment (13%).

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mentioning

confidence: 99%

Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study

Ruths

Straand²,

Nygaard³

2003

Quality and Safety in Health Care

108

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show abstract

“…16-18 A physician intervention for polypharmacy among long-term care residents, which we have reported previously , demonstrated significant reduction in number of medications, but did not examine cost outcomes. 19 To our knowledge, there are no other studies of a physician intervention for polypharmacy for long-term care residents in the U.S.…”

Section: Introductionmentioning

confidence: 89%

Reducing Cost by Reducing Polypharmacy: The Polypharmacy Outcomes Project

Kojima¹,

Bell²,

Tamura³

et al. 2012

Journal of the American Medical Directors Association

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“…Thus "polypharmacy" is the norm in nursing home population. The average nursing home resident receives from 5 to 10 different medications at any time (Beers MH & Al, 1992;Furniss L & Al, 1998;Doshi JA & Al, 2005;Kersten H & Al, 2009). Some of these medications may increase the likelihood of infections: atypical antipsychotics may impair consciousness and increase the frequency of aspiration (Knol W & Al, 2008;Gau JT & Al, 2010); H2 blockers and protonic pump inhibitors (PPI) lead to decreased gastric acidity and may contribute to increased gastrointestinal infections (Laheij RI & Al;2004;Gulmez SE & Al, 2007;Eom CS & Al 2011;Laria A & Al, 2011).…”

Section: Drugs Use In Elderly Nursing Homes Residentsmentioning

confidence: 99%