ArticleGeriatric nursing (New York, N.Y.)
A nurse practitioner led protocol to address polypharmacy in long-term care.
Article in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed, 8 citations in OpenAlex.
- Implementation of pharmacist-led deprescribing in collaborative primary care settings.International journal of clinical pharmacy · 2022Article
- The Association Between Nursing Home Information Technology Maturity and Urinary Tract Infection Among Long-Term Residents.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- COVID-19 Pandemic and Management of Chronic Pain in Nursing Homes.Journal of the American Medical Directors Association · 2021Article
- Polypharmacy prevalence in older adults seen in United States physician offices from 2009 to 2016.PloS one · 2021Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Polypharmacy is common in long term care facilities and frequently associated with poor outcomes. This study sought to determine if a medication management protocol completed at four month intervals by nurse practitioners (NP) could impact polypharmacy and administration times for long term care residents. The data was collected as part of a Centers for Medicare and Medicaid Services (CMS) "Initiative to Reduce Avoidable Hospitalization among Nursing Facility Residents" grant. Residents were recruited from participating long-term care facilities. NP completed a medication management protocol on admission to the program and at subsequent 4-month intervals or with an acute change in condition. A total of 2442 non-duplicated individuals were seen for at least 1 visit. Although the protocol did not result in a reduction of regularly scheduled medications, the number of scheduled medication administration times did significantly decrease. NP polypharmacy assessments and recommendations are important but were insufficient to decrease the medication burden.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.