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Prescribing for older people in nursing homes: strategies to improve prescribing and medicines use in nursing homes

Authors

  • Carole Parsons PhD,

  • David Alldred PhD,

  • Lori Daiello Pharm D, BCPP,

  • Carmel Hughes PhD


Carmel Hughes
School of Pharmacy
Queen’s University Belfast
97 Lisburn Road
Belfast
Antrim BT9 7BL
UK
Telphone: +44 28 90 972147
E-mail: c.hughes@qub.ac.uk

Abstract

parsons c., alldred d., daiello l. & hughes c. (2011) Prescribing for older people in nursing homes: strategies to improve prescribing and medicines use in nursing homes. International Journal of Older People Nursing6, 55–62
doi: 10.1111/j.1748-3743.2010.00263.x

Interventions to improve prescribing in the nursing home environment are many and varied. The critical literature review presented in Paper 1 (Parsons et al., 2011, International Journal of Older People Nursing6, 45–54) in this series discussed the main issues repeatedly identified as problematic, and this paper summarises the main approaches which have been used to attempt to improve prescribing. These include national legislation which demands documented justification for the prescribing of medicines, medication review, approaches to reducing medication errors, improving communication across care boundaries and assessment teams and alternative service models. It is difficult to make global recommendations as some of these approaches are country specific or have been delivered in different ways, involving different professionals. However, a series of prompt questions have been provided which may assist nursing home staff in deciding whether prescribing is optimal in a resident or if an intervention is required which may lead to an overall improvement in outcomes.

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