Describe appropriate pharmacologic principles of medication use in older adults Review Beer\u27s List Criteria (American Geriatric Society) Identify inappropriate and/or overlooked medication for the older adult Share with BH Unit staff, patients, familieshttps://digitalcommons.centracare.com/nursing_posters/1103/thumbnail.jp

Zunkel, Gretchen

English

CentraCare Health

CentraCare HealthDigitalCommons@CentraCare HealthNursing Posters Posters and Scholarly Works2018Medication Assessment in the Older Adult: Usingthe Beer's ListGretchen ZunkelSt. Cloud Hospital, CentraCare Health, gretchen.zunkel@centracare.comFollow this and additional works at: https://digitalcommons.centracare.com/nursing_postersPart of the Other Nursing Commons, and the Pharmacy and Pharmaceutical Sciences CommonsThis Book is brought to you for free and open access by the Posters and Scholarly Works at DigitalCommons@CentraCare Health. It has been acceptedfor inclusion in Nursing Posters by an authorized administrator of DigitalCommons@CentraCare Health. For more information, please contactschlepers@centracare.com.Recommended CitationZunkel, Gretchen, "Medication Assessment in the Older Adult: Using the Beer's List" (2018). Nursing Posters. 97.https://digitalcommons.centracare.com/nursing_posters/97Gretchen Zunkel, PhD, ARNP, CNPMedication Assessment in The Older Adult: Using the Beer’s ListPurpose of the Education• Describe appropriate pharmacologic principles of medication use in older adults• Review Beer’s List Criteria (American Geriatric Society)• Identify inappropriate and/or overlooked medication for the older adult• Share with BH Unit staff, patients, familiesEducation Pointers• Always have detailed list of medications and reasons for use• For patients with dementia or cognitive decline, POA/guardian needs to have this information and make sure it is readily available during a hospitalization• Bring all medications to outpatient visits• Work with the older adult to keep medication up-to-date and dispose of older prescription drugs and OTC medication• Meet with Pharmacist for medication reconciliationBeers List Red Flag Mediations• Diphenhydramine (many OTC products): Tylenol PM, Advil PM, Equate Sleep Aid—anticholinergic, constipation, risk of dementia• Benzodiazepines: alprazolam, diazepam, clonazepam, lorazepam-altered mental status• Opioids: worst offenders are fentanyl, oxycodone-overdoseB t bl k  t l l  l l f ll Unit Education about Medications according to American Geriatric Society Beer’s Criteria for potentially Inappropriate Medications for the Older AdultChanges in older adults that contribute to problems with adverse side-effects• Age related changes in pharmacokinetics (absorption, distribution, metabolism, excretion)• Pharmacodynamics (physiologic effects of the medication)• Cautions with increase in relative body fat and decline in CrCl• Decreased clearance prolongs medication half-lives• Increased sensitivity to effects of selected drugs• Polypharmacy and changes in hepatic function creates variability in drug metabolism• American Geriatric Society Beer’s CriteriaPolypharmacy in Older Adults• Polypharmacy means more than 5 medications• Common in the older adultPrescription use by elderly adults (62-85 years)• At least one medication used by 87%• 5 or more prescriptions by 36%Over the counter medications by 38%• Medicare beneficiaries discharged from hospital to SNF used an average of 14 medicationsReferencesAlldred, D. P., Kennedy, M. C., & Hughes, C. (2016). Interventions to optimize prescribing forolder people in care homes. Cochrane Database Systematic Review, 2, American Geriatrics Society. (2015). Beers Criteria update expert panel: Updated Beers Criteria forpotentially inappropriate medication use in older adults. Journal of the American GeriatricSociety, 63, 2227Davidoff, A. J., Miller, G. E., Sarpong, E. M. (2015). Prevalence of potentially inappropriate medicationuse in older adults using the 2012 Beers Criteria. Journal of the American Geriatric Society, 63,486. Qato, D. M., Wilder, J., & Schumm, L. P. (2016). Changes in prescription and over-the-countermedication and dietary supplement use among older adults in the United States, 2005 vs 2011Journal of the American Medical Association Internal Medicine, 176, 473-Saraf, A. A., Petersen, A. W., Simmons, S. F. (2016). Medications associated with geriatric syndromesand their prevalence in older hospitalized adults discharge to skilled nursing facilities. Journal ofHospital Medicine, 11, 694Geriatric Behavioral Health Unit, Monticello

Medication Assessment in the Older Adult: Using the Beer\u27s List

https://digitalcommons.centracare.com/cgi/viewcontent.cgi?article=1103&amp;context=nursing_posters

Medication Assessment in the Older Adult: Using the Beer\u27s List

Abstract

Similar works

Full text

Available Versions

CentraCare Health