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Free Content High-Risk Medication Use in Older Residents of Long-Term Care Facilities: Prevalence, Harms, and Strategies to Mitigate Risks and Enhance Use

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Older residents of long-term care facilities (LTCFs), also known as nursing homes, care homes, or residential aged care facilities, often have multiple health conditions and are exposed to polypharmacy. Use of high-risk medications such as opioids, glucose-lowering medications, antithrombotics, and antipsychotics is prevalent among residents of LTCFs. Ensuring appropriate use of high-risk medications is important to minimize the risk of medication-related harm in this vulnerable population. This paper provides an overview of the prevalence and factors associated with high-risk medication use among residents of LTCFs. Evidencebased strategies to optimize the use of high-risk medications and enhance resident outcomes are also discussed.

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Keywords: ADVERSE DRUG EVENTS; ANTICOAGULANT; ANTIPLATELET; ANTIPSYCHOTIC; ATRIAL FIBRILLATION; DRUG UTILIZATION; GLUCOSE-LOWERING MEDICATION; HOMES FOR THE AGED; INSULIN; LONG-TERM CARE; MEDICATION MANAGEMENT MEDICATION SAFETY; NURSING HOMES; OPIOID; PHARMACIST QUALITY IMPROVEMENT; RESIDENTIAL AGED CARE; WARFARIN

Document Type: Research Article

Publication date: October 1, 2020

More about this publication?
  • The Senior Care Pharmacist® is the official peer-reviewed journal of the American Society of Consultant Pharmacists. It is dedicated exclusively to the medication needs of the elderly in all settings, including adult day care, ambulatory care, assisted living, community, hospice, and nursing facilities. This award-winning journal is a member benefit of ASCP. Individuals who are not members and wish to receive The Senior Care Pharmacist® will want to consider joining ASCP.

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