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Optimizing Medication Use in the PALTC Setting
The issue of polypharmacy and inappropriate medication use in post-acute and long-term care (PALTC) has been an ongoing concern. The PALTC setting has one of the highest polypharmacy rates, which increases the risk of adverse events and drug interactions.
Since May 2021, the Post-Acute and Long-Term Care Medical Association (PALTmed) and the American Society of Consultant Pharmacists (ASCP) have been holding meetings and developing resources to help prescribers, pharmacists, DONs, CNOs, CMOs, and CEOs optimize medication use in the long-term care setting. These activities are key components of the Drive to Deprescribe (D2D) initiative, aimed at reducing polypharmacy and enhancing patient care.
As part of our ongoing commitment to improving medication management, we are excited to announce the launch of our new course, Design Your Deprescribing Intervention. This expert-led course provides essential strategies and practical tools for optimizing medication use, safely reducing polypharmacy, and enhancing patient safety in the PALTC setting. Join us in advancing patient care by participating in this crucial training.
Drive to Deprescribe Meeting Archives & Tools
Resources
Deprescribing Information Pamphlets (deprescribing.org)
Choosing Wisely Recommendations (PALTmed)
Choosing Wisely Recommendations (AGS)
Drive to Deprescribe Family Letter (PALTmed)
Drive to Deprescribe Prescriber Letter (PALTmed)
Sample Email to DONs and Medical Directors (PALTmed)
Podcasts
Resources:
Resources:
- Aspirin Use to Prevent Cardiovascular Disease (JAMA)
- ACC/AHA CV Risk Calculator (for ages 40-79)
Journal Articles
- Perspectives on Deprescribing in long-term care: qualitative findings from nurses, aides, residents, and proxies (BMC Nursing)
- A New Care Model Reduces Polypharmacy and Potentially Inappropriate Medications in Long-Term Care (JAMDA)
- Assessment of Patient-Preferred Language to Achieve Goal-Aligned Deprescribing in Older Adults (JAMA)
- Deprescribing: A narrative review of the evidence and practical recommendations for recognizing opportunities and taking action (EFIM)
- Tips for Deprescribing in the Nursing Home (Annals of Long-Term Care)
- Deprescribing Medications Among Older Adults From End of Hospitalization Through Postacute Care (JAMA)
Drive to Deprescribe Archived Recordings
Navigating the Revised AGS Beers Criteria in Clinical Practice | October 19, 2023
Optimizing Use of Arthritis Medications | June 1, 2023
PALTC23 Session: Riding the D2D Bandwagon for Behavior Change in a PALTC Organization
Optimizing Use of Antihypertensive Medications: Part 2 | February 16, 2023
Setting the Foundation for the Next Phase of D2D | December 15, 2022
Sharing Strategies, Successes and Secrets | November 17, 2022
Optimizing Use of Statins, Aspirin, and Antihypertensives | October 20, 2022
Sharing Strategies, Successes and Secrets | September 15, 2022
Optimizing Use of Anti-Epileptics and Anti-Seizure Medications | August 18, 2022
Sharing Strategies, Successes and Secrets | July 21, 2022
Optimizing Use of Antipsychotics: Part Two | June 16, 2022
Sharing Strategies, Successes and Secrets | May 19, 2022
Optimizing Use of Antipsychotics | April 21, 2022
Resources:
- Download PowerPoint Slides
- Psychiatric Diagnoses Clues
- Suggested Book: Psychiatric Aspects of Neurologic Diseases: Practical Approaches to Patient Care Illustrated Edition
- Behavior Psych Framework
- Drugs That May Cause Psychiatric Symptoms (The Medical Letter)
- CMS Antipsychotic Regulations
- COVID-19 Psychosis (PubMed.gov)
- FACT SHEET: Protecting Seniors by Improving Safety and Quality of Care in the Nation’s Nursing Homes (whitehouse.gov)
Sharing Strategies, Successes and Secrets | March 17, 2022
PALTC22 Session: Strategies to Implement Medication Deprescribing and Optimization in PALTC: AMDA’s Drive to Deprescribe Initiative | March 10, 2022
Optimizing Anti-Dementia Medications | February 17, 2022
Sharing Strategies, Successes and Secrets | January 20, 2022
Optimizing and Deprescribing Benzodiazepines & Other Anxiolytics | December 16, 2021
Resources:
- Download PowerPoint Slides
- Brochures about the risks of certain medication classes (from the Canadian Deprescribing Network)
- Is a Benzodiazepine or Z-drug still needed for sleep? (from deprescribing.org)
Sharing Key Strategies and Successes | November 18, 2021
Optimizing Use of Anticholinergics | October 21, 2021
Sharing Key Strategies and Successes | September 16, 2021
Optimizing Use of Antihyperglycemics in PALTC | August 19, 2021
Sharing Strategies, Successes, and Secrets | July 15, 2021
Designing Your D2D Intervention | June 17, 2021
Resources:
Multivitamins:
- Is There Really Any Benefit to Multivitamins? (Johns Hopkins University)
- Herbal medications and other dietary supplements. A clinical review for physicians caring for older people (Taylor & Francis Online)
See Table 4: Benefits and disadvantages of supplement use among older people without specific nutrient deficiencies
Educational Resources for Residents and Family Members Regarding PPI's:
- PPI Deprescribing Patient Decision Aid (deprescribing.org)
- Is a Proton Pump Inhibitor still needed? (deprescribing.org)
- Proton Pump Inhibitor (PPI) Deprescribing Algorithm (deprescribing.org)
