Cathy, on Feb. 20, CMS held a satellite
broadcast/webcast on basic medication use in nursing homes that is still
available for viewing. The program was for new surveyors, but given the
objectives, listed below, it seems like it would be useful for nurses too. Also,
one of the handouts is labeled "Beer's List." You need to register to access
this stuff, but it is free to do so. http://cms.internetstreaming.com/ -Caralyn
Objectives
After viewing this
program, participants will be able to:
�
Identify and define
unnecessary drugs
�
Identify common psychotropic
medications which can cause problems with the
elderly
�
Describe gradual dose
reduction and Drug Regimen Review
�
Discuss and describe different
types of medication error s
Friday, February 20th, 2004 � Basic Medications in Nursing
Homes:
- Webcast
-
- Click here
to view the webcast!
- Evaluation
- CEUs � Please Complete Prerequisites Above
----- Original Message -----
Sent: Sunday, February 29, 2004 5:07
PM
Subject: Re: Revised Beers List
I feel like I am brain dead!!!. I
have been having difficulty down loading the "Beers list". Could someone
please send me the web site, or the list. I am now in Assisted Living as
the DON. I would truely love to decrease the number of medications
administrated to our clients. Thank you in advance. Also, I
have missed this link in my professional growth. I have been out on
leave due to an injury sustained in falling down stairs, yes I had a couple of
glasses of wine! Needles to say, my other employer filled my
position as I was unable to work. I have not worked since Dec 4th.
I have a new position as DON in an assisted living environment. Thank
you for all your support Gosh, it is so nice to be back to work. I
have a wonderful husband who is supportive and right there when I need him (
after 2 MIs) I am so fortunate!!!!!!!
Cathy P. RNC
----- Original Message -----
Sent: Friday, February 13, 2004 11:48
AM
Subject: Revised Beers List
-
|
Here is
the citation and the abstract for the revised Beers
criteria...
Arch Intern Med. 2003 Dec
8-22;163(22):2716-24. |
|
Updating the Beers
criteria for potentially inappropriate medication use in older
adults: results of a US consensus panel of
experts.
Fick DM, Cooper JW, Wade WE, Waller
JL, Maclean JR, Beers MH.
Department of Medicine, Center
for Health Care Improvement, Medical College of Georgia, Augusta
30912, USA. [EMAIL PROTECTED]
BACKGROUND: Medication toxic
effects and drug-related problems can have profound medical and
safety consequences for older adults and economically affect the
health care system. The purpose of this initiative was to revise and
update the Beers criteria for potentially inappropriate medication
use in adults 65 years and older in the United States. METHODS: This
study used a modified Delphi method, a set of procedures and methods
for formulating a group judgment for a subject matter in which
precise information is lacking. The criteria reviewed covered 2
types of statements: (1) medications or medication classes that
should generally be avoided in persons 65 years or older because
they are either ineffective or they pose unnecessarily high risk for
older persons and a safer alternative is available and (2)
medications that should not be used in older persons known to have
specific medical conditions. RESULTS: This study identified 48
individual medications or classes of medications to avoid in older
adults and their potential concerns and 20 diseases/conditions and
medications to be avoided in older adults with these conditions. Of
these potentially inappropriate drugs, 66 were considered by the
panel to have adverse outcomes of high severity. CONCLUSIONS: This
study is an important update of previously established criteria that
have been widely used and cited. The application of the Beers
criteria and other tools for identifying potentially inappropriate
medication use will continue to enable providers to plan
interventions for decreasing both drug-related costs and overall
costs and thus minimize drug-related problems.
PMID: 14662625
[PubMed - indexed for MEDLINE]
| Summary Brief Abstract Citation ASN.1 MEDLINE XML
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Jan 29 2004 15:06:34 |
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