Deprescribing interventions significantly reduce the number of nursing home (NH) residents
with potentially inappropriate medications by 59%, falls by 24%, and all-cause mortality
by 26%.
1
However, implementing deprescribing interventions into NH practices can be challenging.
2
Several reviews have noted prescriber self-efficacy as the largest barrier.
3
,
4
,
5
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the American Medical Directors AssociationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Health outcomes of deprescribing interventions among older residents in nursing homes: A systematic review and meta-analysis.J Am Med Dir Assoc. 2019; 20: 362-372.e11
- Geriatric resource teams: Equipping primary care practices to meet the complex care needs of older adults.Geriatrics (Basel). 2019; 4: 59
- Implementing deprescribing guidelines into frontline practice: Barriers and facilitators.Res Social Adm Pharm. 2019; 15: 796-800
- Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis.BMJ Open. 2014; 4: e006544
- Barriers to optimising prescribing and deprescribing in older adults with dementia: A narrative review.Curr Clin Pharmacol. 2015; 10: 168-177
- Effectiveness of academic detailing to optimize medication prescribing behaviour of family physicians.J Pharm Pharm Sci. 2013; 16: 511-529
- Breaking Ground: A Deprescribing Intervention in in Pittsburgh Nursing Homes: NaRCAD Details Blog.(Available at:)https://www.narcad.org/blog/breaking-ground-a-deprescribing-intervention-in-pittsburgh-nursing-homesDate accessed: April 25, 2020
- Deprescribing proton pump inhibitors: Evidence-based clinical practice guideline.Can Fam Physician. 2017; 63: 354-364
- Who has the guts to deprescribe proton pump inhibitors? A pharmacist-led intervention in a long-term care facility setting.Aging Med (Milton). 2019; 2: 112-117
- Quantifying candidacy for deprescribing of proton pump inhibitors among long-term care residents.Can J Hosp Pharm. 2018; 71: 302-307
Article info
Publication history
Published online: July 26, 2021
Footnotes
This work was supported by The Beckwith Institute (https://beckwithinstitute.org/) (2019–2020 Frontline Innovations Grant).
Identification
Copyright
© 2021 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
