Medication inappropriateness for older adults receiving hospice care: a pilot survey

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists
Kevin T Bain, Douglas J Weschules

Abstract

To test the feasibility and reliability of a tool and methodology for evaluating expert clinicians' perceptions about the application of the Beers criteria in hospice. A pilot survey. A national medication therapy management provider specializing in hospice care. Thirty-five participants from a multidisciplinary panel were invited to complete the survey. They were selected to represent acute, long-term care, and community practice settings with various levels of experience and judgment. Respondents were asked to complete the survey by rating their agreement or disagreement with the inappropriateness of the medications or medication classes for hospice patients, using a five-point Likert scale from strongly agree (1) to strongly disagree (5), with the midpoint (3) expressing equivocation. Feasibility as measured by the percentage of returned and completed surveys. A secondary aim was to measure inter-rater reliability and response. Twenty-four clinicians (69%) completed the survey, including 13 clinical pharmacists, 6 nurses, and 5 physicians. Twenty-nine responses (2%) were furnished by imputation methods. The intraclass correlation for medication inappropriateness for hospice patients was 0.89 (0.81-0.95), indicating "good" in...Continue Reading

References

Oct 1, 1992·Journal of Clinical Epidemiology·J T HanlonJ R Feussner
Dec 1, 1994·Journal of the American Geriatrics Society·K SchmaderJ R Feussner
Mar 1, 1997·American Journal of Public Health·D L SporeJ Hiris
May 1, 1997·The Annals of Pharmacotherapy·L S FitzgeraldM E Williams
Jul 1, 1997·The Annals of Pharmacotherapy·R R Aparasu, S E Fliginger
Aug 1, 1997·Journal of the American Geriatrics Society·J T HanlonI K Lewis
Dec 28, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M H ChinP D Friedmann
Jul 12, 2002·Journal of the American Geriatrics Society·Philip D SloaneJoan F Walsh
Jan 27, 2005·The Annals of Pharmacotherapy·Matthew PerriRobyn A Lorys
Jan 28, 2005·Journal of the American Geriatrics Society·Steven R SimonJerry H Gurwitz
Jun 2, 2005·The Annals of Pharmacotherapy·Sally K RiglerMarty L Eng
May 9, 2006·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Vittorio MaioChristine Arenson
May 24, 2006·Pharmacotherapy·Duska M Franic, Jenny Z Jiang

❮ Previous
Next ❯

Citations

Oct 3, 2009·European Journal of Clinical Pharmacology·Monica BergqvistEva Andersén Karlsson
Feb 15, 2012·Journal of General Internal Medicine·Denys T Lau, Lisa L Dwyer
Jul 7, 2011·Progress in Palliative Care·André R MaddisonGrace Johnston

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists
Rebecca L DunnToni L Ripley
Revista española de geriatría y gerontología
Francisco MeraGrupo de Estudio Octabaix
© 2021 Meta ULC. All rights reserved