Potentially Inappropriate Medications in the Elderly   The Beer lists are used as a national guideline and reference guide for pharmacists and physicians to improve the use of medication in the elderly. For several years, gerontologist Mark H. Beers, MD, has been advocating the use of explicit criteria-developed through consensus panels-for identifying inappropriate use of medications. Below are the two tables developed by the study's Beer conducted.

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The important question to ask is, what can facility's do with this information in managing medication use in the elderly? Below is a list of recommendation standards:

• Make sure your consultant pharmacist has the lists.
• Mail the lists to the medical director and attending physicians with a cover letter stating the lists are used as a national guideline and reference guide for pharmacists and physicians to improve the use of medication in the elderly. Ask if there are any new systems or procedures they would like to see at the facility.
• Set a standard that the pharmacist must address these drugs during drug regimen review.
• The dispensing pharmacy reviews Table 1 list of drugs and discuss procedurally how the dispensing of these drugs could be handled on a case by case basis.
• In service the licensed staff and CMA's on the two tables, especially table 2

Download The National Guideline & Reference Guide

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