• Find People
  • Campus Map
  • PiratePort
  • A-Z
    • About
    • Submit
    • Browse
    • Login
    View Item 
    •   ScholarShip Home
    • Health Sciences Campus
    • College of Nursing
    • View Item
    •   ScholarShip Home
    • Health Sciences Campus
    • College of Nursing
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of The ScholarShipCommunities & CollectionsDateAuthorsTitlesSubjectsTypeDate SubmittedThis CollectionDateAuthorsTitlesSubjectsTypeDate Submitted

    My Account

    Login

    Statistics

    View Google Analytics Statistics

    Polypharmacy among Older Adults in Primary Care

    application/vnd.openxmlformats-officedocument.wordprocessingml.document
    View/ Open
    Whaley_M_DNP Project Final Paper.docx (1.433Mb)

    Show full item record
    Author
    Whaley, Marlene
    Abstract
    Polypharmacy among community-dwelling older adults was identified as a significant problem facing primary care providers. Medication reconciliation was identified as a necessary process to aptly identify polypharmacy. Screening Tool of Older Person’s potentially inappropriate Prescriptions (STOPP) and Screening Tool to Alert doctors to the Right Treatment (START) are evidence-based and assist primary care providers to identify potentially inappropriate prescribing (PIP) and potential prescribing omissions (PPO). A Doctor of Nursing Practice (DNP) quality improvement project was implemented in a primary care site. Clinical staff were educated on systematic medication reconciliation. Primary care providers were educated on the use of STOPP and START. Progress was evaluated using the Plan, Do, Study, Act (PDSA) Rapid Cycle of Improvement. Older adults comprised 25% of the patients seen by the providers during the data collection periods. After the education, results demonstrated there was a slight decrease in the number of charts with a comprehensive medication reconciliation performed; however, the percentage of patients experiencing polypharmacy, PIP, and PPO decreased. In conclusion, STOPP and START criteria are evidence-based, easy to use, and effective for improving prescribing quality and decreasing health care costs when used with older adults in primary care. STOPP and START criteria were recommended to be made available and referenced by all primary care providers within the larger health center. Future quality improvement initiatives should focus on implementing additional strategies to ensure that a comprehensive medication review is completed at every older adult patient encounter.
    URI
    http://hdl.handle.net/10342/6999
    Subject
    quality improvement; polypharmacy; older adult; medication adherence; adverse drug reaction; inappropriate prescribing; potential prescribing omission
    Date
    2018-11-19
    Citation:
    APA:
    Whaley, Marlene. (November 2018). Polypharmacy among Older Adults in Primary Care (DNP Scholarly Project, East Carolina University). Retrieved from the Scholarship. (http://hdl.handle.net/10342/6999.)

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Whaley, Marlene. Polypharmacy among Older Adults in Primary Care. DNP Scholarly Project. East Carolina University, November 2018. The Scholarship. http://hdl.handle.net/10342/6999. September 22, 2023.
    Chicago:
    Whaley, Marlene, “Polypharmacy among Older Adults in Primary Care” (DNP Scholarly Project., East Carolina University, November 2018).
    AMA:
    Whaley, Marlene. Polypharmacy among Older Adults in Primary Care [DNP Scholarly Project]. Greenville, NC: East Carolina University; November 2018.
    Collections
    • College of Nursing

    xmlui.ArtifactBrowser.ItemViewer.elsevier_entitlement

    East Carolina University has created ScholarShip, a digital archive for the scholarly output of the ECU community.

    • About
    • Contact Us
    • Send Feedback