The issue of polypharmacy and inappropriate medication use in post-acute and long-term care (PALTC) has been an ongoing concern. The PALTC setting has one of the highest polypharmacy rates, which increases the risk for adverse events and drug interactions.
Since May 2021, AMDA and ASCP have been holding meetings and developing resources to help prescribers, pharmacists, DONs, CNOs, CMOs, and CEOs optimize medication use in the long-term care setting.
In 2024, you can look forward to:
- Quarterly Deprescribing Podcasts
- New On-Demand Course: Optimizing Medication Use in the PALTC Setting
- Quarterly Emails with New Resources
Do you have a recommendation for a future D2D topic, guest, or resource?
D2D Meeting Archives & Tools
Navigating the Revised AGS Beers Criteria in Clinical Practice | October 19, 2023
Download PowerPoint Slides (10-19-23)
Resources
Resource: US Deprescribing Research Network
Optimizing Use of Arthritis Medications| June 1, 2023
Download PowerPoint Slides (6-1-23)
PALTC23 Session: Riding the D2D Bandwagon for Behavior Change in a PALTC Organization
Resources
- Aspirin Use to Prevent Cardiovascular Disease (JAMA)
- ACC/AHA CV Risk Calculator (for ages 40-79)
Optimizing Use of Antihypertensive Medications: Part 2 | February 16, 2023
Download PowerPoint Slides (2-16-23)
Setting the Foundation for the Next Phase of D2D | December 15, 2022
Sharing Strategies, Successes and Secrets | November 17, 2022
Download PowerPoint Slides (11-17-22)
Optimizing Use of Statins, Aspirin, and Antihypertensives | October 20, 2022
Download PowerPoint Slides (10-20-22)
Sharing Strategies, Successes and Secrets | September 15, 2022
Download PowerPoint Slides (9-15-22)
Optimizing Use of Anti-Epileptics and Anti-Seizure Medications | August 18, 2022
Download PowerPoint Slides (8-18-22)
Sharing Strategies, Successes and Secrets | July 21, 2022
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Download PowerPoint Slides (7-21-22)
Optimizing Use of Antipsychotics: Part Two | June 16, 2022
Download PowerPoint Slides (6-16-22)
Sharing Strategies, Successes and Secrets | May 19, 2022
Download PowerPoint Slides (5-19-22)
Optimizing Use of Antipsychotics | April 21, 2022
Download PowerPoint Slides (4-21-22)
Resources:
- Suggested Book: Psychiatric Aspects of Neurologic Diseases: Practical Approaches to Patient Care Illustrated Edition
Drugs That May Cause Psychiatric Symptoms (The Medical Letter)
COVID-19 Psychosis (PubMed.gov)
Sharing Strategies, Successes and Secrets | March 17, 2022
Download PowerPoint Slides (3-17-22)
A Deprescribing Initiative to Reduce Risk of Hypoglycemia in Long-term Care Residents (QI Poster)
PALTC22 Session: Strategies to Implement Medication Deprescribing and Optimization in PALTC: AMDA’s Drive to Deprescribe Initiative | March 10, 2022
Optimizing Anti-Dementia Medications | February 17, 2022
Download PowerPoint Slides (2-17-22)
Sharing Strategies, Successes and Secrets | January 20, 2022
Download PowerPoint Slides (1-20-22)
Optimizing and Deprescribing Benzodiazepines & Other Anxiolytics | December 16, 2021
Download PowerPoint Slides (12-16-21)
Resources:
- Brochures about the risks of certain medication classes (from Canadian Deprescribing Network)
- Is a Benzodiazepine or Z-Drug still needed for sleep? (from deprescribing.org)
Sharing Key Strategies and Successes | November 18, 2021
Download PowerPoint Slides (11-18-21)
Optimizing Use of Anticholinergics | October 21, 2021
Download PowerPoint Slides (10-21-21)
Resources:
Sharing Key Strategies and Successes | September 16, 2021
Optimizing Use of Antihyperglycemics in PALTC | August 19, 2021
Sharing Strategies, Successes, and Secrets | July 15, 2021
Download PowerPoint Slides (07-15-21)
Designing Your D2D Intervention | June 17, 2021
Download PowerPoint Slides (06-17-21)
Letters:
- D2D Sample Email from CMO/Leader to Medical Directors and DONs
- D2D Prescriber Letter
- D2D Family Letter
Multivitamins:
- Is There Really Any Benefit to Multivitamins? (Johns Hopkins University)
- Herbal medications and other dietary supplements. A clinical review for physicians caring for older people (Taylor & Francis Online)
- See Table 4: Benefits and disadvantages of supplement use among older people without specific nutrient deficiencies
Educational Resources for Residents and Family Members Regarding PPI's:
- PPI Deprescribing Patient Decision Aid (deprescribing.org)
- Is a Proton Pump Inhibitor still needed? (deprescribing.org)
- Proton Pump Inhibitor (PPI) Deprescribing Algorithm (deprescribing.org)
Kick-off Meeting | May 20, 2021