141st APHA Annual Meeting and Exposition

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Recorded Annual Meeting Presentations (RAMP) are now available for purchase.
Only $90 for presenters, $140 for registered attendees and $200 for non-attendees.

Online Program

4237.0
Medication use in US nursing homes

Tuesday, November 5, 2013: 12:30 p.m. - 2:00 p.m.
Oral
This session addresses many issues related to the quality of medication use in nursing homes in the United States. The four sessions will cover: the use of lipid-lowering medications in nursing home residents with advanced dementia and impact of discontinuation on hospital outcomes; the relationship between the generosity of Medicare Part D drug coverage and resident outcomes of depression, hallucinations/delusions, aggressive behaviors, and cognitive performance; trends in the use of analgesics in nursing homes relative to revised regulatory requirements on pain management; and trends in atypical antipsychotic prescribing in long-term care facilities following nationwide interventions and media attention.
Session Objectives: 1) Describe how pain and use of analgesics in US nursing homes has changed in recent times. 2) Learn about barriers to discontinuing lipid-lowering therapy at end-of-life. 3) Explore potential improvements in US Medicare policy and regulatory guidelines for nursing home residents. 4) Evaluate the effectiveness of public media and nationwide initiatives to reduce use of atypical antipsychotics in nursing homes.
Moderator:
Becky A. Briesacher, PhD
Organizer:
Becky A. Briesacher, PhD

12:30pm
Statin use and discontinuation among nursing home residents with advanced dementia   
Jennifer Tjia, MD, MSCE, Becky A. Briesacher, PhD, Daniel Peterson, MS, Susan Andrade, ScD, Sarah Cutrona, MD, MPH and Susan Mitchell, MD, MPH
12:50pm
Plus ça change, plus c'est la même chose? Management of non-cancer pain in US nursing homes   
Kate L. Lapane, PhD and Brian Quilliam, PhD
     
1:10pm
Recent trends in antipsychotic use in US longterm care facilities   
Becky A. Briesacher, PhD, Jennifer Tjia, MD, MSCE, Terry S. Field, DSc, Kathleen M. Mazor, EdD, Jennifer L. Donovan, PharmD, Abir O. Kanaan, PharmD, Daniel Peterson, MS, Leslie R. Harrold, MD, MPH, Celeste A. Lemay, RN, MPH and Jerry H. Gurwitz, MD
     
1:30pm
Impact of Medicare part d coverage restrictions on nursing home resident outcomes   
David Stevenson, Ph.D., Susan Mitchell, MD, MPH, Barbara Zarowitz, PharmD, FCCP, BCPS, CGP, FASCP, AJ O'Malley, Ph.D., Stacie Dusetzina, Ph.D., Michael Chernew, Ph.D., Joseph Newhouse, Ph.D. and Haiden Huskamp, Ph.D.

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Medical Care
Endorsed by: Aging & Public Health, Injury Control and Emergency Health Services, Chiropractic Health Care

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH) , Masters Certified Health Education Specialist (MCHES)

See more of: Medical Care