For more than 20 years, the AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults have been a leading source of information about safely prescribing medications for older people. The AGS Beers Criteria® identify medications with risks that may be greater than their benefits for people age 65 and older. Show
The AGS reviews and updates the AGS Beers Criteria® on a regular basis because new medications are created and new research is published that provides information on the safety of existing treatments. In 2019, the AGS Beers Criteria® were again updated by an expert panel of healthcare and pharmacy experts to help prevent potential medication side effects and other medication-related problems in older adults. Why Experts Developed the AGS Beers Criteria®As you get older, your body changes. These changes can increase the chances that you’ll have side effects when you take medications. Older people often have more health problems and take more medications than younger people. Because of this, older adults are more likely to experience harmful interactions between different medications. In fact, one in six adults age 65 or older will likely have one or more harmful reactions to a medication or medications. This is why it’s important to identify and help reduce the use of medications that are associated with more risks than benefits in older people. What the 2019 AGS Beers® Criteria IncludeUsing a time-tested method for developing treatment guidelines, and following the recommendations of the Institute of Medicine, members of the AGS Beers Criteria® expert panel reviewed 6,700 high-quality research studies about certain potentially inappropriate medications prescribed for older adults. Based on the review of this research, the experts updated lists of:
Related Resource: Alternatives to Potentially Inappropriate Medications on the Beers® CriteriaThe AGS understands that older adults, healthcare providers, and other people and organizations involved in health care might benefit from suggestions for alternatives to potentially inappropriate medications. In response, AGS created a list of certain suggested alternative medications and treatment options that are not prescribed medications. This list of alternatives is meant to be used alongside the AGS Beers Criteria® for additional guidance. To access the complete AGS Beers Criteria® and its related resources, please visit GeriatricsCareOnline.org. How Health Professionals Are to Use this ListHealthcare providers refer to the AGS Beers Criteria® when deciding whether and what to prescribe for older adults, but they should not make these decisions based only on the AGS Beers Criteria®. Among other reasons, they shouldn’t do this because the AGS Beers Criteria® don’t apply to all situations that older patients face. The AGS Beers Criteria®, for example, don’t take into account all of the unique circumstances for older people receiving palliative or hospice care. Because the AGS Beers Criteria® shouldn’t dictate what healthcare providers prescribe, healthcare providers should not be penalized for prescribing a medication for an older person simply because it is on one of the AGS Beers Criteria® lists. Different older adults respond differently to the same medication, and for some people, the medications listed in the AGS Beers Criteria® will be the best choices. The AGS Beers Criteria® are meant to be used as a resource for healthcare providers, not a replacement for their experience and knowledge. It’s also important to remember that “potentially inappropriate” medications are just that—potentially inappropriate. They should be considered carefully before use, but that doesn’t mean that they should never be used in all cases or for any older people. What Older Adults Can DoTo lower the chance of medication-related problems:
This summary is from the full report titled American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults Which action by the nurse is appropriate regarding the medication reconciliation aspect of the patient history?Which action by the nurse is appropriate regarding the medication reconciliation aspect of the patient history? Instruct the patient to keep a current list of medications with him or her.
What is the most appropriate time for a nurse manager to schedule a 30 minute nursing education class?Scheduling the class at the half-hour overlap of each shift economically and conveniently accommodates the most staff members while ensuring that there are enough nurses present to care for clients.
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