1. Coppin State University
Medication Management: The Challenge Nurse Practitioners Face Caring for Seniors
Monique P. Veney, (f)NP
Coppin State University
May 6, 2014

2. Background ObamaCare 2010 Changing face(s) of Healthcare
Aging Population

3. CHALLENGE: Age-related/Physical Changes
Chronological aging = physical aging
Altered drug clearance
-Renal system
-Hepatic system
Adverse elderly effects

4. CHALLENGE: Multiple Maladies/Multiple Medications
POLYPHARMACY!!!

5. Prescribing for the elderly
Resources
The Centers for Medicare and Medicaid Services (CMS) in conjunction with the American Geriatric Society

6. Implications for Practice
Age-related
Changes
Drug Costs
Polypharmacy
Have ability to impact Advanced Nursing Prescribing Practices

7. Helpful Practice Pointers✓ 1 2 3 4 5 6 7
Always review medication every visit/appt. ✓
Clear communication with pt./family/caregivers ✓
Working relatipnship w/ other medical/health disciplines ✓
Know pharmacodynamics/pharmacokinetics of pt. pop. ✓
Consult trusted references when prescribing ✓
Manage before medicating ✓
EDUCATION!!!

8. THANK YOU!!!