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    Nurses' Perspectives on Family Caregiver Medication Management Support and Deprescribing

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    Authors
    Tjia, Jennifer
    DeSanto-Madeya, Susan
    Mazor, Kathleen M.
    Han, Paul
    Nguyen, Bryan
    Curran, Tess
    Gallagher, Julia
    Clayton, Margaret F.
    UMass Chan Affiliations
    Department of Medicine
    Meyers Primary Care Institute
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2019-08-01
    Keywords
    cancer
    deprescribing
    family caregivers
    hospice
    nurses
    polypharmacy
    qualitative
    Health Services Administration
    Health Services Research
    Nursing
    Palliative Care
    Therapeutics
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    Link to Full Text
    https://doi.org/10.1097/NJH.0000000000000574
    Abstract
    Nurses who care for patients with life-limiting illness operate at the interface of family caregivers (FCGs), patients, and prescribers and are uniquely positioned to guide late-life medication management, including challenging discussions about deprescribing. The study objective was to describe nurses' perspectives about their role in hospice FCG medication management. Content analysis was used to analyze qualitative interviews with nurses from a parent study exploring views on medication management and deprescribing for advanced cancer patients. Ten home and inpatient hospice nurses, drawn from 3 hospice agencies and their referring hospital systems in New England, were asked to describe current practices of medication management and deprescribing and to evaluate a pilot tool to standardize hospice medication review. Analysis of the 10 interviews revealed that hospice nurses are receptive to a standardized approach for comprehensive medication review upon hospice transition and responded favorably to opportunities to discuss medication discontinuation with FCGs and prescribers. Effective framing for discussions included focus on reducing harmful and nonessential medications and reducing caregiver burden. Results indicate that nurses who care for hospice-eligible and enrolled patients are willing to discuss deprescribing with FCGs and prescribers when conversations are framed around medication harms and their impact on quality of life.
    Source

    J Hosp Palliat Nurs. 2019 Aug;21(4):312-318. doi: 10.1097/NJH.0000000000000574. Link to article on publisher's site

    DOI
    10.1097/NJH.0000000000000574
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46805
    PubMed ID
    31033645
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1097/NJH.0000000000000574
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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