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    Shared Medication PLanning In (SIMPLIfy) Home Hospice: An Educational Program to Enable Goal-Concordant Prescribing In Home Hospice

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    Authors
    Tjia, Jennifer
    Clayton, Margaret F.
    Fromme, Erik K.
    McPherson, Mary Lynn
    DeSanto-Madeya, Susan
    UMass Chan Affiliations
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2021-11-01
    Keywords
    Deprescribing
    caregiver
    communication
    goal-concordant prescribing
    hospice
    medication management
    potentially inappropriate medication
    Health Communication
    Health Services Administration
    Health Services Research
    Pain Management
    Pharmaceutical Preparations
    Therapeutics
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    https://doi.org/10.1016/j.jpainsymman.2021.05.015
    Abstract
    CONTEXT: Simplifying medication regimens by tapering and/or withdrawing unnecessary drugs is important to optimize quality of life and safety for patients with serious illness. Few resources are available to educate clinicians, patients and family caregivers about this process. OBJECTIVE: To describe the development of an educational program called Shared Medication PLanning In (SIMPLIfy) Home Hospice. METHODS: An environmental scan identified a state-of-the-art educational program for home hospice deprescribing that we adapted using a stakeholder panel engagement process. The stakeholder panel (two hospice administrators, three nurses, two physicians, two pharmacists, and two former family caregivers) drawn from two geographically diverse hospice agencies reviewed the educational program and recommended additional content. RESULTS: Iterative rounds of review and feedback resulted in: 1) a three-part clinician educational program (total duration = 1.5 hour) that presents a standardized, goal-concordant, medication review approach to align medications and conversations about regimen simplification with patient and family caregiver goals of care; 2) a patient-family caregiver medication management educational notebook that presents common symptoms, hospice medications, and medication regimen simplification principles; and 3) a brief guide including helpful phrases to use as conversation starters for key steps in the program. A professional designer created thematic coherence for all materials that was well received by stakeholder panelists and hospice staff. CONCLUSION: Educational materials can support hospice programs' and clinicians' efforts to implement goal-concordant medication simplification that optimizes end-of-life outcomes for patients and family caregivers. Evaluation of outcomes including medication appropriateness and family caregiver medication administration burden are not yet available.
    Source

    Tjia J, Clayton MF, Fromme EK, McPherson ML, DeSanto-Madeya S. Shared Medication PLanning In (SIMPLIfy) Home Hospice: An Educational Program to Enable Goal-Concordant Prescribing In Home Hospice. J Pain Symptom Manage. 2021 Nov;62(5):1092-1099. doi: 10.1016/j.jpainsymman.2021.05.015. Epub 2021 Jun 5. PMID: 34098012; PMCID: PMC8556298. Link to article on publisher's site

    DOI
    10.1016/j.jpainsymman.2021.05.015
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46960
    PubMed ID
    34098012
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jpainsymman.2021.05.015
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    Population and Quantitative Health Sciences Publications

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