Medication Management
- Medication Reconciliation Upon Admission
- Evaluating for Polypharmacy – Beer’s Criteria
- Avoid Prescribing Defaults:
- NSAID can lead to gastritis, which can lead to prescription of PPI
- Diuretic can lead to urinary incontinence, which can lead to prescription of oxybutynin
- HCTZ can lead to hyperuricemia which can lead to prescription of allopurinol
- Discharge Tips for med adherence: provide pillboxes & arrange blister packs for meds