Older adults age 65 to 85 receiving more than seven medications
Older adults age 65 to 85 receiving more than seven medications for their psychiatric illness, hypertension, pain management, and insomnia admitted to an inpatient
Older adults age 65 to 85 receiving more than seven medications
P – Older adults age 65 to 85 receiving more than seven medications for their psychiatric illness, hypertension, pain management, and insomnia admitted to an inpatient psychiatric unit.
I – Applying the STOPPFrail deprescribing method, a technique based on systematic discontinuing or reducing of medications for older adult populations (Curtin et al., 2019);
the START/STOPP criteria of 2008, screening tool of older people’s prescriptions (STOPP) and screening tool to alert to right treatment (START) (Umit et al., 2019).
C – Current practices that contribute to increase of falls:
Lack of medication reconciliation when admitting older adult patients to the unit.
Lack of communication between the advanced practitioners, the psychiatrists, the physicians, the clinical nurses,
and the pharmacists are causing duplication of medication in the same category and inappropriate medication use.
O – Decrease number of falls by 20%.
T – One year.
CHAPTER III of the EBP
Introduction – repeat purpose statement (copy and paste exactly)
Methodology
Take the recommended intervention/solution to Wrong practice (Ch. 1) taken from authors of articles in chapter II.
Choose an Implementation Model from Melnyk: The Iowa Model Revised EBP to Promote Excellence in Healthcare
Firstly, describe exact steps of how the APN (not RN) will utilize the selected model/framework and its steps/concepts to implement the intervention.
Secondly, describe Demographic data of specific population would you collect and why
Thirdly, describe Quantitative or Qualitative data or both you would collect and why.
Also, state how you can manage and keep data safe.
State type of data analyses that can be utilized based on samples in literature reviewed.
Evaluate practice change (How would you know intervention worked to solve the stated wrong practice/problem in Ch. 1).
Lastly, identify facilitating factors for implementation of proposed intervention
Identify barriers to implementation of proposed intervention