Medication management policy, practice and research in Australian residential aged care

current and future directions

Janet K. Sluggett*, Jenni Ilomäki, Karla L. Seaman, Megan Corlis, J. Simon Bell

*Corresponding author for this work

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Eight percent of Australians aged 65 years and over receive residential aged care each year. Residents are increasingly older, frailer and have complex care needs on entry to residential aged care. Up to 63% of Australian residents of aged care facilities take nine or more medications regularly. Together, these factors place residents at high risk of adverse drug events. This paper reviews medication-related policies, practices and research in Australian residential aged care. Complex processes underpin prescribing, supply and administration of medications in aged care facilities. A broad range of policies and resources are available to assist health professionals, aged care facilities and residents to optimise medication management. These include national guiding principles, a standardised national medication chart, clinical medication reviews and facility accreditation standards. Recent Australian interventions have improved medication use in residential aged care facilities. Generating evidence for prescribing and deprescribing that is specific to residential aged care, health workforce reform, medication-related quality indicators and inter-professional education in aged care are important steps toward optimising medication use in this setting.

Original languageEnglish
Pages (from-to)20-28
Number of pages9
JournalPharmacological Research
Volume116
DOIs
Publication statusPublished - 1 Feb 2017
Externally publishedYes

Keywords

  • Australia
  • Medication management
  • Policy
  • Quality improvement
  • Quality use of medicines
  • Residential aged care

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