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Prescribing in older people-work from QUB

Explore research findings on pharmaceutical care, prescribing trends, and interventions for older individuals in community and nursing home settings. Discover impactful studies from various countries on psychoactive drugs, antibiotic usage, pain management, and more.

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Prescribing in older people-work from QUB

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  1. Prescribing in older people-work from QUB Carmel M. Hughes School of Pharmacy, QUB

  2. Work done (1) • RCT on pharmaceutical care provision in community pharmacy • EU funded study. Took place in 7 countries • Pilot work on pharmaceutical care of patients with heart failure in community pharmacy

  3. Work done (2) • Observational epidemiology using US data • Influence of legislation on prescribing of psychoactive drugs • Influence of internal factors (facility and staff characteristics) • Psychoactive meds, warfarin, antidepressants • RCT in nursing homes on pharmaceutical care provision (Fleetwood study) • Qualitative work on adherence to medication in nursing home setting • MRSA in nursing homes • Prevalence study and RCT

  4. Work on-going • Role of organisational culture on prescribing of psychoactive medication in nursing homes • N. Ireland and New Zealand • Antibiotic prescribing in nursing homes (ESAC project) • 21 countries • Pain management in community-dwelling and nursing home residents with dementia • Interventions to improve polypharmacy in older people (Cochrane review)

  5. Work being planned • End of life care for patients with dementia • Focus on prescribing of medications and how to withdraw • Complemented by a Cochrane review on withdrawal vs continuation of cholinesterase inhibitors and memantine in patients with dementia • Further work on infection control in nursing homes

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