Improving Medication Prescription in the Context of Advanced Care Planning for Patients Receiving Nursing Home Care

• Conditions: Prescribing practice for elderly nursing home patients with a limited life expectancy; medication appropriateness; appropriate prescribing; medication review; advance care planning; nursing home patients; geriatric palliative care

• Registration Number: NL-OMON29679
• Lead Sponsor: VU University Medical Center, department of General Practice and Elderly Care Medicine

Brief Summary

/A

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 28 February 2024

Recruitment & Eligibility

• Status: Pending
• Sex: Not specified
• Target Recruitment: 480

Inclusion Criteria

Elderly patients (age >=65 years )

- Residing in (University-affiliated) Nursing home, nursing home uses Ysis as Electronic medical Record

Exclusion Criteria

- Having an short-stay indication of less than six months

- Being admitted for geriatric rehabilitation or hospice care (terminal care).

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
nless otherwise indicated, all outcome variables will be measured at T0-T3 both in the intervention group and the control group.<br><br /><br /><br>Outcome name: change in prescription of preventive/chronic medication from: (among others) ATC main groups N (central nervous system), A (alimentary tract and metabolism) and C (cardiovascular System). Medication use per ATC (Anatomical Therapeutical Chemical Classification) group, number of DDD (daily defined dose) will be derived from the computer system of the NH pharmacists. <br /><br /><br>Timepoint: T0-T3 (18 months after T0 inclusion) <br /><br><br /><br>The study will focus on longitudinal change in individual medication use (allowing for intra patient comparisons), as well as on change in medication use of residents of a ward.<br /><br>To support data registration, online forms will be developed as part of a special electronic patient record-tool.