• 2019 Senior Report Senior Report: Older Americans have more options for home care, but still struggling.

    The United Health Foundation has released results of a sweeping new study benchmarking the health of older adults. The America's Health Rankings® Senior Report was created in partnership with GAPNA to improve the health of America's seniors.

    The data will help advanced practice nurses and other providers deliver quality care.

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  • FREE continuing education credit is available for the following session:

    "Decisional Capacity"

    (session captured at the GAPNA 2018 Annual Conference)


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    38th Annual GAPNA Conference

    October 3-5, 2019 at the Paris Hotel, Las Vegas, NV.

    Focused education; lasting connections, networking, free access to the GAPNA Online Library.

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  • AwardNew for GAPNA members: MCM Education

    GAPNA has partnered with a MCM Education to offer an ongoing series of CNE programs available to GAPNA members. "Diagnosing and Managing Parkinson’s Disease in Older Adults," is the latest program offered.

    Parkinson’s disease (PD) is characterized by both motor and nonmotor symptoms. It is diagnosed based on the presence of two of four motor symptoms including rest tremor, bradykinesia, rigidity, and gait imbalance...

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Several Risk Factors Point to the Use of High-Risk Medications in Older Veterans

Certain medications are not appropriate for the elderly and may cause more harm than good.

These include certain antihistamines, analgesics, muscle relaxants, psychotropics, and cardiac medications. A list of these medications has been established by the National Committee on Quality Assurance to be used as a benchmark by Medicare and other managed care plans.

Although use of these high-risk medications showed a modest decline between 2003 and 2006, some medications rose in usage.

Researchers retrospectively looked at medication use by 1,567,467 veterans 65 years of age and older, who received care from 2003 to 2006 from outpatient clinics run by the Department of Veterans Affairs.

The veterans’ exposure to these high-risk medications decreased from 13.1% in 2004 to 12.3% in 2006. Significant reductions were found for opioid pain relievers, muscle relaxants, psychotropics, endocrine medications, cardiac drugs, and vasodilator medications.

However, relative increases were discovered for amphetamines (10.3%), and ketorolac (8%).

A statistically significant increase in exposure was also found for the antibiotic nitrofurantoin (36.5%). Patients more likely to be exposed to these high-risk medications were female, Hispanic, took a higher number of medications, had a co-existing psychiatric problem, and had a high use of primary care.

For more info, see Pugh et al. (2011). Trends in use of high-risk medications for older veterans: 2004 to 2006. Journal of the American Geriatrics Society, 59(10),  1891-1898.

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