Beers Criteria Exercise NUR 214 Student Name: ______________________________ Is the medication locat

Beers Criteria Exercise NUR 214 Student Name: ______________________________ Is the medication located on the Beers Criteria list? What is the recommendation on the Beers Criteria regarding use of this medication? What are the potential problems associated with the use of this medication for older adults as noted on the Beers Criteria? Is there a rationale for using the medication on the Beers Criteria? (Is it being used routinely or on an as-needed basis?) How would you articulate your concern about this medication being used by your older adult client to the interprofessional team of caregivers? Doxazosin extended release 4 mg daily 1. 2. 3. 4. 5. Risperidone 0.25 mg 1 pm & 9 pm 1. 2. 3. 4. 5. Lisinopril 10 mg daily 1. 2. 3. 4. 5. Levothyroxine 225 mcg 6 am daily 1. 2. 3. 4. 5. Ibuprofen 600 mg prn x2 daily for pain 1. 2. 3. 4. 5. Diazepam 10 mg twice a day for anxiety 1. 2. 3. 4. 5. Rubric for Medication Appropriateness in Geriatrics (Based on Beers Criteria) Criteria Excellent (5) Good (4) Adequate (3) Needs Improvement (2) Poor (1) Appropriateness Fully aligns with Beers Criteria; medication is clearly safe and appropriate. Mostly aligns with Beers Criteria; minor concerns manageable with monitoring. Partially aligns; some concerns about safety or effectiveness. Significant concerns; questionable alignment with Beers Criteria. Medication is inappropriate for geriatrics based on Beers Criteria. Dosage Suitability Dose is optimal for geriatric patients, considering renal/hepatic function. Dose is slightly above or below optimal, with minor adjustments needed. Dose requires moderate adjustments for safety or efficacy in older adults. Dose is inappropriate; poses risks without close monitoring. Dose is highly inappropriate; significant risk of adverse outcomes. Adverse Effects Risk Minimal risk of adverse effects; well-tolerated in elderly populations. Low risk of adverse effects; easily manageable if they occur. Moderate risk; requires regular monitoring or caution. High risk of adverse effects; benefits may not outweigh risks. Severe risk of adverse effects; medication should not be prescribed. Drug Interactions No significant interactions with other medications common in geriatrics. Few minor interactions; manageable with careful monitoring. Moderate interaction risk; requires regular review of medication regimen. High interaction risk; challenging to manage safely. Severe interactions: medication contraindicated in polypharmacy contexts. Monitoring Requirements Minimal monitoring is required; safe for geriatric use. Routine monitoring is needed but feasible in typical care settings. Frequent monitoring is required to ensure safety. Intensive or impractical monitoring is needed to avoid harm. Monitoring is impractical or insufficient to prevent harm. Non-Pharmacologic Options All possible non-pharmacologic alternatives are considered first. Most alternatives considered; minor gaps. Alternatives were considered but not thoroughly explored. Few alternatives are considered before prescribing. No consideration of alternatives; the pharmacologic approach overused. Patient-Specific Factors Fully individualized to patient’s comorbidities, preferences, and functionality. Mostly tailored to patient-specific needs with minor oversights. Partially considers patient’s individual needs. Limited consideration of patient-specific factors; risks higher. No consideration of patient-specific factors; generic approach is taken. Scoring Guidelines Score Calculation: Add the total score for all criteria and divide by the maximum score (35) to calculate the percentage. Interpretation: 90-100%: Excellent medication choice for geriatrics. 80-89%: Good choice, minor refinements may be needed. 70-79%: Acceptable but requires careful monitoring. 60-69%: Suboptimal; alternatives should be considered. Below 60%: Inappropriate; avoid prescribing. This rubric emphasizes safe prescribing practices aligned with Beers Criteria, focusing on individualized care, safety, and holistic considerations for older adults. Top of Form Bottom of Form

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