CBI Nursing Practice Standard: Medication Management for Elderly

This report critically examines the CBI nursing practice standard for medication management in aged care, focusing on the challenges and complexities associated with administering medications to elderly patients in residential care facilities. The background highlights the increased risk of adverse drug reactions, polypharmacy, and medication errors in this population. The current practice section outlines the roles of registered and enrolled nurses in medication administration, emphasizing the importance of their training and clinical judgment. The suggested practice recommends clear delineations of roles, emphasizing the need for registered nurses' expertise in education, monitoring, and adverse effect management, while enrolled nurses work under supervision. The rationale underscores the frailty of the elderly, the prevalence of chronic diseases, and the high rates of medication use. It highlights the impact of factors such as patient transfers, poor information transfer, and staffing shortages on medication safety. The report advocates for quality assurance, competency training, and adherence to national safety standards, including the need for adequate resources and streamlined roles. The report emphasizes the importance of a multidisciplinary approach, evidence-based practices, and optimal medication prescription to ensure the safety and well-being of elderly residents in aged care settings, stressing the importance of adherence to regulations, codes of conduct, and a systematic approach.