Prescriptions Journal of Nursing

Polypharmacy Mitigation: A Lifetime of Education

Tags: aging education medication mitigation polypharmacy prescriptions

An informational article on the issue of paolypharmacy and medication redundancy in todays healthcare and the use of education over the lifespan as a corrective measure.

Submitted by Rick Rickman, RN, BSN, Carlow University, Pittsburgh PA,

When Doing The Right Thing Leads to the Wrong Results

Tags: Case Study errors medication medication errors mental health prescriptions punishment termination due to medication error

Reprimanding nurses for medication errors contibutes to a culture of evasion and silence and does not address the reason behind the mistake.

Submitted by Tracy Nelson-Bungert, RN, MSN

Closing the Donut Hole: Who Will Pay?

Tags: donut hole Health Care Reform healthcare system Legislature Medicare Medicare Supplement prescriptions

The dark black hole in the Medicare Part-D prescription plan called the donut hole is finding the light, or is it? Health care reform has promised to close the donut hole for Medicare recipients completely by the year 2020 (Gionfriddo, 2010). The Consumer Report on Health (2012) confirms medication costs continue to rise with no end in sight. Who will pay the gap between what is currently covered and the predicted added coverage with Health Care Reform? According to the Center for Medicare and Medicaid Services (CMS, 2011) the Medicare trust fund is currently running in a deficit. Reducing the burden of our Medicare population, with associated out-of-pocket expenses for prescription drugs, cannot be achieved by a system already running in a deficit. As we start to unravel the mystery behind closing the donut hole, can we identify who will pay?

Submitted by Kathy Hepner, RN, BSN

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