Toolkit: Medication

Medication Reconcilation

Working with family caregivers to garner additional information regarding medications, over-the-counter remedies, and herbals taken by the patient.

 Tools:

NTOCC Medication Reconciliation Elements

CHAMP Scripts to Verify the Medications a Home Care Patient Is Taking

INTERACT Medication Reconciliation Worksheet for Post-Hospital Care

North Carolina Center for Hospital Quality and Patient Safety's Medication Reconciliation Toolkit

Care Transitions Intervention Medication Discrepancy Tool (MDT)

IPRO Medication Discrepancy Tool for Home Care

Medication Management Form (in English, Spanish, Russian, and Chinese)

NTOCC My Medicine List (in English, Spanish, and French)

Project RED medication list (adapt for family caregivers)

Points to Consider: Under the stress of illness or pain, even a fully alert and oriented patient may not recall or report all medications, dosages, and issues with medications. Family caregivers can help identify negative reactions associated with medication use and barriers to the current medication plan that should be accounted for as medications are changed or adjusted.

To learn how medication reconciliation involving family caregivers was done by health care providers in TC-QuIC, see page 19 of the report.

Medication Management

Preparing the family caregiver for ongoing medication management, including knowledge of red flags, adverse reactions, medication efficacy, and who to call with questions or problems, regardless of the next setting of care.

Tools:

Preparing Family Caregivers to Manage Medication: A Guide for Health Care Providers

Next Step in Care and Centers for Medicare and Medicaid Services (CMS) video series on medication management

MetLife Medications and the Older Adult

Medication management guides for family caregivers

For medication lists, see Medication Reconciliation

Points to Consider: According to the needs assessment of the family caregiver(s), does the medication regimen work positively with the availability of the family caregiver who deals with medications? What understanding and experience with medication management does this family caregiver have? What staff is in the best position (availability when the family caregiver is available, other responsibilities, knowledge base, communication skills) to work together with the family caregiver regarding medication management?

To learn how training with family caregivers on managing medications was done by health care providers in TC-QuIC, see page 21 of the report.

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