NurseNest

NurseNest

Pathophysiology

Clinical Framing

Medications cause more hospital admissions in older adults than most individual diseases. The American Geriatrics Society Beers Criteria is a validated, regularly updated list of medications that are potentially inappropriate in older adults (PIMs). NPs are uniquely positioned to deprescribe — often patients and other providers are reluctant to stop medications. Knowing WHAT to deprescribe, HOW to taper safely, and HOW to communicate the rationale to patients is essential clinical skill.

Core Concepts & Differential

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Management Approach

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Red Flags & Escalation

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Population Considerations

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Follow-Up & Monitoring

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Topic overview

Advanced NP clinical review: Deprescribing in Older Adults: Beers Criteria and High-Risk Medications. Advanced prescribing, management, and decision-making for…

Clinical reasoning

For Deprescribing in Older: Beers Criteria and, connect the assessment cue to the immediate risk before selecting an action for NP. Start with stability, ABCs, neurologic change, medication risk, infection risk, and scope of practice. Then decide whether the safest next step is assess, intervene, escalate, teach, or evaluate response.

Patient safety implications

A missed priority in Deprescribing in Older: Beers Criteria and can delay recognition of deterioration or allow preventable harm to continue. Protect the client first by verifying abnormal cues, using ordered precautions, escalating unstable findings, and reassessing after intervention.

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