Role of Nurses in Prevention and Management of Inappropriate Medication Use in Older Adults


  • กฤษณาพร ทิพย์กาญจนเรขา Boromarajonani College of Nursing, Bangkok
  • สำลี สาลีกุล Boromarajonani College of Nursing, Bangkok


Role of nurses, Prevention and management, Inappropriate Medication Use in Older Adults


Thailand is entering the ageing society perfectly in 2018. It is imperative that the government and all relevant agencies prepare for the aging society. Because, the older adults are considered to be at high risk for various diseases, especially chronic diseases. Older people with chronic diseases have the highest proportion use medicine when compared to other age groups. The purpose of the drug is to prevent or treat the disease, but at the same time the medication may be effective. Including inappropriate medication use in the older adults. These problems are common because of the use of various medication and age-related physiologic changes. Inappropriate use of antipsychotics in older adults has a greater prevalence of problems. Nurse is one of the health team members who play an important role in preventing problems related to the use of illicit drugs in the older adults. Also, care should be taken if there are any problems that make older people at risk or dangerous. Nurses need to have relevant knowledge to help them effectively prevent and deal with the problem. This article aims to present knowledge consist of appropriate use of drugs in the older adults, the older adults with drugs use, Age-related change of the older adults affects the drug use, problems related to drug use in the older adults, drug use behavior for the older adults, and Nursing role in preventing and dealing with inappropriate drug use in the older adults.


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1. Foundation of Thai Gerontology Research and Development Institute. Situation of the Thai elderly 2016. Bangkok: Foundation of Thai Gerontology Research and Development Institute; 2016 (in Thai)

2. Ananchaisarp T. Appropriate Drug Use in the Elderly. In Amruklert W, Fumaneechort A,Ananchaisarp T, Chamroonkiadtikun P. editors. Bangkok: Sahamitpress; 2015. p.47-88. (in Thai)

3. Tipkanjanaraykha K. Self-management in older adults with metabolic syndrome. Journal of Boromarajonani College of Nursing, Bangkok. 2016; 32(3):122-30.

4. Guaraldo L, Cano FG, Damasceno GS, Rozenfeld S. Inappropriate medication use among the elderly: A systematic review of administrative databases. BMC Geriatr. 2011; 11(79):1-10.

5. Bahat G, Tufan F, Akin S, Tufan A, Erten N, Karan MA. J Gerontol Geriat Res. 2012; 1(1): 1-5.

6. World Health Organization. 1985. The rational use of drugs. Report of the Conference of Experts, Nairobi, 25-29 November 1985. Geneva: WHO.

7. National Drug Development National List of Essential Medicines Committee. Thai National Formulary Central nervous system volume 1. Bangkok: Agricultural cooperative printing demonstrations of Thai; 2010.

8. Wong J, Marr P, Kwan D, Meiyappan S, Adcock L. Identification of inappropriate medication use in elderly patients with frequent emergency department visits. Can Pharm J. 2014; 147(4):248–56.

9. National Statistical Office. The 2014 Survey of the Older Persons in Thailand. Bangkok: Text and Journal Publication; 2014.

10. Mekawichai P, Saetang S. Caregiver Burden among Thai Dementia Patients’ Caregivers. J Psychiatr Assoc Thailand 2013; 58(1):101-10.

11. Sri-on J. Principle of drug prescription among the elderly. In Sri-on J, Rojsangrueng R, Sawawiboon C. editors. Bangkok: Pimdee; 2017. p. 17-29. (in Thai)

12. American Geriatrics Society 2015 Beers Criteria Update Expert Panel. American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2015; 63(11):2227-46.

13. Chaichanawirote U, Vithayachockitikhun N. Medication Use Behaviors among Older Thai Adults. Journal of Nursing and Health Science.
2015; 9(1):32-46.



How to Cite

ทิพย์กาญจนเรขา ก, สาลีกุล ส. Role of Nurses in Prevention and Management of Inappropriate Medication Use in Older Adults. J Royal Thai Army Nurses [Internet]. 2019 Apr. 23 [cited 2023 Jun. 7];20(1):31-9. Available from:



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