Thursday, November 9, 2023
9:00 am – 10:30 am
In-person at Idaho Health Care Association
Heartland Pharmacy Learning Center
13945 W Wainright Dr, Suite 101
Boise, Idaho 83713
Medication Deprescribing in the Hospice Setting:
A discussion of medications and drug classes that may be appropriate for discontinuation, decreased dosing, and/or medication switching in hospice patients.
Deprescribing is the process of identifying and discontinuing medications with little or no benefit and potential harm, in order to improve quality of life. It is common for patients who are being treated with palliative intent to still be prescribed multiple medications, often aimed at primary or secondary prevention despite their prognosis being in the region of weeks to months. These are often only discontinued in the final days of life when the patients are no longer able to swallow.
The practice of deprescribing is a patient-centered process that is not about denying effective treatment, but reducing the risks and burden of taking multiple medications. This should also include details regarding the indication for each, when they were started, and whether they are actually being taken. Following this, each individual medication should then be assessed considering the potential to provide ongoing benefit and its resultant eligibility to be discontinued.
- Hospice prescribers, hospice nurses, and hospice managers/administrators
- If a facility has a significant number of patients on hospice care and would like their nursing staff to be familiar with the goals of hospice, then participation of certain nursing staff may be appropriate for greater understanding of prescribing in that patient population.
CORINA REYNA, PHARMD, BCGP
CO-FOUNDER, ORIGINS PHARMACY SOLUTIONS | CLINICAL PHARMACIST
Dr. Reyna graduated from Idaho State University College of Pharmacy in 2004 and was fortunate to start her career in a pharmacy serving various hospice organizations. That experience led to her becoming a Board Certified Geriatric Pharmacist (BCGP) in 2009.
Since that time, she has been fully engaged in the hospice pharmacy realm in her role as co-owner and head clinical pharmacist of Origins Pharmacy Solutions®, a hospice-only pharmacy benefits manager. Her analytical nature combined with her fervor for improvement in comfort care make her an asset to any hospice-related medical setting she finds herself in.
She is a regular presenter at hospice association meetings throughout the Northwest thanks to her precise, straightforward, evidence-based education to hospice nursing and prescribing staff. In her free time, this Idaho native may be found doing HIIT workouts, walking the Greenbelt, planning her family’s next trip to the mountains, or trying out a new curry recipe.
$49.00 per person
Education offered by Idaho Health Care Association (IHCA) may be sufficient for a variety of license types (i.e.: Social Work, Certified Dietary Manager, etc.) as long as the learning objectives and educational levels of the presenter(s) meet the licensure requirements. It is up to each attendee to determine the appropriateness of a session and whether it will meet the requirements of their license type.
If the presenter provides handouts, they will be posted here.