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Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)

Department / School

Graduate Nursing

First Advisor

Dianna Sorenson


nursing home patient medical care, geriatric pharmacology, drug administration


The purpose of this descriptive-comparative study was to describe the medication management patterns of two different primary prescriber structures, 1) sole physician and 2) nurse practitioner-physician collaboration, in the geriatric long term care setting. The variables explored included, total medication number, number of contraindicated medications, number of inappropriate medications and prescriber experience level. The sample consisted of 30 total prescribers divided into two groups. Long-term care resident medication records of each prescriber group were reviewed (n=76). The modified Medication Appropriateness Index was used to measure the medication variables. Descriptive and correlation statistics were collected. A significant correlation between total number of medications and contraindicated medication was found (group 1 p≤.01, group 2 p≤.05). Descriptive analysis of the variables describes statistically significant and clinically important relationships.

Library of Congress Subject Headings

Nursing home patients -- Medical care
Geriatric pharmacology
Drugs -- Administration



Number of Pages



South Dakota State University


Copyright © 1999 Eric Noyes. All rights reserved