The role of skilled nursing in managing medication adherence

Introduction

Medication adherence is critical for health outcomes, particularly among the elderly and those with chronic conditions. Skilled nursing plays an essential role in managing adherence through strategic interventions, effective communication, and the integration of smart technologies. This article explores how skilled nursing professionals contribute to medication adherence, addressing both opportunities and challenges in various settings, from homes to specialized facilities.

Innovative Nursing Interventions for Medication Adherence

What Are the Nursing Interventions for Enhancing Medication Adherence?

Nurses can play a transformative role in enhancing medication adherence through various tailored interventions. One effective approach is employing behavioral techniques such as personalized counseling. This enables nurses to motivate patients by addressing their unique concerns and misconceptions regarding their medications.

Education is paramount; nurses can clarify the purpose and significance of prescribed treatments. Increased understanding helps mitigate misunderstandings—particularly crucial among older patients experiencing polypharmacy.

Practical solutions also contribute significantly. For instance, utilizing daily dose blister packs can simplify complex medication regimens, making adherence more manageable for elderly individuals who may struggle with multiple prescriptions.

Moreover, fostering a supportive environment is critical. Encouraging open communication about medication refusal helps nurses identify patients' reasons for non-adherence. This engagement empowers patients, allowing them to make informed choices regarding their health while also strengthening the nurse-patient relationship.

In summary, a combination of tailored behavioral, educational, and practical strategies strengthens adherence to medication regimens among patients, particularly for chronic conditions, ultimately leading to improved health outcomes.

The Multifacted Role of Skilled Nursing in Medication Management

What is the role of skilled nursing professionals in medication management within home and facility settings?

Skilled nursing professionals play a crucial role in medication management within both home and facility settings. Their primary responsibility is to ensure that patients take the correct medications at the right dosages and times as prescribed by their doctors. This is particularly vital for older adults and those with chronic conditions who may be at higher risk of medication errors.

These professionals collaborate with healthcare providers to monitor the effectiveness of medications, making necessary adjustments based on any changes in patients' health statuses. They conduct thorough assessments and develop personalized medication schedules tailored to each patient's routine, thereby enhancing adherence and reducing the risk of adverse events.

Education is a key component of their role. Skilled nurses educate patients and caregivers about dosages and potential side effects, ensuring that everyone is well-informed about the medications being administered. They provide safety tips for proper medication use, which helps mitigate risks such as confusion or increased fall risk.

By addressing these risks, skilled nursing professionals contribute to preventing negative health outcomes, including hospital readmissions. Their comprehensive approach not only supports patient recovery but also promotes health maintenance and fosters independence in managing health conditions.

Medication Reconciliation: A Pillar of Skilled Nursing Care

Why is medication reconciliation important in skilled nursing care?

Medication reconciliation plays a crucial role in skilled nursing care by safeguarding patient safety from medication errors. These errors can be detrimental and include issues such as omissions, duplications, incorrect dosages, and harmful drug interactions. In the complex landscape of healthcare, the importance of this process is amplified during transitions, such as moving from a hospital to a nursing facility or from one level of care to another.

Research has highlighted that effective medication reconciliation significantly lowers hospital readmission rates. This aspect is vital for improving overall patient outcomes, showing how vital it is in the nursing context where many patients may be on multiple medications. By thoroughly reviewing medication regimens, skilled nursing staff can identify and rectify discrepancies, ensuring a smoother patient transition and reducing risks associated with polypharmacy.

Moreover, medication reconciliation enhances patient adherence to prescribed medication regimens. When nurses engage in this process, it leads to fruitful conversations with patients about their medications, thus empowering them with knowledge about dosages and side effects. Through effective communication, nurses help patients understand the importance of adhering to their treatment plans, promoting better health maintenance.

Patient and system benefits

The positive outcomes from medication reconciliation extend beyond the individual patient; they also benefit the healthcare system.

Benefits of medication reconciliation

Patient Benefits	System Benefits
Reduces medication errors	Lowers healthcare costs
Enhances patient adherence	Decreases hospital readmissions
Improves understanding of treatment	Promotes better resource management
Increases patient satisfaction	Supports continuity of care

Overall, the systematic approach of medication reconciliation in skilled nursing care is fundamental in enhancing patient safety, improving adherence, and fostering positive health outcomes, ultimately benefiting the entire healthcare continuum.

Harnessing Smart Technologies for Better Medication Adherence

How do smart technologies assist in medication adherence in skilled nursing facilities?

Smart technologies play a transformative role in enhancing medication adherence within skilled nursing facilities. These tools provide essential support through continuous monitoring and timely reminders, greatly assisting residents in managing their medication schedules.

One notable example is the use of electronic pill bottles and smart pill dispensers, such as spencer®. These devices not only track when medications are accessed but also ensure adherence by recording dispensing schedules. This reduces the likelihood of human errors that can lead to omissions or duplications in dosage. Features like audible alerts and real-time adherence data cater particularly to residents with cognitive impairments, helping them remember to take their medications on time.

Moreover, mobile apps paired with bioingestible sensors offer innovative solutions by sending immediate notifications and tracking medication intake. This not only aids compliance but also fosters a greater sense of independence among residents.

Nonetheless, challenges exist, like financial constraints and privacy concerns that may hinder widespread adoption of these technologies. Despite these obstacles, the potential for smart technologies to improve health outcomes and reduce hospitalization rates in nursing homes is substantial, underscoring their importance in contemporary medication management strategies.

Examples of smart tech in use

Technology	Functionality	Benefits
Electronic pill bottles	Track medication access	Reduces human error and improves safety
Smart pill dispensers	Manage dosing schedules and alerts	Enhances adherence, especially for cognitive issues
Mobile apps	Send notifications for medication intake	Fosters independence and better self-management
Bioingestible sensors	Monitor medication consumption	Provides real-time tracking and adherence data

These technologies exemplify the shift towards integrating digital solutions in healthcare, aiming to enhance the adherence of medications in vulnerable populations.

Reducing Medication Errors: Skilled Nursing Interventions

How do skilled nursing interventions reduce medication errors and enhance patient safety?

Skilled nursing interventions are pivotal in reducing medication errors and enhancing patient safety through several strategies. Adhering to the 'right five' principles—right patient, right medication, right dose, right route, and right time—ensures systematic and careful administration of medications. This structured approach significantly minimizes risks related to errors during medication administration.

Continuous education and training of nursing staff play a critical role in maintaining awareness of potential medication errors. By regularly updating nursing knowledge about drug interactions, side effects, and proper administration techniques, staff can manage medications effectively and enhance adherence among patients.

Fostering a culture of safety is equally important. Encouraging open communication and reporting of medication errors allows nursing teams to identify and address the causes of mistakes proactively. When staff feel supported in reporting errors, this leads to improved practices and heightened awareness of potential risk factors.

The integration of technology further strengthens medication safety. Tools such as barcode scanning and computerized provider order entries bolster nurses' capabilities, providing additional checks that help prevent errors. This technology reduces reliance on manual processes, thereby lessening human error.

Through these comprehensive strategies, skilled nursing interventions play a crucial role in ensuring that patients receive safe and effective medication management, ultimately leading to improved health outcomes.

Elderly Patients and Medication Adherence: Skilled Nursing Strategies

What are the specific challenges and strategies for improving medication adherence among elderly patients?

Elderly patients face numerous challenges that hinder their ability to adhere to medication regimens. These challenges include:

• Cognitive Decline: Many elderly patients experience varying degrees of cognitive impairment, making it difficult for them to remember when and how to take their medications.
• Complex Medication Regimens: Patients often have multiple prescriptions, leading to confusion and potential nonadherence due to complicated schedules.
• Physical Limitations: Conditions such as arthritis can hinder patients’ abilities to open pill bottles or manage other medication forms.

To address these challenges, skilled nursing professionals implement various strategies, such as:

• Simplifying Medication Schedules: Using once or twice daily dosing can reduce the cognitive load and improve adherence.
• Utilizing Assistive Technology: Tools like electronic pill dispensers remind patients when it’s time to take their medications, enhancing self-management.
• Personalized Education: Tailored educational sessions help patients understand their medication's purpose, potential side effects, and the importance of adherence.

Following hospital discharge, skilled nurses play a pivotal role in ensuring medication adherence through:

• Home Visits: Nurses visit patients at home to review their medication management and make adjustments to treatment plans as necessary.
• Follow-up Calls: Regular calls help reinforce medication instructions and provide an opportunity to address any concerns.
• Coordinating with a Multidisciplinary Team: Collaboration among healthcare professionals helps identify and manage any drug-related problems, ensuring comprehensive support for elderly patients.

These strategies aim to foster better health outcomes by improving medication adherence within this vulnerable population.

Nursing Interventions in Assisted Living and Memory Care

What are the nursing roles and interventions that impact medication adherence in assisted living and memory care settings?

In assisted living and memory care facilities, nurses fulfill vital roles that significantly enhance medication adherence among residents. Key responsibilities include conducting thorough assessments to tailor medication plans that align with the individual needs of each resident. This personalized approach often involves developing medication schedules that coincide with daily routines, which is particularly beneficial for residents with cognitive impairments.

Nurses also provide essential educational sessions for caregivers and staff. Training caregivers on the importance of medication adherence and the proper administration techniques reinforces understanding and compliance. Additionally, nurses advocate for simplified medication regimens, aiming to reduce the complexity of medication schedules so that residents can follow them more easily.

Implementing streamlined medication administration schedules is critical. Nurses focus on timing medications to fit seamlessly into residents' daily activities, thereby enhancing adherence. For instance, when medications are scheduled alongside meals or regular activities, residents are more likely to remember and take their medications as prescribed.

Furthermore, motivational interviewing and shared decision-making techniques empower residents, helping them engage more actively in their treatment plans. This not only improves their adherence behaviors but also fosters a positive relationship between residents and nursing staff, further enhancing care quality.

Evaluating Nurse-Led Interventions on Chronic Conditions

Impact on chronic disease management

Nurse-led interventions play a crucial role in managing chronic conditions by focusing on medication adherence. These proactive strategies include face-to-face interactions, where nurses can perform motivational interviewing and tailored educational sessions aimed at enhancing patient understanding of their treatment plans. For instance, studies have shown significant improvements in adherence rates among patients with heart failure and hypertension when utilizing these methods.

However, the variability of challenges faced by older patients with multimorbidity points to the necessity of personalized approaches. Many traditional interventions fail when they do not account for specific patient needs and circumstances. Thus, effective nurse-led initiatives must recognize and adapt to the unique adherence issues that individuals experience, especially those managing multiple medications.

Effectiveness in practice

The effectiveness of nurse-led interventions is backed by significant research evidence. A systematic review involving 22 studies and nearly 6000 participants highlighted that interventions led by nurses substantially improved medication adherence in chronic condition management. While results were promising, suggesting that such strategies could mitigate risks associated with poor adherence, further investigations are needed to confirm their efficacy across diverse chronic conditions.

In summary, nurse-led interventions have shown considerable potential in enhancing medication adherence, yet ongoing research is imperative to solidify their application in varied clinical settings. The insights gained from patient experiences and satisfaction scores illustrate the profound impact these interventions can have on patient health outcomes.

Case Studies in Medication Management

Real-world examples

Studies have demonstrated that nurse-led medication management services play a pivotal role in preventing unnecessary nursing home admissions among older adults. For instance, the implementation of a structured medication management service, which included a calendar card system and coordination efforts, proved to be effective. In a notable study, only 2.2% of clients who received these services were admitted to a nursing home compared to 5.0% in the control group. This stark contrast underscores the importance of diligent medication management in minimizing institutional care needs.

Moreover, the monitoring of medication adherence through regular follow-up calls has also shown a positive correlation with patient outcomes. Such interventions are critical as they help nurses become proactive in identifying and resolving medication discrepancies, thus supporting patients in remaining in their homes.

Impact of nursing strategies

The implications of these studies extend beyond just nursing home admission rates. Effective nursing interventions, such as personalized education sessions and motivational interviewing, have been linked to improved medication adherence across various chronic conditions. By tailoring strategies to the specific needs and circumstances of patients, nurses can enhance adherence and ensure safer medication regimens.

Additionally, the satisfaction levels reported by patients regarding the support received from nurses averaged at a score of 7.9, showcasing that those who engage in effective communication and education tend to foster better relationships with their patients. This direct link between nursing strategies and patient experiences highlights the necessity for continuous research and implementation of nurse-led interventions to bridge gaps in medication adherence.

Challenges of Medication Adherence in Dementia Care

What specific challenges do residents with dementia face in terms of medication adherence?

Residents with dementia encounter significant hurdles in maintaining medication adherence. Memory lapses, cognitive decline, and difficulty understanding complex medication regimens contribute to non-compliance. These challenges can escalate into severe health issues and increased hospitalizations.

Supportive interventions

To address these issues, skilled nursing strategies are essential. Here are some effective interventions:

• Personalized Medication Schedules: Tailoring medication times to align with residents’ daily routines helps minimize confusion.
• Use of Reminders and Visual Aids: Implementing systems such as pillboxes or alarms can assist residents in remembering their medications.
• Caregiver Training: Educating caregivers on the importance of medication adherence strengthens support networks, ensuring residents take their medications correctly.

By combining these approaches with comprehensive dementia care, nursing teams can significantly reduce the risks of non-compliance. This multidisciplinary strategy not only enhances medication management but also boosts overall patient outcomes.

Medication Administration and Adverse Reaction Prevention

How do skilled nursing professionals prevent medication errors and adverse drug reactions?

Skilled nursing professionals play a vital role in ensuring medication safety for residents, particularly in long-term care settings. Their proactive approach includes thorough assessments and meticulous monitoring of medication regimens. This comprehensive vigilance is crucial for preventing medication errors and adverse drug reactions (ADRs).

One of the primary strategies involves conducting regular medication reviews, where nurses check for potential drug interactions and verify the accuracy of prescribed dosages. This practice not only mitigates the risk of errors but also enhances overall patient safety. Additionally, skilled nursing staff are trained to recognize common side effects associated with medications, allowing them to respond swiftly to any adverse reactions that may arise.

Ongoing education plays a significant role in this process. Nurses equip themselves with the latest information on medications, their effects, and possible interactions. By keeping abreast of these details, they can provide informed care and alert healthcare teams as needed, preventing complications before they escalate. This continuous learning and careful monitoring ultimately support a safe and effective medication administration process, fostering better health outcomes for residents in their care.

More Information

For further details on this essential topic, search for how skilled nursing professionals prevent medication errors and adverse reactions.

The Influence of Skilled Nursing on Patient-Focused Care

Empowerment through Education

Skilled nursing interventions play a pivotal role in promoting patient empowerment, particularly concerning medication adherence. By providing comprehensive education programs, nurses enhance patients' health literacy. This knowledge encompasses understanding medications, including dosage and potential side effects, which equips them to manage their regimens effectively.

A variety of techniques, such as motivational interviewing and shared decision-making, foster a collaborative relationship between patients and nurses. These methods enable patients to express their concerns and preferences regarding their medications, thereby increasing engagement and self-efficacy. This leads to patients feeling more in control of their treatment plans, directly contributing to improved adherence.

Patient-Centered Approaches

The focus on personalized care strategies in skilled nursing is vital for accommodating the unique needs of each patient. By tailoring interventions based on individual circumstances, nurses ensure that patients receive relevant and effective support. Interventions can include follow-up calls or home visits, providing ongoing assistance aimed at addressing specific adherence challenges that patients might encounter.

Ultimately, when patients are well-informed and actively involved in their medication management, they are more likely to adhere to prescribed treatments. This approach not only enhances their health outcomes but also fosters a more profound sense of responsibility and satisfaction in managing their care.

The Role of LTC Pharmacists in Medication Adherence

What role do LTC pharmacists play in enhancing medication adherence among skilled nursing residents?

Long-term care (LTC) pharmacists are pivotal in improving medication adherence among skilled nursing residents. They work collaboratively with nursing staff, fostering seamless communication to ensure a comprehensive approach to each resident's medication management.

Key activities performed by LTC pharmacists include:

• Reviewing Medication Regimens: Pharmacists examine all medications taken by residents to identify potential interactions or adverse effects, thereby enhancing safety and effectiveness.
• Suggesting Alternative Dosage Forms: For residents with swallowing difficulties, pharmacists can recommend different pharmaceutical forms such as liquids or dissolvable tablets that align better with their needs.
• Advising on Deprescribing: When appropriate, pharmacists provide suggestions for reducing the number of medications patients are on, which can minimize the risk of adverse drug reactions, particularly important in the elderly with dementia.

Pharmaceutical interventions

In addition to their assessments, LTC pharmacists also contribute to enhancing medication adherence through specific interventions. They:

• Educate Nursing Staff: By training nursing personnel on medication management, pharmacists empower them to recognize signs of adverse reactions or complications, leading to timely interventions.
• Personalize Medication Schedules: Collaboration allows for creating medication schedules that fit within residents' daily routines, simplifying adherence.
• Continuous Monitoring: The ongoing evaluations and adjustments made by LTC pharmacists ensure that medication regimens adapt to the changing conditions of residents, ultimately supporting better health outcomes.

In summary, LTC pharmacists are essential in the multidisciplinary team, dedicated to enhancing medication adherence through collaboration and targeted pharmaceutical interventions, contributing significantly to the overall quality of care in skilled nursing facilities.

Transitioning Between Care Settings: Medication Challenges

Importance of continuity

Ensuring continuity in medication regimens during transitions between care settings is critical, especially for older adults with chronic conditions. The shift from hospital to home can expose patients to drug-related problems (DRPs), making effective medication management essential. Addressing these challenges requires diligent monitoring to prevent medication discrepancies that could lead to adverse drug events or rehospitalizations.

Nursing strategies in transitions

What measures do skilled nursing staff take to maintain medication adherence during transitions between care settings?

Skilled nursing staff play a vital role in maintaining medication adherence during these transitions. Their strategies include:

• Medication Reconciliation: Comprehensive collection of medication histories is critical. Nurses assess and address discrepancies in treatment regimens, ensuring accuracy.
• Collaboration: They liaise with healthcare providers to streamline medication management across different care settings, avoiding duplications or omissions.
• Patient Education: Nurses provide clear information about changes in medications to both patients and caregivers. This education fosters better understanding, empowering families to adhere to new regimens.
• Follow-up Support: Implementing home visits and follow-up calls helps to monitor adherence and address any emerging issues with the prescribed treatment plans.

These measures not only reduce the risk of medication errors but also promote healthier outcomes for patients by encouraging adherence. By emphasizing comprehensive transition strategies, nurses can significantly improve medication management and facilitate smoother transitions for patients across various healthcare environments.

Continuous Education and Training for Skilled Nursing Staff

What are the benefits of continuous education and training for skilled nursing staff in the context of medication adherence?

Continuous education and training provide skilled nursing staff with essential knowledge and skills for effective medication management. By staying updated on the latest medication technologies, pharmacotherapy advancements, and patient-centered care approaches, nursing staff can significantly reduce medication errors and enhance adherence strategies.

Training programs often focus on critical areas such as:

• Understanding Medication Technologies: Staff learn to utilize new tools for monitoring and managing patient medications, ensuring accuracy in administration.
• Updates in Pharmacotherapy: Education on emerging drugs, side effects, and interactions enables nurses to offer comprehensive patient care.
• Effective Communication Techniques: Enhancing communication skills promotes better patient interactions, fostering trust and adherence.

This persistent emphasis on professional development improves patient safety and overall care quality. Consequently, it leads to better health outcomes as patients receive tailored support that aligns with their medication needs. By equipping nursing staff with the latest information, healthcare facilities can ensure high standards of patient care and enhance medication adherence.

Research Insights: Medication Adherence in Older Adults with Multimorbidity

What does current research say about the impact of skilled nursing interventions on medication adherence, particularly among older adults with multimorbidity?

Current research highlights significant challenges concerning medication adherence among older adults with multimorbidity. These challenges often stem from complex medication regimens, cognitive impairments, and the overall management of multiple chronic conditions. However, comprehensive, nurse-led interventions have shown promising results in significantly improving medication adherence and overall health outcomes for this population.

One notable study included a multicenter, randomized controlled trial focused on engaging patients through tailored approaches.

Types of Interventions Employed

• Face-to-Face Education: Conducting three sessions to personalize and reinforce medication understanding.
• Follow-Up Support: Weekly phone calls to ensure ongoing engagement and address emerging barriers.
• Motivational Interviewing: Encouraging conversations that promote shared decision-making regarding medication use.

These interventions emphasize the importance of personalized education and detailed medication reviews, which empower patients to take charge of their health and complex medication regimens. By addressing specific adherence barriers such as confusion over medications or side effects, skilled nursing staff can play a pivotal role in fostering better patient outcomes in adherence and, consequently, overall well-being.

Nursing Support for Medication Adherence: Patient Perspectives

How do patients perceive nursing support for medication adherence, and what improvements are suggested?

Patients generally express a positive perception of nursing support for medication adherence. In a recent study, participants reported a satisfaction score of 7.9 regarding the interventions provided by nursing staff. Many noted improvements in their ability to manage medications, attributing this to proactive support from nurses who were attentive to their needs and concerns.

Positive Experiences
Patients shared experiences such as:

• Timely Reminders: Nurses helped patients remember to take medications as prescribed.
• Educational Support: Guidance on the importance of adherence and solutions for common medication issues.
• Professional Relationships: Strong connections fostering trust and open communication with nursing staff.

Despite these positive outcomes, some areas for improvement were highlighted:

• Timeliness of Home Visits: Ensuring that nurses arrive on schedule can significantly impact medication administration.
• Allocating More Time: Patients expressed a desire for longer interactions focused on medication management.
• Knowledge on Side Effects: Enhanced training for nurses regarding potential medication side effects could better inform patient discussions.

By addressing these suggestions, healthcare providers can further enhance the effectiveness of nursing support in improving medication adherence, ultimately leading to better health outcomes.

Integrating Medication Adherence into Holistic Care Plans

Comprehensive Care Planning

Skilled nursing facilities are pivotal in integrating medication adherence into residents' overall care plans. This integration begins with adopting a holistic approach that recognizes the multifaceted needs of each patient. By conducting thorough health assessments, care teams can tailor medication regimens to individual circumstances, thereby enhancing adherence.

Multidisciplinary Approaches

The involvement of various healthcare professionals is crucial. Nurses, physicians, pharmacists, and other care providers collaborate to regularly review and update medication plans, ensuring that adjustments are made as health conditions evolve. This multidisciplinary approach not only addresses medication management but also considers broader health outcomes, significantly improving overall patient care.

Clear communication among team members is essential for maintaining continuity of care, which aligns with patients' evolving needs. Regular team meetings and case discussions help identify potential barriers to adherence, allowing for timely interventions. By fostering strong relationships and open dialogues, skilled nursing facilities enhance the likelihood that residents will follow their recommended medication regimens, ultimately promoting better health outcomes.

Strategies for Managing Medication Challenges in Community Settings

What strategies do skilled nursing professionals use to support medication adherence in community settings?

Skilled nursing professionals play a pivotal role in ensuring medication adherence among community-dwelling patients, especially older adults managing chronic conditions. They use a combination of personalized education and technology to foster adherence.

1. Personalized Education Programs: Nurses conduct tailored education sessions focused on the importance of medication adherence. These sessions often include topics like dosage, side effects, and administration techniques.

2. Technological Solutions: Utilizing medication management apps helps patients track their medications and set reminders, which can significantly reduce missed doses.

3. Community Health Workshops: Professionals organize workshops to promote health literacy, allowing community members to learn about managing their conditions and understanding their treatment plans in a supportive environment.

4. Regular Home Visits and Telehealth Consultations: Consistent follow-ups via home visits or telehealth ensure that patients have continuous support. This approach is crucial for addressing barriers like mobility challenges, thereby helping maintain adherence and independence.

5. Motivational Interviewing Techniques: Using motivational interviewing helps engage patients in their care, enabling them to voice concerns and preferences about their medication regimens.

By implementing these strategies, skilled nursing staff enhance patient independence and self-management, ultimately improving health outcomes and reducing hospitalizations in community settings.

Conclusion

Skilled nursing professionals are integral to enhancing medication adherence across various care settings. Their strategic interventions, coupled with effective use of technology and robust educational initiatives, significantly impact patient outcomes. As the field continues to evolve, ongoing research and development of personalized care approaches will further strengthen their role in managing medication adherence, ultimately leading to improved health outcomes and quality of life for patients, especially among the elderly and those with chronic conditions. The collaborative efforts of multidisciplinary teams will be crucial in maintaining and advancing these care standards.

References

• Nurse-led medication management as a critical component of ...
• Nurse-Led Interventions for Improving Medication Adherence in ...
• [PDF] Impact of a Medication Management System on Nursing Home ...
• The Role of the Skilled Nursing Staff in Patient Care
• Nurses' support interventions for medication adherence | PPA
• Improving Medication Adherence for Assisted Living and Memory ...
• Enhancing Patient Outcomes Through Medication Reconciliation
• Enhancing Medication Safety in Assisted Living Facilities: The Role ...