Reducing medication burden and improving pressure injury outcomes in older emergency patients: a pharmacist-nurse collaboration - Scorecard - MDSpire

Reducing medication burden and improving pressure injury outcomes in older emergency patients: a pharmacist-nurse collaboration

  • By

  • Lianhua Ji

  • Li Li

  • Juan Zhang

  • Sujuan Zhang

  • Zhonghua Fu

  • June 23, 2026

  • 0 min

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Clinical Scorecard: Alleviating medication load and enhancing pressure injury results in elderly emergency patients through a collaborative approach between pharmacists and nurses

At a Glance

CategoryDetail
ConditionPressure Injuries in Elderly Patients
Key MechanismsPharmacist-led comprehensive medication management and stratified nursing care
Target PopulationElderly patients with pre-existing pressure injuries
Care SettingEmergency Department

Key Highlights

  • Implementation of a pharmacist-involved multidisciplinary care model
  • Reduction in medication expenses and complexity post-implementation
  • Increased rates of clinical recovery and pressure injury enhancement
  • Improvement in Braden scores among patients
  • Shortened length of hospital stay

Guideline-Based Recommendations

Diagnosis

  • Utilize Braden scores for assessing pressure injury risk

Management

  • Implement pharmacist-led medication reconciliation and optimization
  • Adopt risk-stratified nursing care and repositioning protocols

Monitoring & Follow-up

  • Assess clinical recovery and wound healing status regularly

Risks

  • Monitor for polypharmacy and its impact on wound healing

Patient & Prescribing Data

Elderly patients aged 60 years or older with pre-existing pressure injuries

Pharmacist involvement reduced medication load and regimen complexity

Clinical Best Practices

  • Engage pharmacists in regular ward rounds for medication management
  • Incorporate nutritional support and health education in care plans
  • Utilize indices like CCI, DBI, and MRCI for assessing medication burden

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