Dr. Alex Germano // #GeriOnICE // www.ptonice.com  In today's episode of the PT on ICE Daily Show, Modern Management of the Older Adult lead faculty Alex Germano as she discusses the topic of medication management in older adults. She talks about the importance of screening for inappropriate medications and what to do when such medications are found. Medication management is a crucial component of falls prevention programs, as many older adults are on medications that may not be suitable for them. Alex emphasizes the need for clinicians to assess medications as part of their overall approach to fall prevention. Take a listen to learn how to better serve this population of patients & athletes. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION 00:00 - ALEX GERMANO Good morning, everyone. Welcome to the PT on Ice daily show brought to you by the Institute of Clinical Excellence. My name is Alex Germano, a member of the older adult division. Today, what we're going to be talking about is a question that came up at our course this weekend in Falls Church, Virginia. It was about how to handle inappropriate medication, how to screen for it, and what to do after you learn that your patient's taking a quote unquote inappropriate med for an older adult. The older adult division is really finishing off 2023 strong. We have eight more course offerings this year alone. This weekend in particular we're going to have Christina out in Fountain Valley, California. We're in New Jersey next weekend and Annapolis, Maryland the first weekend of November. Additionally, you can catch us in New York, Westmont, Illinois, Chandler, North Carolina, Spring, Texas, and Portland, Maine, before 2023 closes out. So we hope to see you out there. I wanted to expand on this topic a bit more. 01:31 - MEDICATION MANAGEMENT It's all about medication management and how we encourage clinicians to look at medications and what do we do when we find an inappropriate medication. I feel really passionate about this topic and we really do As a component of our falls prevention programs, we need to be looking at meds, screening them, because a lot of our older adults are on a lot of medication that they should not be on. So, as part of the World Guidelines for Fall Prevention in Older Adults, medications are deemed as a domain that we need to assess. If you work in more acute settings, so maybe like acute care, skilled nursing facilities, home health, you likely have to do some sort of medication screening. You're asking about meds, they're in a system, the system or the EMR that you use actually may flag inappropriate medications already. I've heard that in the home health world that some of the it's more of the medication interactions that are being flagged versus like type of medication that we should be weary of. But if you're in outpatient settings, you may ask about medication intake on eval. but you might just write that down and then that's it. Even my, um, uh, EMR that I use and I'm working in an outpatient on wheel setting is just, you put in the meds and that's it. There's no followup. The system doesn't help me in any way. It's kind of on, on, it's my responsibility rather to perform some type of medication reconciliation, look at the meds, make sure they're on the appropriate ones. Okay. Now, if we have older adults on our caseload, we can't just ask about medications. We really need to double check some of these meds because they can have a huge impact on our patient's physical function, their lives. And it's absolutely part of our scope of practi