Final answer:
Medications in long-term care (LTC) are managed through strict protocols, professional oversight, assistance programs like the Medicare Prescription Drug and Modernization Act of 2003, and methods like directly observed therapy (DOT). Programs help with medication costs and ensure proper use, while LTC providers must also consider the residents' end-of-life care preferences.
Step-by-step explanation:
In long-term care (LTC) facilities, medications are managed through a combination of policies, professional oversight, and legal requirements to ensure that residents receive the correct prescriptions and dosages. The handling of meds involves rigorous record-keeping and sometimes the implementation of special programs to help with cost and adherence to medication regimes. Programs such as the Medicare Prescription Drug and Modernization Act of 2003 have been introduced to offer assistance through prescription drug discount cards, providing savings for eligible individuals.
Directly observed therapy (DOT) is another method used in the administration of medications in LTC and involves the supervised administration of medications. It ensures that patients take their medications correctly, though it may not be practical for all types of medicines or situations. Additionally, the management of meds often includes discussions and planning for end-of-life care, like living wills and medical power of attorney, to respect the choices of the elderly.
In regards to overprescription and its management, the question remains on who should police physicians or drug companies to enforce best practices and what penalties would effectively discourage overprescription. Nevertheless, providers in LTC must always prioritize the well-being and preferences of their residents when administering and managing medication treatments.