TY  - JOUR
T1  - Medication Reconciliation during Transitions from Hospital to Home-Based Palliative Care: Nursing Roles and Implementation Challenges
A1  - Grace Okafor
A1  - Martin Jensen
A1  - Elena Rossi
A1  - David Park
JF  - Journal of Integrative Nursing and Palliative Care
JO  - J Integr Nurs Palliat Care
SN  - 3006-5550
Y1  - 2025
VL  - 6
IS  - 2
DO  - 10.51847/ZheTqsM175
SP  - 405
EP  - 415
N2  - Medication reconciliation during transition from hospital to home-based palliative care is often treated as a discharge task even though medication meaning, ownership, feasibility, and appropriateness continue to change at home. This conceptual article presents a transitional medication-safety framework integrating discrepancies, continuity, information transfer, patient and caregiver work, nursing surveillance, pharmacist and prescriber interfaces, and implementation conditions. Reliable reconciliation requires an interpretable medication state that is communicated, received, understood, supplied, enacted, reassessed, and corrected. The framework separates verification, responsibility transfer, early-home comparison, discrepancy interpretation, authorized resolution, and feedback. Nurses often detect mismatch after responsibility is distributed across services, while pharmacists, prescribers, patients, and caregivers contribute different knowledge and authority. Reconciliation is therefore a longitudinal function supported by both clinical accuracy and an operable system of responsibility. 
UR  - https://journalinpc.com/article/medication-reconciliation-during-transitions-from-hospital-to-home-based-palliative-care-nursing-ro-rvbjy2jzz28oc1s
ER  -