Background: The drug related problems are common among elderly especially those with multi
morbidity who are involved in complex drug regimen. So, there is greater focus on medication 
considerations. Aim of the Study: It was to evaluate the effect of educational program about 
medication considerations on promoting quality of pharmacotherapy among elderly with multi
morbidity. Subjects and Method: Study design: A quasi-experimental study design. Study 
settings: Health Insurance Hospital outpatient clinics, Outpatient clinics of Tanta University and 
Dar El Saada Geriatric Home in Tanta city. Study subjects: A convenience sample of 75 elderly 
patients who attended the previously mentioned settings. Study tools: Tool I: A structured 
interview schedule: Part 1: Socio-demographic characteristics of the studied elderly. Part 2: 
Medical history of the studied elderly. Tool II: BASNEF Model Based Questionnaire: Part 1: 
Beliefs about Medicines Questionnaire. Part 2: Drug Attitude Inventory. Part 3: Assessment of 
Subjective Norms. Part 4: Assessment of Enabling Factors. Tool III: Medication Management 
Instrument for Deficiencies in Elderly. Results: There was statistically significant improvement 
on elderly beliefs about medication, their attitude toward medication, overall influential 
motivator for appropriate medication use, the enabling factors and medication management 
deficiency in all phases of evaluation. Conclusion and recommendations: The educational 
program was effective in improving the elderly patients' beliefs, attitude, overall influential 
motivator and the enabling factors which support them. Therefore, the nurse should assess the 
multi-morbid elderly and organize health education programs based on BASNEF model about 
safe medication.