If you have a loved one in a facility on Premarin or other vaginal suppositories, be sure to direct the nurse not to overdo it. Our vaginal suppositories are inserted by a squeamish male nurse who hates it and the company really overdoes it. If the directions say to use it one to three times a week, the company forces him to do it to the max. It's really not necessary, because I've seen both women's genitals during toileting and they don't need it 3X a week. I don't think they even need it at all, really. Both ladies have told me they are uncomfortable with it being put in by a male - they ask me to stand by even though he is utterly ethical. One of the clients, being that she has severe dementia, starts to act out sexually after he inserts is. So, if you are family of women like these, be sure that vaginal suppositories are truly necessary. Healthcare is a strident business that takes everything to extremes to avoid lawsuits, etc... But you can direct your loved one's care plan.
Coming back to add - family who haven't been deeply involved in caring for the person may have no idea what Premarin even is or that it is administered vaginally, reviewing medications is something that a good DON should bring up in a care plan meeting.