Dwaraa is Sevadar Foundation’s deprescribing division. Its subject is the medication burden carried by older adults in long-term care — deprescribing, dementia care and restraint-free care, treated as opioid and sedative stewardship rather than as cost control.
The population it is for
An older adult in a nursing home is frequently taking a list of medications assembled over decades by different prescribers, each one started for a reason that was good at the time. Nobody owns the list. The prescriber who started a drug in 2009 is not the one seeing the person now, and adding a medication has an owner while removing one does not.
That is a structural gap rather than a clinical dispute, which is why it belongs on a foundation site. Reviewing a medication list carefully takes time that nobody bills for, and so at scale it does not happen. What Dwaraa publishes is the framework, the evidence behind it, and the shared vocabulary that lets a family, a nurse, a facility and a prescriber talk about the same list and mean the same thing.
What the division covers
Deprescribing
The structured review of what a person is taking, why each drug was started, and whether that reason still holds. Done with the patient and their own prescriber, never to them.
Dementia care
What goes in the place of a medication that is reduced. A shorter list with nothing behind it is not deprescribing, and the non-drug approaches are the harder half of the work.
Restraint-free care
A sedating drug given to manage behavior is a restraint by another name. Naming it that way is what makes it reviewable.
Dwaraa’s own site is the authority on the framework, the drug classes it covers and the evidence behind each claim. It addresses four audiences separately — prescribing clinicians, facility ownership and management, families of residents, and facility staff — because the same fact needs saying differently to each. dwaraa.org
Dwaraa does not prescribe, deprescribe, diagnose or treat. Those are decisions made by a patient and their own clinicians, with the whole record in front of them. Never stop or change a prescribed medication without speaking to your own prescriber.
Why the foundation holds it
It passes the same three tests the other three do. The harm is specific rather than abstract: a named drug, on a named list, in a named building. There is a structural reason nobody else closes the gap — the review is unfunded, not unknown. And whether the list changed is measurable, which is the difference between publishing a framework and publishing an opinion. The three tests →
Where it meets CareGuard
The two look at the same building from different ends. CareGuard reviews the physical and procedural conditions of a facility and carries what staff, families and visitors see to the people who can authorize a fix. Dwaraa looks at what the residents of that building are taking. Neither sees the other’s material: a patient safety work product is privileged under federal law and does not travel, and Dwaraa holds no patient record at all. What is shared and what is walled off →
More
One foundation, four divisions
Why they were not incorporated separately, and what that costs.
This is a foundation page, not a clinical one. Sevadar Foundation provides no care and gives no medical advice. Everything about the framework, the evidence and who it is written for lives on the division’s own site. In an emergency call 911; if you are in crisis, call or text 988.