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Deprescribing for frail older people - Learning from the case of Mrs. Hansen

Granas, A. G., Stendal Bakken, M., Ruths, S. & Taxis, K., Jun-2018, In : Research in Social and Administrative Pharmacy. 14, 6, p. 612-616 5 p.

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  • Deprescribing for frail older people

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DOI

  • Anne Gerd Granas
  • Marit Stendal Bakken
  • Sabine Ruths
  • Katja Taxis

Drug treatment is often an essential part in treatment and prevention of diseases in older people, but there is much concern about inappropriate medication use. This paper aims to describe the complexity of medication safety issues and clinical judgments when optimizing prescribing in older individuals. It uses the case of Mrs. Hansen, an aged nursing home resident, to illustrate the facilitators and barriers of this process. With decreasing life expectancy, medication use should shift from cure to care, focusing on symptomatic treatment to increase the patient's well-being. In Mrs. Hansen's case, the number of (potentially) dangerous medications were reduced, and non-pharmacological alternatives were considered. There were some medicines added, as underprescribing can also be a problem in older people. Deprescribing long-standing treatment can be interpreted by the patient and family as "giving up hope". More clinical evidence and practical communication tools are needed to guide deprescribing decisions, taking medical and patient-centered priorities into account. Studies evaluating such interventions should select outcome measures that are particularly relevant for frail old individuals. (c) 2017 Elsevier Inc. All rights reserved.

Original languageEnglish
Pages (from-to)612-616
Number of pages5
JournalResearch in Social and Administrative Pharmacy
Volume14
Issue number6
Early online date13-Jul-2017
Publication statusPublished - Jun-2018

    Keywords

  • NURSING-HOME RESIDENTS, CONTROLLED-TRIAL, MEDICATION, POLYPHARMACY, PHARMACIST, PREVENTION, CRITERIA, OUTCOMES, PATIENT, ADULTS

ID: 45972450