Poly-De-prescribing vs Polypharmacy - The Weapon to Fight an Iatrogenic Epidemic: An Overview
Journal Title: European Journal of Geriatrics and Gerontology - Year 2019, Vol 1, Issue 1
Abstract
This review will focus on the topic of de-prescribing, including factors which impede and promote its implementation, the attitudes of physicians and patients towards it, as well as the core recommendations of the International Group for Reducing Inappropriate Medication Use and Polypharmacy that were recently published as a position statement. Finally, I will delineate a comprehensive geriatric-palliative approach to inappropriate medication use and polypharmacy (IMUP) utilizing poly-de-prescribing-cessation of as many nonessential medications as possible. The overarching goal of this approach is minimizing harm, and improving quality of life in the twilight of life for many elderly patients. I will only briefly touch upon the problematic definitions of IMUP, the variety of their negative clinical consequences, and the key tools previously suggested for combating the epidemic, issues which have been extensively discussed and evaluated in past reviews.
Authors and Affiliations
Doron Garfinkel
Keywords
Related Articles
- EP ID EP48034
- DOI 10.4274/ejgg.galenos.2019.14
- Views 386
- Downloads 0
Epidemiology of Adrenal Insufficiency Among Elderly Patients in a Convalescent Care Unit and One Year Outcome
Objective: Adrenal insufficiency (AI) is associated with significant morbidity and mortality. The diagnosis of AI in elderly people is difficult with its non-specific presentation. The aim of this study is to describe th...
What is Geriatrics? Geriatrics or Older Adults Health and Diseases?
Objective: To determine awareness of “geriatrics” among elderly patients and reveal which expression is preferred, ‘‘older adults’s health and diseases’’ or ‘‘geriatrics’’ as a term. Materials and Methods: This study wa...
Oculomotor Dysfunction in Parkinson’s Disease
Parkinson’s disease and associated wide variety of ocular features are very common. One of the most notable findings includes oculomotor. Since reading includes a proper synchronization of accommodation, vergence and ver...
Is Malnutrition Most Associated with Dynamic or Static Physical Performance?
Objective: Malnutrition is a state resulting from lack of uptake or intake of nutrition that leads to altered body composition, decreased fat-free mass and body cell mass. Its prevalence varies according to health condit...
Grading the Reduced Muscle Mass in the Context of GLIM Criteria
No Abstract