Strategies to De-prescribe in the Geriatric Population

MedChat

Strategies to DePrescribe in the Geriatric Population Evaluation and Credit: https://www.surveymonkey.com/r/MedChat50 Target Audience This activity is targeted toward primary care and geriatric healthcare providers and advanced providers. Statement of Need When patients are being treated by multiple providers and/or by a variety of physicians, The caregivers may not be aware of the complete prescription listing a patient has been prescribed. This is especially true if the patient sees providers in multiple healthcare systems, in that a centralized list may not be available in the electronic medical record. These circumstances may lead to potentially inappropriate prescribing (over-, mis- or underprescribing). Additionally, physicians/providers may not routinely do a medication review with patients that are at risk of polypharmacy. Objectives At the conclusion of this offering, the participant will be able to: 1. Define polypharmacy; highlighting the prevalence. 2. List the factors that contribute to polypharmacy. 3. Describe the risk factors of polypharmacy. 4. Review effective strategies for deprescribing of medications. 5. Discuss key considerations for prescribing new medications. Moderator Monalisa Tailor, M.D. Internal Medicine Norton Community Medical Associates Norton Healthcare Louisville, Kentucky Speakers Steve Patton, D.O. Family Practitioner Norton Community Medical Associates - Preston Norton Healthcare Louisville, Kentucky Amanda Thurman, PharmD Norton Audubon Hospital Norton Healthcare Louisville, Kentucky Moderator, Speaker and Planner Disclosures The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Amanda Thurman, PharmD, has a relevant relationship with Novo Nordisk – Diabetes as a Speaker. This relationship has been successfully mitigated. Commercial Support There was no commercial support for this activity. Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at [phone] or [e-mail]. Resources for Additional Study: STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress Denis O’Mahony (2020) STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress, Expert Review of Clinical Pharmacology, 13:1, 15-22, DOI: 10.1080/17512433.2020.1697676 https://www.tandfonline.com/doi/full/10.1080/17512433.2020.1697676 American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults https://pubmed.ncbi.nlm.nih.gov/30693946/ Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women’s and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com. Date of Original Release |March 2023; Information is current as of the time of recording. Course Termination Date | March 2025 Contact Information | Center for Continuing Medical, Provider and Nursing Education; [phone] or [e-mail]