Summary
Summary Deprescribing
- Module
- Mpharm (PHAR33002)
- Institution
- The University Of Manchester (UOM)
Summary of 3 pages for the course Mpharm at UOM (full summary)
[Show more]
1 review
By: umairakbar3109 • 3 months ago
Content preview
DeprescribingWhat is deprescribing?
- Process of stopping or reducing medicines
- with the aim of eliminating problematic (inappropriate) medicines
- then monitoring the individual for unintended adverse effects
What is problematic polypharmacy?
When multiple medications are prescribed inappropriately, or where the intended benefit of
the medication is not realised
Scenarios where we worry about polypharmacy?
Prescribing of medicines that are no longer clinically indicated or appropriate or
optimised for that person
benefit does not outweigh harm
Where the combination of multiple medicines has the potential to, or is causing
harm to the person
Why does polypharmacy exist? causes?
Multiple long-term conditions
Increasing age
new drugs
NHS guidance and targets (QOF, NICE quality standards)
Multiple prescribers
A “pill for every ill” and psychosocial issues
o e.g., diarrhoea as a side effect of a drug, so add a senna tablet to treat that
etc
o rather than determining the cause of the side effect and finding something
more suitable
Poor therapeutic goal setting
Patient or carer demand
Challenges to deprescribing
Fear of litigation
Poor evidence for stopping therapy
Non-adherence – “therapeutic failures”
o keep taking tablets after they are said to deprescribe
Poor communication and transfer of information
o e.g., between dentist, gynaecologist etc and GP
o takes time to send information
Poor medication review
Treating condition vs. person
Non-pharmacological options not readily available or accessed
o waiting for therapy appointments so tablets restarted
How do we calculate anticholinergic burden?
calculator
possible anticholinergic score 1
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller rosiemalley. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £2.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73243 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now