The prescription paradox: a guide to appropriate prescribing in the elderly

Ryan B. Thomas, S. R. Jang, M. Lombardi, V. Maio
{"title":"The prescription paradox: a guide to appropriate prescribing in the elderly","authors":"Ryan B. Thomas, S. R. Jang, M. Lombardi, V. Maio","doi":"10.4081/gc.2019.8523","DOIUrl":null,"url":null,"abstract":"Appropriate prescribing in the elderly can be challenging. While most of the older patients suffer from multiple comorbidities and undergo physiological changes with aging, no clinical guidelines account for these unique characteristics of the elderly adequately. Our commentary proposes a continuous process of prescribing and deprescribing as a necessary step for providers to prevent adverse drug events associated with unnecessary polypharmacy, a result of clinical guidelines working in silos. In addressing this issue, we employed Dr. Nick Barber’s four tenants of appropriate prescribing – maximize effectiveness, minimize risk, minimize cost, and respect patient choice – as a framework to guide providers through actionable insights on how to optimize the intended effects of their clinical treatment while also achieving desirable humanistic and economic outcomes.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/gc.2019.8523","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatric Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4081/gc.2019.8523","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

Abstract

Appropriate prescribing in the elderly can be challenging. While most of the older patients suffer from multiple comorbidities and undergo physiological changes with aging, no clinical guidelines account for these unique characteristics of the elderly adequately. Our commentary proposes a continuous process of prescribing and deprescribing as a necessary step for providers to prevent adverse drug events associated with unnecessary polypharmacy, a result of clinical guidelines working in silos. In addressing this issue, we employed Dr. Nick Barber’s four tenants of appropriate prescribing – maximize effectiveness, minimize risk, minimize cost, and respect patient choice – as a framework to guide providers through actionable insights on how to optimize the intended effects of their clinical treatment while also achieving desirable humanistic and economic outcomes.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
处方悖论:老年人合理处方指南
对老年人来说,适当的处方可能具有挑战性。虽然大多数老年患者患有多种合并症,并随着年龄的增长而发生生理变化,但没有临床指南充分考虑到老年人的这些独特特征。我们的评论建议一个连续的开处方和开处方的过程,作为提供者预防与不必要的多药相关的药物不良事件的必要步骤,这是临床指南孤立工作的结果。为了解决这个问题,我们采用了尼克·巴伯博士提出的恰当处方的四个原则——最大限度地提高疗效,最大限度地降低风险,最大限度地降低成本,并尊重患者的选择——作为一个框架,指导提供者通过可操作的见解来优化他们的临床治疗的预期效果,同时实现理想的人文和经济结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
15
审稿时长
10 weeks
期刊最新文献
Position paper on essential strategies for healthy aging: focus on preventing sarcopenia and cardiovascular diseases from the 38th National Congress of the Italian Society of Geriatrics Hospital and Territory (SIGOT) An uncommon orthogeriatric syndrome: a case of Ogilvie’s syndrome Hypomagnesemia, hypogammaglobulinemia, and chronic normocytic normochromic anemia: random association? An unresolved case report of an elderly patient with remitting seronegative symmetrical synovitis with pitting edema syndrome Prevalence, pattern, and potential predictors of microvascular complications in aging Nigerians with type 2 diabetes 38° Congresso nazionale SIGOT | Roma, 22-24 maggio 2024
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1