Journal de Pharmacie Clinique
MENUReassesment of prescriptions in geriatrics: a physician-pharmacist collaboration Volume 39, issue 1, Mars 2020
- Key words: deprescribing, elderly, potentially inappropriate drugs
- DOI : 10.1684/jpc.2019.0428
- Page(s) : 37-46
- Published in: 2020
The long-term care unit 1 accommodates 50 patients who are generally elderly, bedridden, not eligible for retirement home. Complete prescription reviews were difficult to achieve, despite pharmaceutical analysis twice a week. A daily analysis did not seem relevant due to a limited number of therapeutic changes expected. Reassesment of prescriptionswere conducted by a multidisciplinary team. A prescription drug analysis, based on national and local recommendations for elderly patients, preceded meetings between doctors, pharmacists and nurses. Four types of actions were carried out: discontinuation of unspecified drugs (55/697), modification of non-optimal doses (25/697), interception of risky drugs interactions (1/697), and research of adaptation of galenic forms for patients with swallowing disorders (13/697). More than 70% of the 54 patients benefited from an optimization of their treatments, and the pharmaceutical opinions were followed by the doctor in 95.8% of cases.
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