Appropriate medication use in Dutch terminal care:study protocol of a multicentre stepped-wedge cluster randomized controlled trial (the AMUSE study) [PDF]
Background: Polypharmacy is common among patients with a limited life expectancy, even shortly before death. This is partly inevitable, because these patients often have multiple symptoms which need to be alleviated.
de Jong, M.A.C. +13 more
core +4 more sources
Introduction Psychotropic polypharmacy typically refers to the prescription of more than one psychotropic medication to a patient. While polypharmacy can sometimes be clinically justified, it is widely recognized that multiple drug use and exposure can be problematic.
Diego Infante-Ventura +9 more
wiley +1 more source
Background/Objectives: The appropriateness of statin treatment in frail older adults is controversial because of insufficient evidence on its efficacy.
Giuseppe Castiglia +5 more
doaj +1 more source
Barriers to Opioid Deprescription in Rural Newfoundland and Labrador: Findings from Pilot Interviews with Rural Family Physicians [PDF]
Background: Medical doctors in Canada have a lack of education and understanding on how to safely prescribe opioids. Rural areas and Aboriginal populations have been identified as being at greater risk for opioid misuse. The purpose of this pilot project
Asghari, Shabnam +3 more
core
Background Medications with a risk of dependence are widely prescribed but have been associated with a poor experience of care for patients. This study aimed to understand patient and healthcare staff perspectives in the prescription, management, and deprescription of benzodiazepines, z‐drugs, opioids for chronic noncancer pain, gabapentinoids, and ...
Jennifer Seddon +7 more
wiley +1 more source
A multi- and mixed-method adaptation study of a patient-centered perioperative mental health intervention bundle [PDF]
BACKGROUND: Anxiety and depression are common among older adults and can intensify during perioperative periods, but few mental health interventions are designed for older surgical patients\u27 unique needs. As part of the feasibility trial, we developed
Abraham, Joanna +8 more
core +2 more sources
The synergistic effect of anticholinergic burden and depression on fall risk in older persons
Aims Both anticholinergic burden (ACB) and depression are known to increase fall risk in older persons, next to increasing morbidity and mortality. However, the effect of depression on fall risk associated with ACB is unclear. This is relevant because several antidepressants have anticholinergic effects to some extent.
Raymond Salet +7 more
wiley +1 more source
Deprescribing: Less is More for Elderly Patients? [PDF]
published_or_final_versio
Kong, Tak Kwan
core
Prevalence, Characteristics and Determinants of Polypharmacy Among Elderly Patients Attending Primary Health Care Centers in Bahrain: A cross-sectional study [PDF]
Objectives: This study aims to determine the prevalence, characteristics and determinants of polypharmacy among elderly patients in Bahrain. Methods: A cross-sectional study was conducted in the period between March and April 2022 in all primary ...
Al-Buainain, Muneera +4 more
core +2 more sources
A geriatrician's approach to managing the complex older adult with obesity
Abstract The prevalence of obesity in older adults is rapidly increasing due to the demographic shift occurring globally. Older adults with obesity face health care challenges due to multimorbidity, functional dependency, and disability. This population often has prior history of struggles through weight‐loss attempts during the middle years of life ...
Shenbagam Dewar
wiley +1 more source

