ITEMS IN AFP WITH KEYWORD:
The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality, primarily due to increased cancer-related mortality.
Polypharmacy, commonly defined as the use of at least five medications, can have negative consequences for both the patient and health care system. Physicians should identify and prioritize medications to discontinue and discuss potential deprescribing with patients. A specific follow-up plan should be developed, including reviewing the patient’s medication list at every visit.
The limited rigorous data on deprescribing suggest that many patients can safely stop unnecessary medication, but symptom relapse is significant.
There are four important medication issues to discuss with patients as they get older. Find out more and learn the five steps to individualize deprescribing practices for each patient.
Jan 1, 2019 Issue
Deprescribing Benzodiazepine Receptor Agonists for Insomnia in Adults [Practice Guidelines]
A multidisciplinary group of clinicians as part of the Deprescribing Guidelines in the Elderly project has developed evidence-based guidelines focused on deprescribing long-term Benzodiazepine receptor agonists (BZRAs) in patients taking them for insomnia, with the goal of helping physicians and patients make appropriate decisions about BZRA use.
Poems written by a 102-year-old living independently.
During a geriatric preoperative assessment, the physician should address potential risks and benefits of surgery in the context of the patient’s goals and overall health. The assessment should evaluate key areas such as medical comorbidities, cognitive function, decision-making capacity, frailty, fall risk, nutrition, and inappropriate medication use.
The goal of the geriatric assessment is to evaluate factors that influence patients’ overall well-being and to identify problems that impair quality of life. Typical domains to assess include functional status, fall risk, medications, nutrition, vision, hearing, cognition, mood, and toileting. Medicare’s Annual Wellness Visit provides an opportunity to address these elements in a single office visit.
In this meta-analysis, older patients with cognitive impairment who were exposed to light therapy had moderate improvements in behavioral disturbances, small improvements in sleep quality, and moderate improvements in depression. The authors did not report data on responders vs. nonresponders or on the potential adverse effects of treatment.