| Discontinuation of unnecessary medications in older adults. | |
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MedLine Citation:
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PMID: 22079794 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: Identifying and managing the use of medications that may be discontinued is a daunting task for the health care team, especially for the consultant pharmacist. This article discusses a framework to evaluate the risks and benefits of medications. A case-based approach will be employed to demonstrate the application of evidence-based medicine and the challenges that pharmacists face in attempting to discontinue medications in older adults. DATA SOURCES: Medline and Micromedex were used as resources for primary literature as well as drug information. STUDY SELECTION: Studies were identified based on their relevance to the case to demonstrate the importance of applying emerging literature and evidence-based medicine. DATA EXTRACTION: Guidelines on managing osteoporosis as well as diabetes in older adults were used for this case. DATA SYNTHESIS: A structured framework was applied to demonstrate considerations when tackling challenging medication regimens. CONCLUSION: Patient-centered, individualized medication regimens need to be developed and updated based on the needs of the patient as well as the wishes of the family and caregivers. This is a dynamic process that benefits from the consultant pharmacist, who understands the complexity of the medications and is essential to addressing the use of unnecessary medications. |
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Authors:
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Nicole J Brandt; Richard G Stefanacci |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists Volume: 26 ISSN: 0888-5109 ISO Abbreviation: Consult Pharm Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9013983 Medline TA: Consult Pharm Country: United States |
Other Details:
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Languages: eng Pagination: 845-54 Citation Subset: IM |
Affiliation:
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University of Maryland School of Pharmacy, Baltimore, Maryland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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