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Deprescribing attitudes and predictors among older adults attending geriatric clinics in Kuwait.
PLoS One
December 2024
Department of Clinical and Pharmaceutical Sciences, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, United Kingdom.
Deprescribing is defined as the reduction of medications to improve patient care. For effective deprescribing regular evaluation of medication adjustment regimens is required as it is documented to be an effective method to reduce polypharmacy and potentially inappropriate medications while improving patient well-being. Several factors, including patient-related aspects, influence the deprescribing process.
View Article and Find Full Text PDFExploring the pharmacist role in insomnia management and care provision: A scoping review.
J Am Pharm Assoc (2003)
December 2024
School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia; CIRUS Sleep and Chronobiology Research Group, Woolcock Institute of Medical Research, Sydney, NSW, Australia.
Background: Insomnia is a highly burdensome sleep disorder, with a global prevalence of approximately 30% in adults. Insomnia has negative effects on daily functioning and can play a pivotal role in the development and progression of comorbid mental and physical disease. Therefore, appropriate and timely management is essential.
View Article and Find Full Text PDFMedication Transitions of Care in Trauma and Acute Care Surgery Patients.
Crit Care Nurse
December 2024
Stephen J. Lemon is a clinical pharmacy specialist in informatics, quality, and data analytics, Department of Pharmacy, University of Florida Health Shands Hospital.
Background: Although the benefits of improved transitions of care regarding medications are widely known, implementation is variable among inpatient settings and populations and requires an interprofessional effort. This article reviews the body of published research on challenges with medication history taking and reconciliation for inpatients requiring treatment of traumatic injuries or surgical intervention.
Review Of Evidence: A comprehensive search of PubMed and MEDLINE databases from inception to February 2021, the reference lists of qualifying articles, and PubMed's "similar article" suggestions were used to identify publications based on the following key terms: patient transfer, transitional care, medication reconciliation, general surgery, and surgical procedures.
Antipsychotic, benzodiazepine and Z-drug prescriptions in a Swiss hospital network in the Choosing Wisely and COVID-19 eras: a longitudinal study.
Swiss Med Wkly
November 2024
Department of Internal Medicine, Regional Hospital of Bellinzona and Valli, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
Aims Of The Study: Physicians frequently prescribe antipsychotics off-label to treat, among others, insomnia and anxiety. The Swiss "smarter medicine - Choosing Wisely" campaign has tried to raise awareness about the risks and to limit benzodiazepine and Z-drug prescriptions. In the Italian-speaking part of Switzerland, our network of public hospitals joined the campaign with the aim of avoiding unnecessary benzodiazepine and Z-drug treatments, with prescription monitoring, benchmarking and educational contributions.
View Article and Find Full Text PDFDesprescribing antihypertensives in older people in primary care: subgroup analysis of the MINOR randomised clinical trial.
Int J Clin Pharm
November 2024
Programa de Pós-Graduação em Assistência Farmacêutica em Associação de Instituições de Ensino Superior, Faculdade de Farmácia, Universidade Federal da Bahia, Salvador, Vitória da Conquista, BA, 45055-090, Brazil.
Background: Polypharmacy is often required for older adults with hypertension, and excessive treatment is associated with a high risk of adverse reactions, including hypotension.
Aim: To evaluate the deprescribing of antihypertensive medications guided by pharmacists using home blood pressure monitoring in older adults with hypotension.
Method: A subgroup of older adults with signs or symptoms of hypotension, included in the MINOR clinical trial, was analysed.
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