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Managing Medications in Clinically Complex Elders

Managing Medications in Clinically Complex Elders CARE OF THE AGING PATIENT: CLINICIAN’S CORNER FROM EVIDENCE TO ACTION Managing Medications in Clinically Complex Elders “There’s Got to Be a Happy Medium” Michael A. Steinman, MD Multiple medication use is common in older adults and Joseph T. Hanlon, PharmD, MS may ameliorate symptoms, improve and extend quality of life, and occasionally cure disease. Unfortunately, mul- PATIENT’S STORY tiple medication use is also a major risk factor for pre- Mr L is an 84-year-old man with dementia and a medical scribing and adherence problems, adverse drug events, and history of atrial fibrillation, diabetes mellitus, hyperten- other adverse health outcomes. Using the case of an older sion, hyperlipidemia, chronic kidney disease, gastritis, and gastroesophageal reflux disease. His past surgeries include patient taking multiple medications, this article summa- a transurethral bladder resection for bladder cancer with sub- rizes the evidence-based literature about improving medi- sequent urinary incontinence and a lumbar decompres- cation use and withdrawing specific drugs and drug classes. sion for spinal stenosis in 2008. It also describes a systematic approach for how health pro- Mr L lives with his wife, Mrs L, who also cares for him. fessionals can assess and improve medication regimens He is a retired http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Managing Medications in Clinically Complex Elders

JAMA , Volume 304 (14) – Oct 13, 2010

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2010.1482
pmid
20940385
Publisher site
See Article on Publisher Site

Abstract

CARE OF THE AGING PATIENT: CLINICIAN’S CORNER FROM EVIDENCE TO ACTION Managing Medications in Clinically Complex Elders “There’s Got to Be a Happy Medium” Michael A. Steinman, MD Multiple medication use is common in older adults and Joseph T. Hanlon, PharmD, MS may ameliorate symptoms, improve and extend quality of life, and occasionally cure disease. Unfortunately, mul- PATIENT’S STORY tiple medication use is also a major risk factor for pre- Mr L is an 84-year-old man with dementia and a medical scribing and adherence problems, adverse drug events, and history of atrial fibrillation, diabetes mellitus, hyperten- other adverse health outcomes. Using the case of an older sion, hyperlipidemia, chronic kidney disease, gastritis, and gastroesophageal reflux disease. His past surgeries include patient taking multiple medications, this article summa- a transurethral bladder resection for bladder cancer with sub- rizes the evidence-based literature about improving medi- sequent urinary incontinence and a lumbar decompres- cation use and withdrawing specific drugs and drug classes. sion for spinal stenosis in 2008. It also describes a systematic approach for how health pro- Mr L lives with his wife, Mrs L, who also cares for him. fessionals can assess and improve medication regimens He is a retired

Journal

JAMAAmerican Medical Association

Published: Oct 13, 2010

References