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Reducing pill burden and helping with medication awareness to improve adherence

Reducing pill burden and helping with medication awareness to improve adherence CASE REPORT Peer-reviewed Reducing pill burden and helping with medication awareness to improve adherence Barbara Farrell, BScPhm, PharmD, FSCHP; Véronique French Merkley, MD, CCFP, CoE; Nafisa Ingar, HonBSc dyslipidemia, a recent stroke, hypothyroidism, Introduction osteoporosis, gout, restless leg syndrome and Medication nonadherence can be intentional psoriatic arthritis. She had recently scored 14 when polypharmacy and high pill burden of 30 on the Montreal Cognitive Assessment become overwhelming for patients. At the (MOCA) (normal being ≥26) (www.mocatest. Bruyère Geriatric Day Hospital (GDH), patients org). At the initial assessment, her daughter raised referred for medication review take an average of concerns about progressive memory loss and 15 medications. The resulting complex regimens reported a family history of Alzheimer disease. can lead to confusion about indications for Low mood/unresolved grief, decreased mobility medications, lack of certainty in their ee ff ctiveness and endurance, and ongoing pain (particularly and frustration. Patients increasingly believe that in her right heel) were also identified as active the multiple medications may not be needed and issues. e Th patient was independent with her oe ft n elect to stop taking some or all of them. activities of daily living and shared responsibility iTh s case illustrates an http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Canadian Pharmacists Journal / Revue des Pharmaciens du Canada SAGE

Reducing pill burden and helping with medication awareness to improve adherence

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References (16)

Publisher
SAGE
Copyright
© The Author(s) 2013
ISSN
1715-1635
eISSN
1913-701X
DOI
10.1177/1715163513500208
pmid
24093037
Publisher site
See Article on Publisher Site

Abstract

CASE REPORT Peer-reviewed Reducing pill burden and helping with medication awareness to improve adherence Barbara Farrell, BScPhm, PharmD, FSCHP; Véronique French Merkley, MD, CCFP, CoE; Nafisa Ingar, HonBSc dyslipidemia, a recent stroke, hypothyroidism, Introduction osteoporosis, gout, restless leg syndrome and Medication nonadherence can be intentional psoriatic arthritis. She had recently scored 14 when polypharmacy and high pill burden of 30 on the Montreal Cognitive Assessment become overwhelming for patients. At the (MOCA) (normal being ≥26) (www.mocatest. Bruyère Geriatric Day Hospital (GDH), patients org). At the initial assessment, her daughter raised referred for medication review take an average of concerns about progressive memory loss and 15 medications. The resulting complex regimens reported a family history of Alzheimer disease. can lead to confusion about indications for Low mood/unresolved grief, decreased mobility medications, lack of certainty in their ee ff ctiveness and endurance, and ongoing pain (particularly and frustration. Patients increasingly believe that in her right heel) were also identified as active the multiple medications may not be needed and issues. e Th patient was independent with her oe ft n elect to stop taking some or all of them. activities of daily living and shared responsibility iTh s case illustrates an

Journal

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada – SAGE

Published: Sep 1, 2013

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