Benzodiazepines and Geriatrics: What Clinical Practice Strategies Can Be Used to Reduce the Inappropriate Prescribing?
| Autor: | Donna Cook, Ronald Lee Tyson, Jason A. Gregg |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Mental Health Services
medicine.medical_specialty Beers Criteria Poison control Physical Therapy Sports Therapy and Rehabilitation Inappropriate Prescribing Rehabilitation Nursing Decision Support Techniques 03 medical and health sciences Benzodiazepines 0302 clinical medicine Risk Factors Injury prevention Health care medicine Humans 030212 general & internal medicine Risk factor Intensive care medicine General Nursing Aged Geriatrics Aged 80 and over 030214 geriatrics business.industry Rehabilitation General Medicine medicine.disease Inappropriate Prescriptions United States Medical emergency business Medicaid |
| Zdroj: | Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses. 41(5) |
| ISSN: | 2048-7940 |
| Popis: | In the elderly, Potentially Inappropriate Prescriptions (PIPs) are quite common and connected with adverse drug events (ADEs), hospital stays, increased medical acuities, and inefficacious healthcare. Benzodiazepines as a class have been identified as an independent risk factor for ADE's and shown to be associated with sedation and impairments in cognition, memory, and balance, lending to an increased risk for falls. Clinically inappropriate medications continue to be prescribed and preferred by many clinicians over non-pharmacological strategies despite continued evidence demonstrating poor outcomes in older adults. Due to the increasing evidence in positive elderly outcomes through the reduction in use of inappropriate drugs, medication reduction strategies are now required policy components in the Centers for Medicare and Medicaid Services regulations along with Medicare Part D. Quality measures now focus on extensive drug reviews with reduction strategies that incorporate use of: the Beers Criteria; multidisciplinary approaches; involving patients and caregivers; and de-prescribing strategies. |
| Databáze: | OpenAIRE |
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