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Related Experiment Videos

Prescribing for seniors: it's a balancing act.

S L Schafer1

  • 1Kaiser Permanente, Atlanta, GA, USA. sandy.schafer@kp.org

Journal of the American Academy of Nurse Practitioners
|April 5, 2002
PubMed
Summary

For seniors, prioritize non-drug therapies first. Prescribe medications when necessary, but reduce the total number to minimize risks and adverse drug reactions.

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Area of Science:

  • Geriatric Medicine
  • Pharmacology
  • Evidence-Based Practice

Background:

  • Polypharmacy is prevalent in older adults, increasing risks.
  • Balancing medication necessity with potential harms is crucial for seniors.

Purpose of the Study:

  • To outline a rational approach to medication prescribing for seniors.
  • To balance the need for medications with minimizing the number of drugs used.

Main Methods:

  • Review of evidence-based literature.
  • Incorporation of clinical experience.

Main Results:

  • Non-pharmacological treatments should be considered first.
  • Medications should not be withheld solely based on age.
  • Reducing medication count lowers adverse event and drug-interaction risks.

Conclusions:

  • Prioritize medication list review before new prescriptions.
  • Regular follow-up is essential to monitor efficacy and side effects.
  • Discontinue medications promptly when no longer indicated.

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