Strategies to De-prescribe in the Geriatric Population MedChat

Strategies to DePrescribe in the Geriatric Population
 
Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat50
 
Target Audience            
This activity is targeted toward primary care and geriatric healthcare providers and advanced providers.
 
Statement of Need 
When patients are being treated by multiple providers and/or by a variety of physicians, The caregivers may not be aware of the complete prescription listing a patient has been prescribed. This is especially true if the patient sees providers in multiple healthcare systems, in that a centralized list may not be available in the electronic medical record. These circumstances may lead to potentially inappropriate prescribing (over-, mis- or underprescribing). Additionally, physicians/providers may not routinely do a medication review with patients that are at risk of polypharmacy.
 
Objectives 
At the conclusion of this offering, the participant will be able to: 
1.     Define polypharmacy; highlighting the prevalence.
2.     List the factors that contribute to polypharmacy. 
3.     Describe the risk factors of polypharmacy. 
4.     Review effective strategies for deprescribing of medications.
5.     Discuss key considerations for prescribing new medications.
 
Moderator
Monalisa Tailor, M.D.
Internal Medicine
Norton Community Medical Associates
Norton Healthcare
Louisville, Kentucky
 
Speakers
Steve Patton, D.O.
Family Practitioner
Norton Community Medical Associates - Preston
Norton Healthcare
Louisville, Kentucky
 
Amanda Thurman, PharmD
Norton Audubon Hospital
Norton Healthcare
Louisville, Kentucky 
 
Moderator, Speaker and Planner Disclosures  
The planners and moderator of this activity do not have any relevant relationships to disclose. The speaker, Amanda Thurman, PharmD, has a relevant relationship with Novo Nordisk – Diabetes as a Speaker. This relationship has been successfully mitigated.
 
Commercial Support  
There was no commercial support for this activity. 
 
Physician Credits
Accreditation 
Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.
 
Designation 
Norton Healthcare designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Nursing Credits
Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This continuing professional development activity has been approved for 1.0 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. 
 
For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.
 
Resources for Additional Study:
STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress
Denis O’Mahony (2020) STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress, Expert Review of Clinical Pharmacology, 13:1, 15-22, DOI: 10.1080/17512433.2020.1697676
https://www.tandfonline.com/doi/full/10.1080/17512433.2020.1697676
 
American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults
https://pubmed.ncbi.nlm.nih.gov/30693946/
 
 
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