Deprescribing to increase people health or when deprescribing could be the best pill
The increasing longevity of the population, the increase in morbidity and the consumption of medications have caused that polypharmacy is a priority health problem due to its consequences: increase of adverse effects, pharmacological interactions and favor the functional deterioration of the patient...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2018 |
| País: | España |
| Institución: | Conselleria de Salut i Consum del Govern de les Illes Balears |
| Repositorio: | Docusalut |
| Idioma: | español |
| OAI Identifier: | oai:docusalut.com:20.500.13003/17276 |
| Acceso en línea: | https://hdl.handle.net/20.500.13003/17276 |
| Access Level: | acceso abierto |
| Palabra clave: | Deprescriptions Family Practice Terminal Care Frail Elderly Neurodegenerative Diseases Humans Polypharmacy Aged Primary Health Care Polifarmacia Anciano Frágil Cuidado Terminal Deprescripciones Atención Primaria de Salud Medicina Familiar y Comunitaria Anciano Enfermedades Neurodegenerativas Humanos Inappropriate prescribing Frail elderly Deprescription Drug therapy |
| Sumario: | The increasing longevity of the population, the increase in morbidity and the consumption of medications have caused that polypharmacy is a priority health problem due to its consequences: increase of adverse effects, pharmacological interactions and favor the functional deterioration of the patient. The clinical situation of the patients changes over time and it is necessary to adjust the medication in each stage, assessing the fragility, the level of dependence and the functional deterioration. Deprescription is complex and requires an adequate clinical and pharmacological formation. In Primary Care lies the greater knowledge of the patient and their environment, and in a shared way with the patient and caregivers, it is necessary to assess which drugs to maintain and which ones to withdraw from a clinical, ethical and social perspective. There are tools to help deprescription that can be useful for Primary Care to facilitate this process and that are detailed in this article. |
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