Wednesday, March 5, 2014

"Choosing Wisely" -- Recommendations for Medications & Treatments in Senior Care

The American Geriatrics Society and the American Board of Internal Medicine Foundation have joined in a venture called "Choosing Wisely," and recently issued "Five Things Physicians and Patients Should Question." 

The items are intended to stimulate more thoughtful decision making, especially in dementia care, and address diet, restraints, and use of screening tests.  Two items that hit home include:

  • Don't prescribe cholinesterase inhibitors for dementia without periodic assessment for perceived cognitive benefits and adverse gastrointestinal effects.
  • Don't prescribe any medication without conducting a drug regimen review.

This "Five Things" list was actually the second set of "Choosing Wisely" recommendations.  Here's a link to the important first list, which includes the concern about off-label prescriptions of antipsychotic medications to treat symptoms in dementia, a topic that has also been the subject of major whistleblower cases and settlements involving the pharmaceutical industry. 

http://lawprofessors.typepad.com/elder_law/2014/03/choosing-wisely-recommendations-for-medications-treatments-in-senior-care.html

Cognitive Impairment, Consumer Information, Dementia/Alzheimer’s, Ethical Issues, Health Care/Long Term Care | Permalink

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Comments

My dad was telling me about how he is liking senior care the other day. It seems good just a little constricted. That kind of needs to happen for them though. I just hope he will stay in there. http://www.comforcare.com/pennsylvania/lancaster

Posted by: Michael Williams | Aug 15, 2014 10:50:40 AM

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