Deprescribing
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Questions and Answers

What percentage of people do not take their medicines as intended?

  • 70-80%
  • 50-70%
  • 20-30%
  • 30-50% (correct)

    • What is the estimated total NHS expenditure on medicines in 20/21?

  • £25.7 billion
  • £16.7 billion (correct)
  • £20.7 billion
  • £10.7 billion

    • What is the term for a prescribing cascade that begins when a drug is prescribed, an adverse drug event occurs, and a subsequent drug is prescribed to treat this drug-induced adverse event?

  • Prescribing cascade (correct)
  • Medicines optimisation
  • Polypharmacy
  • Adverse drug reaction

    • What is the main goal of appropriate polypharmacy?

    <p>To maintain good quality of life, improve longevity, and minimise harm from drugs</p> Signup and view all the answers

    What is the prevalence of people in England regularly prescribed 5 or more medicines?

    <p>8.4 million</p> Signup and view all the answers

    What is the estimated percentage of hospital admissions for adverse reactions to medicines that could be avoided?

    <p>Over 70%</p> Signup and view all the answers

    What is the term for the gradual loss of bodily reserves over time, leading to decreased resilience to external stressors?

    <p>Frailty</p> Signup and view all the answers

    What is the main reason for the research gap in older people, according to the text?

    <p>Disease-specific guidelines derived from clinical trials that enlist younger cohorts</p> Signup and view all the answers

    What is the term for the use of a medicine where there is a better non-pharmacological alternative, or the use is inappropriate for that patient's circumstances and wishes?

    <p>Inappropriate prescribing</p> Signup and view all the answers

    What is the estimated percentage of people who experience one or more hospital admissions due to adverse effects of medicines?

    <p>1 in 5</p> Signup and view all the answers

    What is the primary reason for the increasing importance of deprescribing in the UK?

    <p>The ageing population and the subsequent increase in polypharmacy</p> Signup and view all the answers

    What is the definition of multimorbidity according to NICE (2016)?

    <p>The co-existence of 2 or more long-term conditions</p> Signup and view all the answers

    What is the prevalence of multimorbidity in England, according to Cassell et al. (2018)?

    <p>27.2%</p> Signup and view all the answers

    What is the term used to describe the process of managing multiple medications for multiple conditions?

    <p>Polypharmacy</p> Signup and view all the answers

    What is the expected outcome of deprescribing in an ageing population?

    <p>Optimised medicines use</p> Signup and view all the answers

    What is the key principle of person-centered care in the context of deprescribing?

    <p>Focusing on the patient's individual needs and preferences</p> Signup and view all the answers

    What is the primary goal of deprescribing?

    <p>Managing polypharmacy and improving outcomes</p> Signup and view all the answers

    What is a key consideration in the 5-step deprescribing process?

    <p>Medication appropriateness and potential harm</p> Signup and view all the answers

    What is the focus of person-centered care?

    <p>What matters to the person</p> Signup and view all the answers

    What is the purpose of the STOPP/START criteria?

    <p>Identifying potentially inappropriate polypharmacy</p> Signup and view all the answers

    What is a key principle of the NHS Scotland Polypharmacy guide and app?

    <p>A patient-centered approach is essential in deprescribing</p> Signup and view all the answers

    What is a potential consequence of deprescribing?

    <p>Withdrawal or rebound symptoms</p> Signup and view all the answers

    What is the purpose of the 5-step deprescribing process?

    <p>To improve patient safety and quality of life</p> Signup and view all the answers

    What is the primary goal of the deprescribing process?

    <p>To reduce the number of medications a patient is taking.</p> Signup and view all the answers

    What is the main reason for reviewing the medication regimen of the 83-year-old female in the case study?

    <p>She is experiencing adverse effects from her medications.</p> Signup and view all the answers

    What is a consideration in determining whether to stop a medication?

    <p>The patient's physical functioning, co-morbidities, and preferences</p> Signup and view all the answers

    What is the importance of the Anticholinergic burden (ACB) risk scales?

    <p>Screening for anticholinergic burden in older adults</p> Signup and view all the answers

    What is the purpose of the STOPP criteria?

    <p>To identify potentially inappropriate medications for older adults.</p> Signup and view all the answers

    What is the focus of the Welsh Polypharmacy in Older People guide?

    <p>Polypharmacy management in older adults</p> Signup and view all the answers

    What is the main challenge to deprescribing, according to the text?

    <p>Lack of clinician resistance and training.</p> Signup and view all the answers

    What is the main benefit of deprescribing, according to the text?

    <p>Reduced risk of adverse effects.</p> Signup and view all the answers

    What is the primary goal of the Beers Criteria?

    <p>To identify medications that should be avoided in older adults.</p> Signup and view all the answers

    What is the main reason for tapering medications gradually?

    <p>To reduce the risk of withdrawal symptoms.</p> Signup and view all the answers

    What is the purpose of the START criteria?

    <p>To identify potential prescribing omissions for older adults.</p> Signup and view all the answers

    What is the main challenge to implementing deprescribing in clinical practice?

    <p>Lack of clinician resistance and training.</p> Signup and view all the answers

    What is the primary goal of the Medstopper website?

    <p>To provide education and training for clinicians.</p> Signup and view all the answers

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