Deprescribing

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?

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

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

8.4 million Signup and view all the answers

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

Over 70% 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?

Frailty Signup and view all the answers

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

Disease-specific guidelines derived from clinical trials that enlist younger cohorts 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?

Inappropriate prescribing 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?

1 in 5 Signup and view all the answers

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

The ageing population and the subsequent increase in polypharmacy Signup and view all the answers

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

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

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

27.2% Signup and view all the answers

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

Polypharmacy Signup and view all the answers

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

Optimised medicines use Signup and view all the answers

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

Focusing on the patient's individual needs and preferences Signup and view all the answers

What is the primary goal of deprescribing?

Managing polypharmacy and improving outcomes Signup and view all the answers

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

Medication appropriateness and potential harm Signup and view all the answers

What is the focus of person-centered care?

What matters to the person Signup and view all the answers

What is the purpose of the STOPP/START criteria?

Identifying potentially inappropriate polypharmacy Signup and view all the answers

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

A patient-centered approach is essential in deprescribing Signup and view all the answers

What is a potential consequence of deprescribing?

Withdrawal or rebound symptoms Signup and view all the answers

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

To improve patient safety and quality of life Signup and view all the answers

What is the primary goal of the deprescribing process?

To reduce the number of medications a patient is taking. 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?

She is experiencing adverse effects from her medications. Signup and view all the answers

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

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

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

Screening for anticholinergic burden in older adults Signup and view all the answers

What is the purpose of the STOPP criteria?

To identify potentially inappropriate medications for older adults. Signup and view all the answers

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

Polypharmacy management in older adults Signup and view all the answers

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

Lack of clinician resistance and training. Signup and view all the answers

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

Reduced risk of adverse effects. Signup and view all the answers

What is the primary goal of the Beers Criteria?

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

What is the main reason for tapering medications gradually?

To reduce the risk of withdrawal symptoms. Signup and view all the answers

What is the purpose of the START criteria?

To identify potential prescribing omissions for older adults. Signup and view all the answers

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