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Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing

Deprescribing is complex and multifactorial with multiple approaches described in the literature. Internationally, there are guidelines and tools available to aid clinicians and patients to identify and safely withdraw inappropriate medications, post a shared decision-making medicines optimisation r...

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Detalles Bibliográficos
Autores principales: Le Bosquet, Katherine, Barnett, Nina, Minshull, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789835/
https://www.ncbi.nlm.nih.gov/pubmed/31484305
http://dx.doi.org/10.3390/pharmacy7030129
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author Le Bosquet, Katherine
Barnett, Nina
Minshull, John
author_facet Le Bosquet, Katherine
Barnett, Nina
Minshull, John
author_sort Le Bosquet, Katherine
collection PubMed
description Deprescribing is complex and multifactorial with multiple approaches described in the literature. Internationally, there are guidelines and tools available to aid clinicians and patients to identify and safely withdraw inappropriate medications, post a shared decision-making medicines optimisation review. The increase in available treatments and use of single disease model guidelines have led to a healthcare system geared towards prescribing, with deprescribing often seen as a separate activity. Deprescribing should be seen as part of prescribing, and is a key element in ensuring patients remain on the most appropriate medications at the correct doses for them. Due to the complex nature of polypharmacy, every patient experience and relationship with medications is unique. The individual’s history must be incorporated into a patient-centred medication review, in order for medicines to remain optimal through changes in circumstance and health. Knowledge of the law and appropriate recording is important to ensure consent is adequately gained and recorded in line with processes followed when initiating a medication. In recent years, with the increase in interested clinicians globally, a number of prominent networks have grown, creating crucial links for both research and sharing of good practice.
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spelling pubmed-67898352019-10-16 Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing Le Bosquet, Katherine Barnett, Nina Minshull, John Pharmacy (Basel) Article Deprescribing is complex and multifactorial with multiple approaches described in the literature. Internationally, there are guidelines and tools available to aid clinicians and patients to identify and safely withdraw inappropriate medications, post a shared decision-making medicines optimisation review. The increase in available treatments and use of single disease model guidelines have led to a healthcare system geared towards prescribing, with deprescribing often seen as a separate activity. Deprescribing should be seen as part of prescribing, and is a key element in ensuring patients remain on the most appropriate medications at the correct doses for them. Due to the complex nature of polypharmacy, every patient experience and relationship with medications is unique. The individual’s history must be incorporated into a patient-centred medication review, in order for medicines to remain optimal through changes in circumstance and health. Knowledge of the law and appropriate recording is important to ensure consent is adequately gained and recorded in line with processes followed when initiating a medication. In recent years, with the increase in interested clinicians globally, a number of prominent networks have grown, creating crucial links for both research and sharing of good practice. MDPI 2019-09-03 /pmc/articles/PMC6789835/ /pubmed/31484305 http://dx.doi.org/10.3390/pharmacy7030129 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Le Bosquet, Katherine
Barnett, Nina
Minshull, John
Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing
title Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing
title_full Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing
title_fullStr Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing
title_full_unstemmed Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing
title_short Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing
title_sort deprescribing: practical ways to support person-centred, evidence-based deprescribing
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789835/
https://www.ncbi.nlm.nih.gov/pubmed/31484305
http://dx.doi.org/10.3390/pharmacy7030129
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