13 - Medicine Optimisation Flashcards

1
Q

What does STOPP START tool mean?

A

STOPP: Screening tool of older people’s prescriptions

START: screening tool to alert to right treatment

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2
Q

Can community pharmacists do a medicines use review?

A

No because they only have access to a summary care record which does not include fraility score and no access to system one

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3
Q

What is the anticholinergic cognitive burden scale? (ACBS)

A

For each anticholinergic a person is taking increases the risk of cognitive impairment by 46% in 6 years

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4
Q

What tool can you use in a medication review?

A

NO TEARS tool

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5
Q

What are the seven steps to medication review?

A
  1. Assess patient
  2. Define patient goals
  3. Identify inappropriate drugs using NO TEARS
  4. Assess each drug for risks vs benefits
  5. Continue, Stop or Reduce dose
  6. Communicate with other healthcare practitioners
  7. Monitor and review
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6
Q

What are some reasons we need to review elderly people’s medications more often?

A
  • Declining renal function
  • Reduction in receptor sites as you get older
  • Adverse drug reactions more common
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7
Q

How can you work out a patient’s frailty score initially?

A
  • Cut off score of >3 needs further investigation for frailty
  • Look at Rockwood Frailty Score
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