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
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
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
4
Q
What tool can you use in a medication review?
A
NO TEARS tool
5
Q
What are the seven steps to medication review?
A
- Assess patient
- Define patient goals
- Identify inappropriate drugs using NO TEARS
- Assess each drug for risks vs benefits
- Continue, Stop or Reduce dose
- Communicate with other healthcare practitioners
- Monitor and review
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
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
