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Guiding Principles for the Care of Older Adults with Multimorbidity

October 1, 2012 Comments off

Guiding Principles for the Care of Older Adults with Multimorbidity

Source: American Geriatrics Society

According to the Robert Wood Johnson Foundation, three out of four adults over the age of 65 have multiple chronic conditions. Improving care of these individuals is a priority for the Department of Health and Human Services and they are a focus of Healthy People 2020. The American Geriatrics Society has long focused on how best to care for this population and we are pleased to provide resources and tools to assist clinicians in providing optimal care to older adults with multiple chronic health problems.

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American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults

April 19, 2012 Comments off

American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults (PDF)

Source:  American Geriatrics Society
Potentially inappropriate medications (PIMs) continue to be prescribed and used as first-line treatment for the most vulnerable of older adults, despite evidence of poor outcomes from the use of PIMs in older adults. PIMs now form an integral part of policy and practice and are incorporated into several quality measures. The specific aim of this project was to update the previous Beers Criteria using a comprehensive, systematic review and grading of the evidence on drug-related problems and adverse drug events (ADEs) in older adults. This was accomplished through the support of The American Geriatrics Society (AGS) and the work of an interdisciplinary panel of 11 experts in geriatric care and pharmacotherapy who applied a modi- fied Delphi method to the systematic review and grading to reach consensus on the updated 2012 AGS Beers Criteria. Fifty-three medications or medication classes encompass the final updated Criteria, which are divided into three categories: potentially inappropriate medications and classes to avoid in older adults, potentially inappropriate medications and classes to avoid in older adults with certain diseases and syndromes that the drugs listed can exacerbate, and finally medications to be used with caution in older adults. This update has much strength, including the use of an evidence-based approach using the Institute of Medicine standards and the development of a partnership to regularly update the Criteria. Thoughtful application of the Criteria will allow for (a) closer monitoring of drug use, (b) application of real-time e-prescribing and interventions to decrease ADEs in older adults, and (c) better patient outcomes.
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