Tag Archives: Multiple Medications (Polypharmacy)

Multi-Morbidity Re-Visited (BBC News / Academy of Medical Sciences / Health Foundation)

Posted on April 22, 2018 by Dementia and Elderly Care News

Summary The Academy of Medical Sciences has produced a report on the unprecedented burden of “multi-morbidity”, i.e. the clustering of two or more physical and mental health conditions in the same patient. This is a summary of emerging evidence on … Continue reading →

NHS England’s Pharmacy Integration Fund (NHS England / BBC News)

Posted on March 18, 2018 by Dementia and Elderly Care News

Summary Care home residents often have multiple long-term conditions and are often prescribed several different medicines (polypharmacy). NHS England plans to fund recruitment of 180 pharmacists and 60 pharmacy technicians who will work with care homes to try to reduce … Continue reading →

Posted in BBC News, Commissioning, Community Care, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, NHS England, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Achieving Better Value, Ageing Population, Alternatives to Hospital Admission, BBC Health News, Better Value, Better Value Healthcare, Better Value in the NHS, Care and Support for People With Dementia in Care Homes, Care Home Pharmacists, Care Home Pharmacists to Cut Overmedication, Care Homes, Care of Frail Older People With Complex Needs, Care of Older People Living in Care Homes, Clinical Pharmacists, Community Pharmacists, Community-Based Interventions, Community-Based Services, Community-Based Support, Confusion in Care Homes, Dementia Care in Care Homes, Discontinuation of Multiple Medications in Older Adults, Drug Cost Savings, East and North Hertfordshire NHS Trust, Economic Sustainability, English Pharmacy Board, Financial Constraints, Financial Sustainability in the NHS, Frail Older People, Good Practice in Care Homes, Harms of Too Much Medicine, Hospital Pharmacists, Hospital‑Based Multidisciplinary Teams: Pharmacists, Imelda Redmond: Healthwatch England, Improving Care for Frail Older People, Improving Patient Safety, Improving Pharmaceutical Care in Care Homes, Improving Prescribing Practice, Improving Standards in Care Homes, Inappropriate Drug Use, Inappropriate Medication, Inappropriate Prescribing, Integrated Care in Northumberland, Interdisciplinary Teams, Later Life, Less is More, Liaison and In-Reach Services for Frail Older People, Living Well in Care Homes, Long-Term Conditions (LTCs), Lowering Costs, Managing Medicines in Care Homes, MDTs: Multidisciplinary Teams, Medical Overuse, Medication Reviews, Medication Reviews in Care Homes, Models of Enhanced Health in Care Homes, Multi-Disciplinary Team (MDT), Multi-Disciplinary Teams, Multi-Disciplinary Working, Multi-Morbidities, Multimorbidities and Long-Term Conditions, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), NHS East and North Hertfordshire CCG, NHS England Local Area Teams: Frail Older People With Complex Needs, NHS England Pharmacy Integration Fund, Northumberland, Older Care Home Residents, Older People, Older People With Complex Needs, Older People's Care, Oral Nutritional Support, Over-Medication, Over-Prescribing, Over-Treatment, Overdiagnosis and Overtreatment, Overmedicaton in Care Homes, Overprescription, Overuse of Medication, Patient Harms, Patient Safety, Patients With Polypharmacy Risks, Pharmacist-Led Care Home Medication Reviews, Pharmacist-Led Medication Reviews, Pharmacists, Pharmacists to Cut Unnecessary Hospital Admissions, Pharmacy Integration Fund (NHS England), Pharmacy Technicians, Polypharmacy, Potentially Inappropriate Prescribing, Preventable Hospital Admissions, Preventative Care, Preventing Acute Admissions from Care Homes, Prevention, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Preventive Care, Primary Care, Primary Care Alternatives to Emergency Hospital Admissions, Proactive Specialist In-Reach, Protecting Resources and Promoting Value, Redesigning Services, Reducing Expenditure, Reducing Inappropriate Polypharmacy, Reducing Prescribing Costs, Reducing Unplanned Hospital Admissions, Reducing Waste in the NHS, Reducing Wasted Medications, Research in Care Homes, Sandra Gidley: Chair of Royal Pharmaceutical Society’s English Pharmacy Board, Simon Stevens: Chief Executive of NHS England, Thinking Like a Patient and Acting Like a Taxpayer, Transforming Care for Frail Older People, Unnecessary Hospital Admissions, Value for Money, Value Improvement, Wellbeing in Care Homes | Leave a comment

Potentially Inappropriate Prescribing for Older Persons: Revisited (APPG on Dementia / Newsmax / European Journal of Clinical Pharmacology)

Posted on October 9, 2017 by Dementia and Elderly Care News

Summary The All-Party Parliamentary Group on Dementia (APPG), back in 2008, asserted that perhaps half of dementia patients may be receiving inappropriate medications. While the extent to which this position may have changed in recent years is debatable, the allegation … Continue reading →

Primary Care Home: a New Model of Primary Care (NAPC / Nuffield Trust / SCIE / PA Consulting Group)

Posted on August 28, 2017 by Dementia and Elderly Care News

Summary The National Association of Primary Care (NAPC) has recently proposed an alternative model pf primary care, which is intended to realign primary care resources around the health and social needs of local communities. It involves “primary, community, mental, social … Continue reading →

MATCH-D: Medication Appropriateness Tool for Comorbid Health Conditions in Dementia (Internal Medicine Journal / BMJ Open)

Posted on August 28, 2017 by Dementia and Elderly Care News

Summary The Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D) criteria were developed to provide consensus guidance on the use of medications for people with dementia. Full Text Link Reference Page, AT. Potter, K. Clifford, RM. [et al] … Continue reading →

Posted in Acute Hospitals, Antipsychotics, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Integrated Care, International, Management of Condition, Models of Dementia Care, Person-Centred Care, Pharmacological Treatments, Quick Insights, Universal Interest | Tagged Australia, BMJ Open, BMJ Publishing Group Ltd, Brighton and Sussex Medical School: University of Sussex, Centre for Education and Research on Ageing: University of Sydney, Comorbid Health Conditions in Dementia, Comorbidity, Comorbidity and Dementia, Complex Comorbidities, Concord Hospital (Sydney Australia), Dementia and Comorbidity, Dementia Comorbidities, Deprescribing, Drug-Drug Interactions, Faculty of Pharmacy: University of Sydney, Healthcare Provision for People With Dementia and Comorbidity, Inappropriate Prescribing, Internal Medicine Journal, Ireland, Managing Comorbidity and Complexity, MATCH-D: Medication Appropriateness Tool for Comorbid Health conditions in Dementia, Medication Appropriateness Tool for Comorbid Health conditions in Dementia (MATCH-D), Medication Management, Medication-Related Risks, Medications: Best Usage, Medicines Optimisation, Multiple Comorbidities, Multiple Medications (Polypharmacy), New South Wales (Australia), Optimising Medications for Older People With Multiple Comorbidities, Optimising Prescribing and Deprescribing in Older Adults With Dementia, Over-Medication, Potentially Inappropriate Prescribing, Potentially Inappropriate Prescribing in Advanced Dementia, Royal College of Surgeons in Ireland, School of Allied Health: University of Western Australia, School of Medicine: University of Western Australia, School of Pharmacy: Royal College of Surgeons in Ireland, University of Sussex, University of Sydney, University of Western Australia, Western Australian Centre for Health and Ageing: University of Western Australia | Leave a comment

All-Party Parliamentary Group on Dementia Concerned About Disjointed and Substandard Care For Common Dementia Comorbidities (ILC-UK / Alzheimer’s Society / Pharma Times Online / APPG on Dementia)

Posted on April 24, 2016 by Dementia and Elderly Care News

Summary Inadequate care and systemic failures in the prevention, diagnosis and treatment of comorbidities experienced by people with dementia is believed to result in (i) unnecessary costs for the NHS, (ii) widespread and preventable reduced quality of life among patients … Continue reading →

Posted in Acute Hospitals, Alzheimer's Society, Charitable Bodies, Commissioning, Community Care, Depression, Diagnosis, Falls, Falls Prevention, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Hip Fractures, Hypertension, In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged All-Party Parliamentary Group (APPG), All-Party Parliamentary Group on Dementia, Amenable Mortality, APPG on Dementia, Average Annual Cost Per Person With Dementia, Average Annual Cost Per Person With Dementia: All Severity Levels, Average Annual Cost Per Person With Dementia: Mild Dementia, Average Annual Cost Per Person With Dementia: Moderate Dementia, Average Annual Cost Per Person With Dementia: People With Dementia Living in Residential Care, Average Annual Cost Per Person With Dementia: People With Dementia Living in the Community, Average Annual Cost Per Person With Dementia: Severe Dementia, Avoidable Hospital Mortality, Avoidable Mortality, Avoidable Premature Mortality, Baroness Sally Greengross (APPG on Dementia), Baroness Sally Greengross: Chief Executive of the International Longevity Centre UK, Barriers to Self-Management for People with Dementia, Barriers to Self-Management in Early Stage Dementia, Co-Morbidities, Co-Morbidities and Dementia, Co-Morbidities In Older Patients, Common Dementia Comorbidities, Comorbidities Framework, Complex Conditions, Cost of Co-Morbidities, Cost of Mismanaging Dementia and Diabetes Depression and Urinary Tract Infections (£1 Billion Per Year), Costs to the National Health Service (NHS): Type 2 Diabetes, CQC Inspection Regimes To Assess Quality of Care Pathways Across Health and Social Care Settings (Proposal), Deaths Associated with Hospitalisation, Dementia and Comorbidities: Ensuring Parity of Care (ILC-UK), Dementia and Depression, Dementia and Diabetes, Dementia and Mortality, Dementia and Urinary Tract Infections, Dementia Co-Morbidities, Dementia Comorbidities, Dementia Risk Factors, Depression and Dementia, Diabetes, Diabetes and Multiple Morbidities, Diabetes Self-Management Education and Support, Diabetes Self-Management Support (DSMS), Disjointed and Substandard Care, Elderly People With Complex Health and Social Care Needs, Health and Social Care Integration, Holistic Annual Health Review Coordinated by GPs (Proposal), Holistic Approaches, Holistic Assessments, Holistic Care, Holistic Care Assessments, Holistic Co-ordinated Care, Holistic Consolidated Review of Separate Conditions (Proposal), Holistic Medical Reviews, Holistic Needs Assessment (HNA), Hospital Mortality, ILC-UK, ILC-UK: International Longevity Centre UK, Impact of Dementia on Hospital Mortality, Integration of Health and Care, Integration of Health and Social Care, Integration of Health and Social Care for Older People, International Longevity Centre UK (ILC-UK), Management of Co-Morbidities, Medication Management, Mental Health Co-Morbidities, Multiple Long-Term Conditions, Multiple Medications (Polypharmacy), Parity of Care Report (ILC-UK), Perverse Incentives, Pharma Times Online, PharmaTimes, Premature Death, Preventable Deaths in English Acute Hospitals, Quality Outcomes Framework (QOF), Quality Outcomes Framework (QOF): Perverse Incentives, Quality Outcomes Framework (QOF): Tick-Box Culture, Reducing Catheter Associated Urinary Tract Infections, Revision of Quality Outcomes Framework Which Currently Incentivises Separate Reviews (Proposal), Risk Factors, Self-Care, Self-Management in Chronic Illness, Self-Management in People With Early Stage Dementia, Self-Management of Long-Term Illnesses, Self-Management Support, Standards To Avoid Perverse Incentives, Support for Self-Care, Supporting Self-Care, Type 2 Diabetes, Untreated Comorbidities, Urinary Tract Infections, Urinary Tract Infections (in Patients with Catheters), Urinary Tract Infections (UTIs), Urinary Tract Infections and Dementia | Leave a comment

Fit for Frailty Guidance: Part 1 and Part 2 (BGS)

Posted on February 18, 2015 by Dementia and Elderly Care News

Summary The British Geriatrics Society (BGS) has issued guidance on the care of frail older people in community and outpatient settings. Their “Fit for Frailty” guidance emerged from workshop meetings in June 2014. Part 1 supplies advice in the form … Continue reading →

Posted in Age UK, Charitable Bodies, Commissioning, Community Care, Delirium, Falls, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Academic Unit of Elderly Care and Rehabilitation: University of Leeds, Adult Social Services, Assessment of Capacity, BGS, British Geriatrics Society, British Geriatrics Society (BGS), Care and Support Plans (CSP), Causes and Prevention of Frailty, Causes and Prevention of Frailty: Deficit Model, Causes and Prevention of Frailty: Phenotype Model, Clinical Frailty Scale (CFS), Commissioners of Services, Common Problems of Frailty, Complications Screening Program (CSP), Comprehensive Geriatric Assessment (CGA), Cumulative Deficit Model, Dementia Long-Term Services, Fit for Frailty Guidance (BGS), Fit for Frailty Project, Frail Older People, Frailty, Frailty Services, Frailty Syndromes, General Practitioners, Geriatricians, GP Assessment, Groningen Frailty Indicator Questionnaire, Health Service Managers, Holistic Medical Reviews, Holistic Medical Reviews by GPs, Identifying People Living With Frailty, Immobility, Incontinence, John Young: Academic Unit of Elderly Care and Rehabilitation at University of Leeds, John Young: NHS England, Long-Term Care and Support, Long-Term Conditions (LTCs), Medication Reviews, Multiple Medications (Polypharmacy), National Voices, Older People’s Mental Health Teams, People Living With Frailty, PRISMA 7 Questionnaire, Professor John Young, Professor John Young: Former National Clinical Director for Integration and Frail Elderly at NHS England, RCGP, Recognition and Diagnosis of Frailty, Reshaping Care for Older People, Rockwood Clinical Frailty Scale (CFS), Royal College of General Practitioners, Royal College of General Practitioners (RCGP), Self-Reported Health, Social Service Managers, Social Services, Susceptibility to Side-Effects of Medication, Timed Up and Go Test (TUGT Measures), Walking Speed (Gait Speed) | Leave a comment

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