Robyn Bryson PharmD Kerri Hagedorn PharmD BCPS

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Physician-related• Prescribing habits• Patient expectation of a prescription• ADRs resulting in prescribing cascade• Improper medical review• Lack of communication between PCPs,specialists, and hospitalists• Skepticism regarding new guidelines, resultingin fall-back on older prescribing practices(improper dosing, multiple meds)
Related to Physician-Patient Interaction• Adherence depends on confidence in physician• Pt failure to review entire med list with physician• Lack of continuity due to multiple healthproviders, prescribers, and pharmacies• Pt expectation of a prescription for each medicalvisit• Pt requesting specific medications• Disagreement between pt and providerregarding treatment
Page 1 and 2: Robyn Bryson, PharmDKerri Hagedorn,
Page 3 and 4: In general:• 5+ Rx drugs is consi
Page 5: Due to longer life expectancy and t
Page 8 and 9: Health System-related• Longer lif
Page 10 and 11: Patient-related• Clinical conditi
Page 14 and 15: Nursing homes and Care homes• Aca
Page 16 and 17: Pros• Easy to use• Easy to inco
Page 18: Used for nursing home residents Foc
Page 22 and 23: Only 3 components are needed to det
Page 24 and 25: Specific meds in patient’s regime
Page 26 and 27: Similar to ARS—describesanticholi
Page 28 and 29: Physiologic changes• Decline in R
Page 30 and 31: Medication Errors• elderly are 4X
Page 32 and 33: Nonadherence• 55% of Medicare ben
Page 34: American Geriatrics Society updated

Robyn Bryson PharmD Kerri Hagedorn PharmD BCPS

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