Robyn Bryson PharmD Kerri Hagedorn PharmD BCPS

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Similar to ARS—describesanticholinergic and sedative drugburdenHigher DBI associated with reducedphysical and cognitive functionPotential to be incorporated into DURsoftware, but not readily available to mostcliniciansNeed studies to determine if improvingDBI score results in better outcomes
medications are graded:• A: indispensible, with obvious benefit• B: proven efficacy but limited effects or possiblesafety concerns;• C: questionable efficacy or safety• D: avoid no significant decrease in the total numberof prescribed drugs or in the number ofnegatively assessed drugs significant increase in positively assesseddrugs as well as appropriate prescribing need further validation
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 12 and 13: Physician-related• Prescribing ha
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 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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