Subtract Before You Add: Deprescribing to reduce polypharmacy - 2/14/2019

Target Audience

This activity was developed for physicians including Eisenhower medical staff along with nurses and ancillary staff.

Learning Objectives

At the end of this presentation, participants should be better able to:

  • Appreciate the burden of polypharmacy, especially in elderly patients, and the association of polypharmacy with poor outcomes such as hospitalization, falls, cognitive impairment, and adverse drug reactions.
  • Develop a systemic approach to deprescribing, including identifying patients who are at risk of poor outcomes from polypharmacy, recognizing potentially inappropriate medications, and creating a plan to discontinue medications safely and effectively.
  • Anticipate patient barriers and resistance to deprescribing certain medications (e.g. sedative/hypnotics for sleep and narcotic analgesics for chronic pain) and prepare plans and approaches to successfully negotiate deprescribing in difficult situations.
  • Become familiar with "legacy prescribing" - instances where medications are intended to be used for a short or defined period of time (e.g. PPI's, SSRI's, benzodiazepines, anti-platelet agents and anticoagulants) - and measures to avoid refilling unnecessary prescriptions.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 Attendance
Course opens: 
02/14/2019
Course expires: 
06/30/2019
Cost:
$0.00
Parent activity set: 
Rating: 
0

Dr. Wilkinson has no relevant commercial interests or relationships to report and does intend to reference unlabeled/unapproved uses of drugs or products in this presentation.

Education Planning Committee disclosures:

Mohammad Mojarad, MD (Chair): No relevant commercial interests or relationships to report
haldoun Alnabelsi, MD: No relevant commercial interests or relationships to report
Aurora L. Benson, DO; No relevant commercial interests or relationships to report
Olga Bohn, MD: No relevant commercial interests or relationships to report
Constantin Dasanu, MD, PhD: No relevant commercial interest or relationships to report
Chris Flores, MD: Speaker’s Bureau for Janssen
Raila Horne, Psy.D: No relevant commercial interests or relationships to report
Vicki Koceja, PhD, RN, FAAMA: No relevant commercial interests or relationships to report
Lisa Lindley, MD: No relevant commercial interests or relationships to report
Lester Padilla, MD: No relevant commercial interests or relationships to report
Maja Ruetschi, MD: No relevant commercial interests or relationships to report
Phil Shaver, MD: Speaker’s Bureau for Amgen
John Stansell, MD: No relevant commercial interests or relationships to report
Charles Willis, MBA: Consults for Pfizer, Inc.
Amanda Sewell, MBA: No relevant commercial interests or relationships to report
Melissa Velasquez: No relevant commercial interests or relationships to report

The Annenberg Center for Health Sciences at Eisenhower is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Annenberg Center for Health Sciences at Eisenhower designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 Attendance

Accreditation Period

Course opens: 
02/14/2019
Course expires: 
06/30/2019

Price

Cost:
$0.00
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