The association between medications and fall risk

Collette D. Optimized Prescribing with Seniors Leave a Comment

  Francis is an 84-year-old female who fell going to the bathroom one night and sustained a right hip fracture. She had a period of confusion in the hospital that has now resolved. She has returned home after a prolonged hospitalization on her usual medications of ramipril, hydrochlorothiazide, ASA, alendronate, Vitamin D, calcium, and l-thyroxine. In addition, she is also …

Polypharmacy: Appropriate and Problematic.

Collette D. Optimized Prescribing with Seniors Leave a Comment

Polypharmacy: Appropriate and Problematic. The term polypharmacy dates back at least to the mid-19th century and has had many definitions. Usually it refers to more than four or five medications used concurrently. Issue: Recent adoption of the terms “appropriate polypharmacy” and “problematic polypharmacy” reflect both the realities of treating multi-morbidity in the population and the potential harm associated with prescribing …

The flu vaccine: Why its efficacy outweighs its risks

College of Physicians and Surgeons of Alberta Messenger, Optimized Prescribing with Seniors Leave a Comment

Susan is a health care aide. Her grandfather, who is 86, has been fairly healthy and lives independently. He receives some support for instrumental ADL from his daughter and Susan. He has type 2 diabetes, hypertension and chronic obstructive pulmonary disease (COPD). For this he takes metformin, gliclazide, losartan and tiotropium. He has salbutamol that he uses only occasionally. Susan …

Pharmacological factors and falls in the elderly

College of Physicians and Surgeons of Alberta Optimized Prescribing with Seniors Leave a Comment

George is a 93-year-old male who lives with his son and daughter-in-law. Over the last six months, he has become frailer but continues to be reasonably independent. He is treated for hypertension, dyslipidemia, BPH, and has arthritis in his knees. He complained of feeling depressed when he moved in with his son after the death of his wife five years …