Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing
Deprescribing is complex and multifactorial with multiple approaches described in the literature. Internationally, there are guidelines and tools available to aid clinicians and patients to identify and safely withdraw inappropriate medications, post a shared decision-making medicines optimisation r...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-09-01
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| Series: | Pharmacy |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2226-4787/7/3/129 |
| _version_ | 1798006098044649472 |
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| author | Katherine Le Bosquet Nina Barnett John Minshull |
| author_facet | Katherine Le Bosquet Nina Barnett John Minshull |
| author_sort | Katherine Le Bosquet |
| collection | DOAJ |
| description | Deprescribing is complex and multifactorial with multiple approaches described in the literature. Internationally, there are guidelines and tools available to aid clinicians and patients to identify and safely withdraw inappropriate medications, post a shared decision-making medicines optimisation review. The increase in available treatments and use of single disease model guidelines have led to a healthcare system geared towards prescribing, with deprescribing often seen as a separate activity. Deprescribing should be seen as part of prescribing, and is a key element in ensuring patients remain on the most appropriate medications at the correct doses for them. Due to the complex nature of polypharmacy, every patient experience and relationship with medications is unique. The individual’s history must be incorporated into a patient-centred medication review, in order for medicines to remain optimal through changes in circumstance and health. Knowledge of the law and appropriate recording is important to ensure consent is adequately gained and recorded in line with processes followed when initiating a medication. In recent years, with the increase in interested clinicians globally, a number of prominent networks have grown, creating crucial links for both research and sharing of good practice. |
| first_indexed | 2024-04-11T12:49:36Z |
| format | Article |
| id | doaj.art-42927718fa8245f49962c493e12bbb9f |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-04-11T12:49:36Z |
| publishDate | 2019-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-42927718fa8245f49962c493e12bbb9f2022-12-22T04:23:15ZengMDPI AGPharmacy2226-47872019-09-017312910.3390/pharmacy7030129pharmacy7030129Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based DeprescribingKatherine Le Bosquet0Nina Barnett1John Minshull2Guy’s and St Thomas’ NHS Foundation Trust, London SE1 7EH, UKNHS Specialist Pharmacy Service, London North West University Healthcare NHS Trust, London HA1 3UJ, UKNHS Specialist Pharmacy Service, London North West University Healthcare NHS Trust, London HA1 3UJ, UKDeprescribing is complex and multifactorial with multiple approaches described in the literature. Internationally, there are guidelines and tools available to aid clinicians and patients to identify and safely withdraw inappropriate medications, post a shared decision-making medicines optimisation review. The increase in available treatments and use of single disease model guidelines have led to a healthcare system geared towards prescribing, with deprescribing often seen as a separate activity. Deprescribing should be seen as part of prescribing, and is a key element in ensuring patients remain on the most appropriate medications at the correct doses for them. Due to the complex nature of polypharmacy, every patient experience and relationship with medications is unique. The individual’s history must be incorporated into a patient-centred medication review, in order for medicines to remain optimal through changes in circumstance and health. Knowledge of the law and appropriate recording is important to ensure consent is adequately gained and recorded in line with processes followed when initiating a medication. In recent years, with the increase in interested clinicians globally, a number of prominent networks have grown, creating crucial links for both research and sharing of good practice.https://www.mdpi.com/2226-4787/7/3/129deprescribingshared decision makingperson-centredmedicines optimisation |
| spellingShingle | Katherine Le Bosquet Nina Barnett John Minshull Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing Pharmacy deprescribing shared decision making person-centred medicines optimisation |
| title | Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing |
| title_full | Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing |
| title_fullStr | Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing |
| title_full_unstemmed | Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing |
| title_short | Deprescribing: Practical Ways to Support Person-Centred, Evidence-Based Deprescribing |
| title_sort | deprescribing practical ways to support person centred evidence based deprescribing |
| topic | deprescribing shared decision making person-centred medicines optimisation |
| url | https://www.mdpi.com/2226-4787/7/3/129 |
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