When You Know Less Is More But Need the Patient and Family to Buy In: Using SPIKES for Deprescribing (TH338)

In the United States, the population above 65 years old in 2010 was 13%, and is estimated to be 20% by 2030, and more than 30% in other developed countries by 2030. With the rise of polypharmacy and multi-morbidity in the aging population, polypharmacy has been shown to be associated with an increased risk for adverse drug events, hospitalizations, and falls. Deprescribing is a systematic approach to withdraw or dose reduce medications considered inappropriate in an individual. The American Geriatrics Society has provided an update to the Beer's Criteria in 2019 to guide identification of inappropriate medications in the elderly and assist  with deprescribing.

Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Sandra DiScala, Shaida Talebreza, Ashlei W. Lowery, Ella H. Bowman, Neris Palunas, Tsewang Ngodup Source Type: research