Polymédication et personne agée: ni trop ni trop peu [Polypharmacy and the elderly: neither too much nor too little].

Details

Serval ID
serval:BIB_2F4DCD44B27D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Polymédication et personne agée: ni trop ni trop peu [Polypharmacy and the elderly: neither too much nor too little].
Journal
Revue Médicale Suisse
Author(s)
Mazzocato C., David S., Benaroyo L., Monod S.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
2013
Volume
9
Number
386
Pages
1026-1031
Language
french
Notes
Publication types: English Abstract ; Journal Article
Abstract
Elderly persons are at high risk of polypharmacy. Polypharmacy has been associated with numerous adverse outcomes, such as poorer quality of life, higher morbidity and mortality. However, deciding to stop or to continue a treatment is a difficult task, which confronts the physician to complex clinical and ethical choices. Such a decision requires a geriatric multidimensional assessment of the patient, an estimation of his or her prognosis, the definition of the goals of care and a careful assessment of the time to benefit of each drug. Diverse methods and tools to support the physician in this process are discussed in this article. However these can not replace a reflexive approach of the physician that integrates the values and representations of the patient with regard to his or her health and end of life, as well as his or her needs, fears and choices.
Keywords
Aged, Algorithms, Decision Making, Drug Prescriptions/standards, Humans, Polypharmacy
Pubmed
Create date
19/09/2013 20:17
Last modification date
03/12/2020 10:32
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