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Tailoring a home‐based, multidisciplinary deprescribing intervention through clinicians and community‐dwelling older adults

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Deprescribing, the planned and supervised process of dose reductions or stopping inappropriate medications, may address increasing burdens from multimorbidity and polypharmacy, defined as the use of five or more medications.… Click to show full abstract

Deprescribing, the planned and supervised process of dose reductions or stopping inappropriate medications, may address increasing burdens from multimorbidity and polypharmacy, defined as the use of five or more medications. Despite its benefits in mortality, falls, and depression, current evidence lacks focus on incorporating and leveraging patients' daily goals and goals for their lives, called life goals. Home-based care, which has shown benefits in healthcare access/utilization/costs, caregiver burden, and patient satisfaction among frail, vulnerable, and homebound populations, can address this gap. Since only a few studies have focused on home-based deprescribing approaches, we aimed to understand from clinicians and older adults ways to optimize a proposed home-based deprescribing intervention that focuses on tailoring medications based on patient's daily and life goals.

Keywords: deprescribing intervention; home; older adults; tailoring home; home based

Journal Title: Journal of the American Geriatrics Society
Year Published: 2022

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