Lecture Overview

Brief

Half of all Australians aged between 65–74 years report taking 5 or more medicines daily, which is known as polypharmacy. Polypharmacy remains one of the foremost reasons to systematically withdraw medicines for patients. Deprescribing may seem like a daunting task for Nurse Practitioners, but in this informative and enlightening talk, Dr Jenny Gowan will step you through exactly how to go through this process with your patients, and put your mind at ease.

Educators

Jenny Gowan

Jenny, a practising pharmacist, is a teaching associate at Monash University, Melbourne and a clinical associate of RMIT University. She is a member of the PSA Branch committee, the Expert Group for Therapeutic Guidelines – Respiratory version 5, an editorial board member of AUS-DI, SHPA "Don’t Rush to Crush", the Guidelines Committee for the Australian Asthma Handbook (AAH) and the writing group for the RACGP ‘Medical Care of older persons in RACF’ (Silver book). Jenny is an accredited consultant pharmacist who conducts her own company, which focuses on medication reviews in the home and aged care facilities, plus education, writing, training, and consultation. Jenny works regularly in community pharmacy plus sessions in a GP clinic at a Community Health Centre. She has published over 400 educational articles. Jenny has presented talks at many Australian and international conferences to GPs, nurse practitioners, nurses, podiatrists, pharmacists, and other health professionals. In 2013, she was awarded the Australian Pharmacist of the Year by the Pharmaceutical Society of Australia and, in 2016, the AACP-MIMs Australian Consultant Pharmacist of the Year.

Reviews

4.5

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2 Total Rating(s)

Summary Medicines have adverse effects and the use of multiple medicines, polypharmacy, can be associated with poorer outcomes. Health professionals need to recognise when medicines should be ceased and how to deprescribe. Deprescribing could be considered when there is polypharmacy, adverse drug reactions, ineffective treatment, falls or when treatment goals have changed. If patients are slowly weaned off their medicines, withdrawal and rebound syndromes are usually not serious. A cautious approach to deprescribing includes two principles – stop one drug at a time and wean doses slowly over weeks and months.

Elizabeth Makgeta
26 Feb 2018

Good quick over view with good suggestions

Frank Grainer
30 Jan 2018