Short Life Working Group On Prescription Medicine Dependence And Withdrawal: consultation
This consultation seeks views on the draft recommendations from the expert Short Life Working Group convened to make recommendations on addressing prescription medicine dependence and withdrawal.
Annex D - 7 Steps to Appropriate Polypharmacy
|Aims||1.||What matters to the patient?||Review diagnoses and identify therapeutic objectives with respect to:
|Need||2.||Identify essential drug therapy||Identify essential drugs (not to be stopped without specialist advice):
|3.||Does the patient take unnecessary drug therapy?||Identify and review the (continued) need for drugs:
|Effectiveness||4.||Are therapeutic objectives being achieved?||Identify the need for adding/intensifying drug therapy in order to achieve therapeutic objectives:
|Safety||5.||Does the patient have ADR/Side Effects or is at risk of ADRs/Side Effects?
Does the patient know what to do if they’re ill?
|Identify patient safety risks by checking for:
|Cost-effectiveness||6.||Is drug therapy cost-effective?||Identify unnecessarily costly drug therapy by:
Consider more cost-effective alternatives (but balance against effectiveness, safety, convenience)
|Patient centeredness||7.||Is the patient willing and able to take drug therapy as intended?||Does the patient understand the outcomes of the review?
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