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Polypharmacy and medicines optimisation

Jan20 Special report polypharm 3x2

How pharmacists can contribute to the rational use of pharmacological therapies.

Features

2 plates with different amounts of pills

Deprescribing: the fightback against polypharmacy has begunSubscription

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Polypharmacy among older people is at an all-time high, prompting a necessary focus on withdrawing inappropriate medicines. However, evidence-based guidelines are needed to overcome barriers to deprescribing.

2 beakers with different levels of diluted liquid

Tipping the scales: the problem of drug dosing in obese patientsSubscription

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As obesity levels rise, pharmacists are finding they need new tools to ensure they adequately tailor the amount of medicine patients receive.

Insight

Pharmacist preventing pills spilling out of glass

Pharmacists must work with others to roll back polypharmacy cultureSubscription

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The new English Desprescribing Network will bring together healthcare professionals and researchers to stamp out medicine-related harm.

A flowchart illustrating how treatment for T2DM can be personalised

Personalising treatment for type 2 diabetes: why is NICE so behind?Subscription

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The National Institute for Health and Care Excellence’s rudimentary approach to managing diabetes needs to catch up with the available evidence and put patients centre stage.

Person-centrerd concept

Person-centred over patient-centred care: not just semanticsSubscription

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How does the technology giant’s marketing approach relate to person-centred care in health?

CPD

Dosette box

Polypharmacy: putting the framework into practiceSubscription

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This article describes how to apply the polypharmacy framework at individual patient level through the use of a case study.

Polypharmacy concept, pills in a jar

Polypharmacy: a framework for theory and practiceSubscription

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There are several tools pharmacists can use when assessing a patient’s medicines; however, patient input and appropriate questions can have a profound impact in ensuring medicines optimisation.

Editorial

Getting to grips with the polypharmacy challenge

Getting to grips with the polypharmacy challengeSubscription

Over the next two months, The Pharmaceutical Journal will publish the results of its call for papers on medicines optimisation.

Comment

Conversation concept

Ignorance is not bliss: why we need more empowered patients

Shared decision-making should become a mandatory part of training for all healthcare professionals to improve collaboration with their patients, save the NHS billions, and ultimately improve patient outcomes, say Aseem Malhotra and Sue Bailey.

Q&A

photo of Chris Roberts, medicines management lead for Fleetwood Primary Care Home

Chris Roberts: 'We're trying to demedicalise health care'

In the first of a series profiling individual Royal Pharmaceutical Society members who are doing great work, Chris Roberts, medicines management lead for the award-winning Fleetwood Primary Care Home, tells Corrinne Burns how pharmacists, their colleagues and the town’s residents are working together to help patients take control of their health.

Research

Cupboard of medicines for someone with polypharmacy

Reducing inappropriate polypharmacy in primary care through pharmacy-led interventionsSubscription

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A pharmacy-led medicines optimisation team in a GP surgery setting reduced inappropriate polypharmacy, achieved cost savings of £103,975 and improved quality of prescribing for patients.

Evaluation of the Portsmouth medicines advice at home service

Evaluation of the Portsmouth medicines advice at home serviceSubscription

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A Portsmouth-based medicines advice at home service highlights the impact of pharmacist-led interventions.

Close up of elderly person's hands holding pills

Improving medicines optimisation for care home residents: Wigan Borough CCG’s approachSubscription

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Although clinical commissioning groups (CCGs) are not responsible for monitoring or regulating care homes, Wigan Borough’s approach demonstrates that it is possible for CCG staff to work collaboratively with care home and social care teams to improve outcomes for patients.

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