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Polypharmacy and Rational Prescribing: Changing the Culture of Medicine One Patient at a Time

  • Published:2019-05-20 Issue:2 Volume:7 Page:141-158
  • ISSN:2167-4833
  • Container-title:Current Physical Medicine and Rehabilitation Reports
  • language:en
  • Short-container-title:Curr Phys Med Rehabil Rep

Author:

Yoon Sook Kyung,Okyere Britta Adwoa,Strasser Dale

Publisher

Springer Science and Business Media LLC

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Medicine (miscellaneous)

Reference129 articles.

1. • Geller AI, Nopkhun W, Dows-Martinez MN, Strasser DC. Polypharmacy and the role of physical medicine and rehabilitation. PM R. 2012;4:198–219. https://doi.org/10.1016/j.pmrj.2012.02.012 . This review article is the most comprehensive review of polypharmacy specific to PM&R. It presents the broad context of the issue, detailed summaries of medications commonly used in PM&R, and practical strategies to manage polypharmacy and PIP specifically in rehabilitation settings.

2. Mark TL, Joish VN, Hay JW, Sheehan DV, Johnston SS, Cao Z. Antidepressant use in geriatric populations: the burden of side effects and interactions and their impact on adherence and costs. Am J Geriatr Psychiatry. 2011;19:211–21. https://doi.org/10.1097/JGP.0b013e3181f1803d .

3. Taylor WD. Depression in the elderly. N Engl J Med. 2014;371(13):1228–36. https://doi.org/10.1056/NEJMcp1402180 .

4. •• Choosing Wisely Workgroup AGS. AGS Choosing Wisely Workgroup. American Geriatrics Society identifies another five things that healthcare providers and patients should question. J Am Geriatr Soc. 2014;62(5):950–60. https://doi.org/10.1111/jgs.12770 . The Choosing Wisely Initiative is a program of the American Board of Internal Medicine and the American Geriatrics Society which identifies 10 key areas where providers’ actions can improve the care of older adults. Seven of the ten areas involve medication prescribing practices (over and / or inappropriate medications). These recommendations highlight the broad consensus on the importance of carefully selecting medications for older patients.

5. Chapman IM. Weight loss in older persons. Med Clin North Am. 2011;95:579–93. https://doi.org/10.1016/j.mcna.2011.02.004 .

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