Tuesday in outpatient Internal Medicine department

Authors

  • Begoña Cortés-Rodríguez Servicio de Medicina Interna, Hospital Alto Guadalquivir, Andújar (Jaén), Spain

DOI:

https://doi.org/10.32818/reccmi.a5s1a5

Keywords:

polypharmacy, medication reconciliation, deprescription, adverse effects, pluriphatological patient.

Abstract

We describe the case of a pluripathological and dependent elderly man who attends to Internal Medicine office. He complained about dizziness, sweating, digestive discomfort and anorexia, which led him to consult in Primary Care and Emergency Department. He denied therapeutic changes and referenced good adherence to the prescribed treatment. Through an exhaustive reconciliation of the medication, adherence failures, improperly prescribed drugs and possible medication side effects are detected, allowing the deprescription of some medications.

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References

Gavilán-Moral E, Villafaina-Barroso A. Polimedicación y salud: estrategias para la adecuación terapéutica. Plasencia. Polimedicado labs, 2011.

Galván-Banqueri M, Santos-Ramos B, Vega-Coca MD, Alfaro-Lara ER, Nieto-Martín MD, Pérez-Guerrero C. Adecuación del tratamiento farmacológico en pacientes pluripatológicos. Aten Primaria. 2013; 45(1): 6-18. doi: https://doi.org/10.1016/j.aprim.2012.03.011.

Hanlon JT, Schmader KE, Ruby CM, Weinberger M. Suboptimal prescribing in older inpatients and outpatients. J Am Geriatr Soc. 2001 Feb; 49(2): 200- 209. doi: https://doi.org/10.1046/j.1532-5415.2001.49042.x.

Medeiros-Souza P, Santos-Neto LL, Kusano LT, Pereira MG. Diagnosis and control of polypharmacy in the elderly. Rev Saude Publica. 2007; 41(6): 1049-1053. doi: https://doi.org/10.1590/s0034-89102006005000050.

Delgado Silveira E, Muñoz García M, Montero Errasquin B, Sánchez Castellano C, Gallagher PF, Cruz-Jentoft AJ. Prescripción inapropiada de medicamentos en los pacientes mayores: los criterios STOPP/START. Rev Esp Geriatr Gerontol. 2009; 44(5): 273-279. doi: https://doi.org/10.1016/j.regg.2009.03.017.

Fialová D, Topinková E, Gambassi G, Finne-Soveri H, Jónsson PV, Carpenter I, et al. AdHOC Project Research Group. Potentially inappropriate medication use among elderly home care patients in Europe. JAMA. 2005; 293(11): 1348-1358. doi: https://doi.org/10.1001/jama.293.11.1348.

González-Bueno J, Vega-Coca MD, Rodríguez-Pérez A, Toscano-Guzmán MD, Pérez-Guerrero C, Santos-Ramos B. Intervenciones para la mejora de la adherencia al tratamiento en pacientes pluripatológicos: resumen de revisiones sistemáticas. Aten Primaria. 2016; 48(2): 121-130. doi: https://doi.org/10.1016/j.aprim.2015.02.012.

Rodríguez Pérez A, Alfaro Lara ER, Nieto Martín MD, Ruiz Cantero A, Santos Ramos B. Deprescribing in patients with multimorbidity: a necessary process. Eur J Intern Med. 2015; 26(7): e18-19. doi: https://doi.org/10.1016/j.ejim.2015.06.011.

Published

2020-03-31

How to Cite

1.
Cortés-Rodríguez B. Tuesday in outpatient Internal Medicine department. Rev Esp Casos Clin Med Intern [Internet]. 2020 Mar. 31 [cited 2024 Dec. 22];5:12-4. Available from: https://www.reccmi.com/RECCMI/article/view/509

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