What factors are important for deprescribing in Australian long-term care facilities? Perspectives of residents and health professionals
Older people living in long-term care facilities (LTCFs) often have multimorbidity. As people age the benefit-to-risk ratio of medications may change, and this may mean that medications that were once prescribed appropriately become inappropriate. Polypharmacy in older people is associated with hospitalisations, adverse drug events (ADEs), drug–drug interactions, drug– disease interactions, falls, impaired functional capacity and cognitive impairment
Polypharmacy and multimorbidity are common in long-term care facilities (LTCFs). Reducing polypharmacy may reduce adverse events and maintain quality of life. Deprescribing refers to reducing medications after consideration of therapeutic goals, benefits and risks, and medical ethics. The objective of this study was to use nominal group technique (NGT) to generate then rank factors that general medical practitioners (GPs), nurses, pharmacists and residents or their representatives perceive are most important when deciding whether or not to deprescribe medications.