Choice and decision making in residential aged care: A perspective from residents and personal care attendants

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Ramesh Bhandari

KLE College of Pharmacy Belagavi , India

: J Nurs Patient Care

Abstract

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Statement of the Problem: Deprescribing is a novel tool that would be helpful in decreasing polypharmacy, eluding inappropriate medication use, and monitoring the occurrence of adverse drug events. Geriatric people are often given a large number of medicines that are inappropriate and may have multiple comorbidities. Hence it is important to assess the possibility of deprescribing in them. The aim of this study was to assess the attitude of geriatric patients towards deprescribing in a tertiary care hospital. Methodology: A prospective observational study was conducted for six months at KLEs Dr. Prabhakar Kore Hospital and MRC, Belagavi, India. The rPATD questionnaire was used for assessing the patient attitude, and the data collected were analyzed using SPSS (IBM) version 22.0. Findings: Out of 211 participants enrolled in the study, 95.7% were willing to discontinue their medicines with their doctor’s approval. 61.1% belonged to the lower class, and 34.6% were illiterate. 46.4% were hesitant to discontinue medications they had been using for a long time, while 87.2% were satisfied with their medicines. Conclusion & Significance: The majority of patients are willing to deprescribe their medicines if their treating doctor says it is possible. Future studies should be directed at deprescribing in the geriatric population, which would help to simplify the medication regimen for them.

Biography

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Dr. Ramesh Bhandari is a Pharm. D graduate currently working as an assistant professor at KLE College of Pharmacy Belagavi, Karnataka, India. He has over four years of classroom teaching experience at the diploma, undergraduate, and graduate levels at KLE College of Pharmacy Belagavi, Karnataka, India. He has guided several students, interns, and colleagues during his career, resulting in various publications in national and international journals. He is pursuing his Ph. D degree in Pharmacy Practice. He is a member of the International Society for Pharmacoeconomics and Outcome Research (ISPOR), the USA and International Society for Pharmacoepidemiology (ISPE), and the Association of Pharmaceutical Teachers of India (APTI). He has several awards and honors to his credit. To mention a few ICT educators Award, received scholarships to attend conferences internationally. He has also been awarded the best posters/oral presentation award at national and international conferences.