Background: Potentially inappropriate medication (PIM) is defined as the usage of a medication for which the risks surpass the perceived benefits, particularly when more efficient alternatives exist. The focus has now shifted from prescribing to deprescribing, especially with one aging. Methods: Based on the Scale for the Assessment of Narrative Review Articles (SANRA) criteria, we performed a search of articles published in Medline and google scholar databases between 2008 and 2022 using terms such as Deprescribing, Psychogeriatric patients, polypharmacy, psychotropic drugs, benzodiazepines, and potentially inappropriate medication (PIM). The initial search yielded 3058 articles. After review, 53 articles were included for discussion. Discussion: Polypharmacy and multimorbidity are multifaceted interconnected concepts in geriatric care that call for timely intervention and interdisciplinary management across each healthcare and social setting. And although the literature and studies on the benefits are variable, deprescribing appears to be overall efficacious. Conclusion: Further research on the efficacy of strategies and existing guidelines in lowering PIMs in geriatric psychiatry patients is warranted. The purpose of this review is to give an outline of the current evidence to inform effective methods for deprescribing PIMs for older persons, with an emphasis on strategies clinicians can use to address challenges to these approaches
The 2020 coronavirus (COVID-19) pandemic has shifted the workplace focus from on-site to remote and has introduced discussions about the positive and negative features of working from home (WFH). Many employees have reported increased control and flexibility regarding one’s schedule with the shift to a remote model. However, there have been increasing concerns regarding the emotional and mental health effects of such a model and the social isolation resulting from staying at home. The lack of professional boundaries, technological limitations, and forced interaction with family members have been considered potentials costs of the convenience of WFH. In this review paper, we discuss the possible benefits and consequences of remote work on various measures of mental health and discuss the implications of future WFH models which may provide workers with greater autonomy and flexibility.
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