2020
DOI: 10.1111/bcpt.13476
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“I simply don't know, because I don't know which drugs I get”: Perspectives on deprescribing among older adults with limited life expectancy and their relatives

Abstract: Use of medications of questionable benefit is common in end of life care. In order to effectively carry out deprescribing, it is important to gain insight into the perspectives of patients and their relatives. Thus, our objective was to explore perspectives on deprescribing among older adults with limited life expectancy and their relatives. We conducted semi-structured interviews with ten nursing home residents and nine relatives. Interviews were analysed using systematic text condensation. Four main themes w… Show more

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Cited by 13 publications
(36 citation statements)
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“…This is consistent with a recent study reporting that 41% of residents in aged care facilities would like to reduce their number of medications, while this number was almost twice as high if suggested by their physician 12 . Recently, two qualitative studies found that a large proportion of nursing home residents were unaware of the possibility of taking less medication 24,25 . This may in part explain the lower intrinsic desire to stop a medication observed in this population.…”
Section: Discussionsupporting
confidence: 87%
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“…This is consistent with a recent study reporting that 41% of residents in aged care facilities would like to reduce their number of medications, while this number was almost twice as high if suggested by their physician 12 . Recently, two qualitative studies found that a large proportion of nursing home residents were unaware of the possibility of taking less medication 24,25 . This may in part explain the lower intrinsic desire to stop a medication observed in this population.…”
Section: Discussionsupporting
confidence: 87%
“…Across the three participant groups, the majority was satisfied with their current medications; however, participants also expressed great interest in deprescribing. Such conflicting attitudes have been extensively reported in the qualitative literature, where older people would like to reduce their number of medications but at the same time feel obliged to take them 24,25,28‐30 …”
Section: Discussionmentioning
confidence: 99%
“…21,27,28 3.6 | Factors that affect attitudes towards de-prescribing (n = number of studies exploring each theme) 6) Most older people were willing to stop a medication if requested by a HCP. 12,[40][41][42] Having an established trusted relationship with the HCP was also important as older people felt they would do as requested by a HCP if they already trusted the HCP and had less confidence in physicians who were not open about deprescribing. 43 The HCP referred to by participants was often the general practitioner (GP) or nursing staff in residential homes.…”
Section: Relationship Between Patd/rpatd Items and The Willingness To...mentioning
confidence: 99%
“…Some older people felt they would be less willing to de-prescribe if told to do so by a pharmacist, whereas others appreciated the input from pharmacists too. 39,40,43,44 Similarly, carers have high level of trust in HCP. 41,42 3.6.2 | Adverse effects on quality of life (n = 6) Other factors that contribute to willingness to de-prescribe include side effects and inconvenience.…”
Section: Relationship Between Patd/rpatd Items and The Willingness To...mentioning
confidence: 99%
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