MEDICATION MANAGEMENT AND THE OLDER PERSON pp. 243-255
Authors: (Maggi Banning, Senior Lecturer Brunel Univ., School of Health Sciences and Social Care, Mary Seacole Building, Uxbridge)
Abstract: As the number of older people rise globally there is also a concomitant increase in the use of medicines to manage long-term illness. In England, older people are prescribed over 56% of the total prescriptions administered. Of these 78% are repeat prescriptions . Increasingly, older people are concomitantly prescribed more than four medicines . As a result of this, medication review was implemented as a measure to assess the efficacy of prescribed medicines, recognize adverse drug reactions, monitor adherence to medicines being administered for long-term conditions and to reduce unplanned admission to hospital. Medication review is predominantly undertaken by pharmacists in primary care/community settings or in hospitals. Although medication review is compulsory, current practice in Acute NHS and Mental Health Trusts is variable and the recent report suggests that further investment is needed to ensure that older people receive optimal medication and related information in Acute NHS Trusts . Of equal importance is the need for additional robust and extensive economic evaluations to assess the impact of medication review on measurable outcomes such as reduced unplanned admission to hospital and benefit to older people and the management of long-term conditions.