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Brain, Body, Cognition - A continuation of Functional Neurology, Rehabilitation and Ergonomics
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NotificationsNotify me of updates to MEDICATION MANAGEMENT AND THE OLDER PERSON pp. 243-255
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Authors:  (Maggi Banning, Senior Lecturer Brunel Univ., School of Health Sciences and Social Care, Mary Seacole Building, Uxbridge)
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 [4]. Increasingly,
older people are concomitantly prescribed more than four medicines [5]. 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 [42]. 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. 

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