A Prescription for "Deprescribing" in Psychiatry.
The term "deprescribing," initially coined in geriatric medicine, describes a process of pharmacologic regimen optimization through reduction or cessation of medications for which benefits no longer outweigh risks. Burgeoning rates of polypharmacy, growing appreciation of long-term adverse effects,...
| Publicado en: | Psychiatric Services Vol. 67; no. 8; pp. 904 - 908 |
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| Autores principales: | , |
| Formato: | review Journal Article |
| Publicado: |
American Psychiatric Publishing, Inc.
Aug2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117045631&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117045631 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10752730 0Y1 jtl: Psychiatric Services issn: 10752730 maglogo: N pubinfo: dt: Aug2016 vid: 67 iid: 8 pid: 37323 pub: American Psychiatric Publishing, Inc. place: Arlington, Virginia artinfo: ui: 117045631 117045631 NLM26975524 117045631 10.1176/appi.ps.201500359 NLM26975524 117045631 ppf: 904 ppct: 4 formats: tig: atl: A Prescription for "Deprescribing" in Psychiatry. aug: au: Gupta, Swapnil Cahill, John Daniel affil: Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut sug: subj: Psychiatry Methods Psychiatry Standards ab: The term "deprescribing," initially coined in geriatric medicine, describes a process of pharmacologic regimen optimization through reduction or cessation of medications for which benefits no longer outweigh risks. Burgeoning rates of polypharmacy, growing appreciation of long-term adverse effects, and a focus on patient-centered practice present specific indications for deprescribing in psychiatry. A strong therapeutic alliance, appropriate timing, and consideration of the meaning of medication for the patient must accompany the following established elements: review of all medications, identification of medications that could be ceased or reduced, collaborative planning of the deprescribing regimen, and provision of review and support to the patient and caregivers. The authors discuss how deprescribing might be adapted for and implemented in psychiatry, identify potential barriers, and make recommendations for future directions. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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