Full Description
Deprescribing practice in hospice medicine has expanded exponentially in recent years. This book systematically addresses the groups of extremely useful medications to manage chronic disease conditions and prevent complications. It highlights the positive intervention of reducing polypharmacy, improving a terminally ill patient's quality of life, providing individual patient context and helping clinicians in deprescribing. It discusses good ethics, patient wishes and side effect protocols to discontinue no longer relevant medications, thus improving decision-making with the goal of enhancing the patient's quality of life during the time when it is needed the most.
Key Features:
Empowers the patient, their families, and the providers to have an open discussion about well-informed decision-making.
Equips the hospice and palliative care clinicians to comfortably explain the rationale and the discontinuation process of the unessential medications.
Highlights the most important facts in bullets along with a unique feature of providing ready-to-go conversational phrases.
Contents
Introduction
Physiologic changes of terminal illness
Fundamentals of deprescribing
Deprescribing Statins
Deprescribing Benzodiazepines
Deprescribing Antipsychotics
Deprescribing SSRI and SNRIs
Deprescribing Tricyclic Antidepressants
Deprescribing Anticholinergic drugs for parkinsonism
Deprescribing Anticholinergic drugs for urinary incontinence
Deprescribing muscle relaxants
Deprescribing long-term Opioids
Deprescribing Proton Pump Inhibitors
Deprescribing Allopurinol
Deprescribing Antihyperglycemics Oral
Deprescribing Antihyperglycemics Injectable
Deprescribing anti-hypertensives
Deprescribing Anticoagulants
Deprescribing Cholinesterase inhibitors
Deprescribing Glaucoma eye drops
Deprescribing Vitamin D and Calcium
Deprescribing NSAIDs
Deprescribing gabapentin and pregabalin
Deprescribing long-acting Beta agonist
Deprescribing Vitamins
Deprescribing medications in children
Deprescribing in Transgender and LGBTQ
Cultural competency in deprescribing
Chaplain and medical social worker
When to restart discontinued medications.
Medicolegal aspects of deprescribing
