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Posted by Positive Aging Community on 10/24/2023

Drug Deprescribing & Precision Medicine Programs


Join us for a Live & Interactive Discussion to learn how we can help our loved ones, clients and residents identify and get off of harmful medications. 

Chat Transcript

12:06:17     From  Steve Gurney - ProAging Community : Meet Dr. Delon Canterbury https://www.geriatrx.org/

12:07:29     From  Fran Sanderson   to   Hosts and panelists : RN here. This is not a new practice. A different approach is called a drug holiday which would often see patients get better. Then many drugs were often left out of the restart of critically necessary meds.

12:17:01     From  Steve Gurney - ProAging Community : Dr. Bill Thomas; Live & Interactive Discussion https://www.retirementlivingsourcebook.com/videos/dr-bill-thomas-live-interactive-discussion

12:17:40     From  Elva Roy : Two great resources for learning about deprescribing. First is www.lowninstitute.org

12:18:07     From  Elva Roy : Second is Canadian Deprescribing Network at www.deprescribingnetwork.ca

12:18:45     From  DeLon Canterbury   to   Hosts and panelists : Excellent resources

12:19:13     From  Steve Gurney - ProAging Community : The world’s first published use of the term “deprescribing” was in the Society of Hospital Pharmacists of Australia's flagship Journal of Pharmacy Practice and Research (JPPR) in 2003, in an article titled ‘Deprescribing: Achieving Better Health Outcomes for Older People through Reducing Medications’.[9] https://en.wikipedia.org/wiki/Deprescribing

12:22:18     From  Steve Gurney - ProAging Community : Real Life Story: An Amazing Healthcare Recovery: From Nursing Home to Hospice to Independence https://www.retirementlivingsourcebook.com/videos/real-life-story-an-amazing-healthcare-recovery-from-nursing-home-to-hospice-to-independence

12:23:57     From  Fran Sanderson   to   Hosts and panelists : Former hospice nurse and many hospice patients are discharged after meds are stopped. Such an important conversation. Thank you!

12:24:09     From  Dixcy Bosley   to   Hosts and panelists : Homebound primary care  providers funded by Medicare for homebound adults are effective de-prescribers.    Hospice patients can have medications that are disease symptom management related.  Not just pain meds.

12:25:17     From  Steve Gurney - ProAging Community : https://delon-canterbury.mykajabi.com/deprescribing-accelerator https://delon-canterbury.mykajabi.com/deprescribing-accelerator

12:25:54     From  Steve Gurney - ProAging Community : From Fran Sanderson to All Panelists 12:23 PM

Former hospice nurse and many hospice patients are discharged after meds are stopped. Such an important conversation. Thank you!

12:29:52     From  Steve Gurney - ProAging Community : Precision medicine, sometimes known as "personalized medicine" is an innovative approach to tailoring disease prevention and treatment that takes into account differences in people's genes, environments, and lifestyles. https://www.fda.gov/medical-devices/in-vitro-diagnostics/precision-medicine

12:30:30     From  Kathleen STEED   to   Hosts and panelists : Medicines “Necessary to Live”  — What about psychopharmaceuticals?  How would you determine if these kinds of medications are “necessary to live”?

12:37:57     From  Steve Gurney - ProAging Community : Deprescribing Guidelines and Algorithms https://deprescribing.org/

12:38:58     From  Tricia Cash   to   Hosts and panelists : Can you discuss importance of tapering of certain agents when deprescribing.

12:40:46     From  Elva Roy : I lost some trust in the FDA when they approved "Aduhelm" without evidence of much, if any, improvement. Their own panel of advisors unanimously said "do not approve" Aduhelm. Yet they approved it.

12:42:00     From  chana Hershkop   to   Hosts and panelists : Mayo Clinic and Ashp Pgx certification training

12:46:27     From  DeLon Canterbury   to   Hosts and panelists : I discussed my thoughts on aduhelm about a year or so ago and did a live about it you can follow me :

12:46:28     From  DeLon Canterbury   to   Hosts and panelists : https://www.linkedin.com/in/geriatrx/

12:46:43     From  Steve Gurney - ProAging Community : From DeLon Canterbury to All Panelists 12:46 PM

I discussed my thoughts on aduhelm about a year or so ago and did a live about it you can follow me :

https://www.linkedin.com/in/geriatrx/

12:47:21     From  Steve Gurney - ProAging Community : From chana Hershkop to All Panelists 12:42 PM

Mayo Clinic and Ashp Pgx certification training

12:49:19     From  MarthaLeah Chaiken : As I understand it, Aduhelm clears plaques in the brain, but there is not conclusive evidence that plaques actually cause Alzheimer's. There was insufficient evidence that the drugs improved symptoms.

12:50:23     From  cody kohlhagen : These questions line up like a stack of dominos..

This world is Blessed to have individuals, and teams, like yours who can help with the amazing part.. 

PROVIDING REAL ANSWERS that BEGIN TO TOPPLE over these long list of personal questions!!

*THUMBS - WAY TO GO PANEL - UP*

12:50:39     From  Steve Gurney - ProAging Community : Dixcy Bosley 12:49 PM 

We need to help our aging patients understand that  when  our primary doctors refer us out to specialists, we need to ask what are the benefits and burdens of speciality work up and the human cost of interventions.  Each specialist adds to the list of meds that are often managed in silos

12:51:09     From  Dixcy Bosley   to   Hosts and panelists : Bravo to you for your courageous work .. Big Pharma is terrifying and has too much political power in this country

12:51:47     From  Tricia Cash   to   Hosts and panelists : In Maryland there is a program MDPCP that has pharmacists embedded in PCP offices where office and home visits are available to Medicare patients.  Ask you primary care if they have such a service

12:52:35     From  Steve Gurney - ProAging Community : Tracy V. Faulkner, Pharm.D. https://www.linkedin.com/in/tvfaulkner/

12:53:14     From  Steve Gurney - ProAging Community : From Tricia Cash to All Panelists 12:51 PM

In Maryland there is a program MDPCP that has pharmacists embedded in PCP offices where office and home visits are available to Medicare patients.  Ask you primary care if they have such a service

12:55:36     From  Elva Roy : What is the typical cost of having genetic testing done?

12:57:12     From  Darlene Christy : Thank you for this amazing information. I am a Board Certified Patient Advocate in Florida who will specialize in working with seniors, home care coordination and aging in place. This was great information!

12:57:51     From  DeLon Canterbury   to   Hosts and panelists : I work with BCPA's and GCM's happy to explore synergies and help patients with Deprescribig, lets connect

12:58:25     From  Fran Sanderson   to   Hosts and panelists : Thank you all for bringing this topic to us!

12:59:07     From  Steve Gurney - ProAging Community : From Tricia Cash to All Panelists 12:51 PM

In Maryland there is a program MDPCP that has pharmacists embedded in PCP offices where office and home visits are available to Medicare patients.  Ask you primary care if they have such a service

12:59:25     From  Elva Roy : The State of Maryland is ahead of the curve. Unfortunately, I live in Texas. ugh

12:59:28     From  Darlene Christy : My husband spent 40 days in the hospital and 18 days in ICU, due to fragmented care. This is why I became a patient advocate.

13:00:46     From  Darlene Christy : Thank you, all!!!


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