Resources: Caring

Deprescribing.org

  • Resource Type: Toolkit
  • Posted On: October 15, 2018
  • Author/Source: Dr. Barbara Farrell and Dr. Cara Tannenbaum
  • Audience(s): Clinicians, Leaders and managers

Online Tools and Resources for Optimizing Seniors’ Medication Use

Deprescribing is the planned and supervised process of reducing or stopping a medication that may be causing harm or no longer be of benefit. The Bruyère Deprescribing Guidelines Research Team, a partner of Ontario CLRI, have created bilingual tools and resources to help healthcare professionals and residents make shared decisions on whether or not a medication is still the right fit.

These tools include five evidence-based guidelines that help healthcare providers make informed assessments of a resident’s medication and explore possibilities for non-drug treatments. The resources also have patient pamphlets that empower residents to engage in their healthcare. These pamphlets provide key questions they can ask their care team about their medications and explaining deprescribing in plain language.

Evidence

Studies on the making of the guidelines and algorithms have been published in Canadian Family Physician. The studies detail the process of gathering evidence and consulting primary care professionals for developing, reviewing, and endorsing the guidelines. 

Kevin Pottie, Wade Thompson, Simon Davies, Jean Grenier, Cheryl A. Sadowski, Vivian Welch, Anne Holbrook, Cynthia Boyd, Robert Swenson, Andy Ma and Barbara Farrell

Canadian Family Physician May 2018, 64 (5) 339-351;

Lise M. Bjerre, Barbara Farrell, Matthew Hogel, Lyla Graham, Geneviève Lemay, Lisa McCarthy, Lalitha Raman-Wilms, Carlos Rojas-Fernandez, Samir Sinha, Wade Thompson, Vivian Welch and Andrew Wiens

Canadian Family Physician January 2018, 64 (1) 17-27;

Barbara Farrell, Cody Black, Wade Thompson, Lisa McCarthy, Carlos Rojas-Fernandez, Heather Lochnan, Salima Shamji, Ross Upshur, Manon Bouchard and Vivian Welch

Canadian Family Physician November 2017, 63 (11) 832-843;

Barbara Farrell, Kevin Pottie, Wade Thompson, Taline Boghossian, Lisa Pizzola, Farah Joy Rashid, Carlos Rojas-Fernandez, Kate Walsh, Vivian Welch and Paul Moayyedi

Canadian Family Physician May 2017, 63 (5) 354-364;

Author/Source

Deprescribing.org was created by Dr. Barbara Farrell and Dr. Cara Tannenbaum a pharmacist and physician respectively who are concerned with the rising use of medications in the aging population.

The development of the algorithms was supported by the Ontario Pharmacy Research Collaboration (OPEN) and the Canadian Institutes of Health Research (CIHR).

Links

Deprescribing.org Website 

Visit to learn more about deprescribing tools and resources.

Webinar – Shared Decision Making

In this webinar, Dr. Barbara Farrell will highlight common elements of the deprescribing process and demonstrate approaches to engaging patients through shared decision-making.

Webinar – The Role of Community Pharmacists in Deprescribing

In this webinar, Dr. Lisa McCarthy and Dr. Clara Korenvain will highlight research that explores how pharmacists practicing in community settings can embrace their roles as key partners in deprescribing as one strategy for tackling the global problem of medication-related harm.

Webinar – Alternative Supports for Deprescribing from Antidepressants

In this webinar, Dr. Jadon Webb will discuss how major depression can be difficult to treat, and how clinicians can sometimes feel constrained in choices of how to treat it (i.e. medications vs talk therapy). Dr. Webb will also explore other modalities with strong supporting evidence, and suggest how these can be integrated into a deprescribing decision tree.

Article – What’s in Your Medicine Cabinet?

As first seen in AdvantAge Ontario’s Action Update, this article features how to use Deprescribing tools & resources to optimize seniors’ medication plans.


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