261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis

Ann Doherty; Aisling Jennings; Barbara Clyne; Fiona Boland; Frank Moriarty; Tom Fahey; Seán P. Kennelly; Emma Wallace

doi:10.1093/ageing/afad156.210

261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis

Ann Doherty
, Aisling Jennings
, Barbara Clyne
, Fiona Boland
, Frank Moriarty
, Tom Fahey
, Seán P. Kennelly
, Emma Wallace

School of Medicine

Royal College of Surgeons in Ireland
Trinity College Dublin

Research output: Contribution to conference › Poster › peer-review

Abstract

Research to date on appropriate prescribing in older adults has focused on characterising inappropriate prescribing using explicit prescribing indicator tools. Less is known about other causes of problematic polypharmacy such as prescribing cascades. Prescribing cascades occur when a medication is prescribed to treat or to prevent the symptoms of an adverse drug reaction and may be characterised as intentional or unintentional, as well as appropriate or inappropriate. Prescribing cascades, therefore, represent an important and under-researched area of problematic polypharmacy. The aim of this study was to conduct a stakeholder analysis (patients with polypharmacy; carers; General Practitioners [GPs]; hospital doctors; community pharmacists; professional organisation representatives and policymakers) to elicit perceptions of and attitudes towards problematic polypharmacy, with a focus on prescribing cascades.

Original language	English
DOIs	https://doi.org/10.1093/ageing/afad156.210
Publication status	Published - 14 Sept 2023
Event	Irish Gerontological Society 70th Annual and Scientific Meeting - Galmont Hotel, Galway, Ireland Duration: 28 Sept 2023 → 30 Sept 2023

Conference

Conference	Irish Gerontological Society 70th Annual and Scientific Meeting
Country/Territory	Ireland
City	Galway
Period	28/09/23 → 30/09/23

Keywords

Polypharmacy
Medicine
Stakeholder
Pharmacist
Focus group
Medical prescription
Deprescribing
Family medicine
Patient safety
Qualitative research
Beers Criteria
Nursing
Health care
Pharmacy
Public relations
Intensive care medicine
Social science
Marketing
Sociology
Political science
Economics
Business
Economic growth

Access to Document

10.1093/ageing/afad156.210

Cite this

Doherty, A., Jennings, A., Clyne, B., Boland, F., Moriarty, F., Fahey, T., Kennelly, S. P., & Wallace, E. (2023). 261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis. Poster session presented at Irish Gerontological Society 70th Annual and Scientific Meeting, Galway, Ireland. https://doi.org/10.1093/ageing/afad156.210

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title = "261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis",

abstract = "Research to date on appropriate prescribing in older adults has focused on characterising inappropriate prescribing using explicit prescribing indicator tools. Less is known about other causes of problematic polypharmacy such as prescribing cascades. Prescribing cascades occur when a medication is prescribed to treat or to prevent the symptoms of an adverse drug reaction and may be characterised as intentional or unintentional, as well as appropriate or inappropriate. Prescribing cascades, therefore, represent an important and under-researched area of problematic polypharmacy. The aim of this study was to conduct a stakeholder analysis (patients with polypharmacy; carers; General Practitioners [GPs]; hospital doctors; community pharmacists; professional organisation representatives and policymakers) to elicit perceptions of and attitudes towards problematic polypharmacy, with a focus on prescribing cascades.",

keywords = "Polypharmacy, Medicine, Stakeholder, Pharmacist, Focus group, Medical prescription, Deprescribing, Family medicine, Patient safety, Qualitative research, Beers Criteria, Nursing, Health care, Pharmacy, Public relations, Intensive care medicine, Social science, Marketing, Sociology, Political science, Economics, Business, Economic growth",

author = "Ann Doherty and Aisling Jennings and Barbara Clyne and Fiona Boland and Frank Moriarty and Tom Fahey and Kennelly, \{Se{\'a}n P.\} and Emma Wallace",

year = "2023",

month = sep,

day = "14",

doi = "10.1093/ageing/afad156.210",

language = "English",

note = "Irish Gerontological Society 70th Annual and Scientific Meeting ; Conference date: 28-09-2023 Through 30-09-2023",

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Doherty, A, Jennings, A, Clyne, B, Boland, F, Moriarty, F, Fahey, T, Kennelly, SP & Wallace, E 2023, '261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis', Irish Gerontological Society 70th Annual and Scientific Meeting, Galway, Ireland, 28/09/23 - 30/09/23. https://doi.org/10.1093/ageing/afad156.210

261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis. / Doherty, Ann; Jennings, Aisling; Clyne, Barbara et al.
2023. Poster session presented at Irish Gerontological Society 70th Annual and Scientific Meeting, Galway, Ireland.

Research output: Contribution to conference › Poster › peer-review

TY - CONF

T1 - 261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis

AU - Doherty, Ann

AU - Jennings, Aisling

AU - Clyne, Barbara

AU - Boland, Fiona

AU - Moriarty, Frank

AU - Fahey, Tom

AU - Kennelly, Seán P.

AU - Wallace, Emma

PY - 2023/9/14

Y1 - 2023/9/14

N2 - Research to date on appropriate prescribing in older adults has focused on characterising inappropriate prescribing using explicit prescribing indicator tools. Less is known about other causes of problematic polypharmacy such as prescribing cascades. Prescribing cascades occur when a medication is prescribed to treat or to prevent the symptoms of an adverse drug reaction and may be characterised as intentional or unintentional, as well as appropriate or inappropriate. Prescribing cascades, therefore, represent an important and under-researched area of problematic polypharmacy. The aim of this study was to conduct a stakeholder analysis (patients with polypharmacy; carers; General Practitioners [GPs]; hospital doctors; community pharmacists; professional organisation representatives and policymakers) to elicit perceptions of and attitudes towards problematic polypharmacy, with a focus on prescribing cascades.

AB - Research to date on appropriate prescribing in older adults has focused on characterising inappropriate prescribing using explicit prescribing indicator tools. Less is known about other causes of problematic polypharmacy such as prescribing cascades. Prescribing cascades occur when a medication is prescribed to treat or to prevent the symptoms of an adverse drug reaction and may be characterised as intentional or unintentional, as well as appropriate or inappropriate. Prescribing cascades, therefore, represent an important and under-researched area of problematic polypharmacy. The aim of this study was to conduct a stakeholder analysis (patients with polypharmacy; carers; General Practitioners [GPs]; hospital doctors; community pharmacists; professional organisation representatives and policymakers) to elicit perceptions of and attitudes towards problematic polypharmacy, with a focus on prescribing cascades.

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KW - Medicine

KW - Stakeholder

KW - Pharmacist

KW - Focus group

KW - Medical prescription

KW - Deprescribing

KW - Family medicine

KW - Patient safety

KW - Qualitative research

KW - Beers Criteria

KW - Nursing

KW - Health care

KW - Pharmacy

KW - Public relations

KW - Intensive care medicine

KW - Social science

KW - Marketing

KW - Sociology

KW - Political science

KW - Economics

KW - Business

KW - Economic growth

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U2 - 10.1093/ageing/afad156.210

DO - 10.1093/ageing/afad156.210

M3 - Poster

T2 - Irish Gerontological Society 70th Annual and Scientific Meeting

Y2 - 28 September 2023 through 30 September 2023

ER -

261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis

Abstract

Conference

Keywords

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University College Cork Researcher Details Findings in Geriatrics and Gerontology (261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis)

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261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis

Abstract

Conference

Keywords

Access to Document

Other files and links

Fingerprint

Press/Media

University College Cork Researcher Details Findings in Geriatrics and Gerontology (261 Perceptions of and attitudes towards problematic polypharmacy and prescribing cascades in older adults: a stakeholder analysis)

Cite this