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首页> 美国卫生研究院文献>European Journal of Hospital Pharmacy >Deprescribing in older adults: a new concept for nurses in administering medicines and as prescribers of medicine
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Deprescribing in older adults: a new concept for nurses in administering medicines and as prescribers of medicine

机译：老年人不宜开处方：护士使用药物和开药的新概念

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Deprescribing is a new and emerging theme in the care of older adults living with multimorbidities including frailty. Deprescribing requires a comprehensive review of risk and benefits of a medication in the context of the quality of remaining life and patient and family priorities and preferences. Nursing to date has not engaged with this issue, yet in their roles administering medicines and prescribing medicines they are a fundamental part of the pathway in deprescribing decisions and in supporting patients to make such decisions. In administering medicines, nurses are in a position to observe the degree of difficulty or burden experienced by patients due to polypharmacy or side effects of medicines. While as prescribers for adults with multimorbidities, active review of the risk and benefits of all medicines using evidence-based instruments is part of prescribing responsibility. This article is calling for a critical examination of nurses' roles in deprescribing and in supporting patients to make informed choices about their treatment. There is a need to articulate the role of nursing in this emerging area of medicines management and contribute to a multidisciplinary discourse on deprescribing. Equally professional standards and continuous professional development for nurses as prescribers and administrators of medicines needs to reflect the complexity of an older population. A deprescribing ethos challenges nurses to actively elicit patients' experiences of medicines burden, while nurse prescribers should recognise that appropriate deprescribing is as much a part of their role as appropriate prescribing.
机译：处方药是照顾患有多种疾病（包括身体虚弱）的老年人的新兴主题。停用处方需要根据剩余生命的质量以及患者和家庭的优先事项和偏好来全面审查药物的风险和益处。迄今为止，护理还没有涉及这个问题，但是在管理药物和开药方面，它们是处方决定和支持患者做出此类决定途径的基本组成部分。在服用药物时，护士可以观察患者由于多种药物或药物的副作用而遇到的困难或负担的程度。作为患有多种疾病的成年人的开药者，使用循证工具积极审查所有药物的风险和益处是开处方责任的一部分。本文呼吁对护士在开处方和支持患者对治疗做出明智选择方面的作用进行严格检查。有必要阐明护理在这一新兴的药物管理领域中的作用，并促进关于处方药的多学科论述。护士作为药品的开处方者和管理者，同样的专业标准和不断的专业发展需要反映老年人口的复杂性。开处方的风气挑战了护士积极激发患者的药物负担经历，而开处方的护士应认识到，适当开处方与适当开处方一样，是他们作用的一部分。

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