Optimization of Drug Prescription and Medication Management in Older Adults with Cardiovascular Disease

Nanette K. Wenger, Caroline Lloyd Doherty, Jerry H. Gurwitz, Glenn A. Hirsch, Holly M. Holmes, Matthew S. Maurer, Michael D. Murray

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Cardiovascular disease increases incrementally with age and elderly patients concomitantly sustain multimorbidities, with resultant prescription of multiple medications. Despite conforming with disease-specific cardiovascular clinical practice guidelines, this polypharmacy predisposes many elderly individuals with cardiovascular disease to adverse drug events and non-adherence. Patient-centered care requires that the clinician explore with each patient his or her goals of care and that this shared decision-making constitutes the basis for optimization of medication management. This approach to aligning therapies with patient preferences is likely to promote patient satisfaction, to limit morbidity, and to favorably affect healthcare costs.

Original languageEnglish (US)
Pages (from-to)803-810
Number of pages8
JournalDrugs and Aging
Volume34
Issue number11
DOIs
StatePublished - Nov 1 2017
Externally publishedYes

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Pharmacology (medical)

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    Wenger, N. K., Doherty, C. L., Gurwitz, J. H., Hirsch, G. A., Holmes, H. M., Maurer, M. S., & Murray, M. D. (2017). Optimization of Drug Prescription and Medication Management in Older Adults with Cardiovascular Disease. Drugs and Aging, 34(11), 803-810. https://doi.org/10.1007/s40266-017-0494-2