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Polypharmacy and Deprescribing in Older Adults

You'll be able to systematically review an older adult's medication list, flag high-risk drugs and interactions, and build a stepwise deprescribing plan.

What this track covers

This track covers medication management in older adults, including identifying potentially inappropriate medications, assessing anticholinergic and sedative burden, and recognizing clinically significant drug-drug and drug-disease interactions. It also addresses tapering strategies for common high-risk drug classes and how to communicate medication changes with patients and caregivers.

What you will practice

  • Run a systematic medication review across an older adult's full drug list
  • Screen a regimen against current Beers Criteria categories
  • Spot renal- or hepatic-driven dosing concerns in a case
  • Sequence a taper plan for a sedative-hypnotic or PPI
  • Frame a medication-change conversation for a hesitant patient or caregiver

Simulator scenario

An older adult on multiple chronic medications presents with new falls and confusion, requiring the clinician to identify contributing drugs and propose a deprescribing sequence.

Board question topics

  • Beers Criteria classifications
  • Anticholinergic burden assessment
  • Drug-drug and drug-disease interactions
  • Deprescribing sequencing and withdrawal recognition

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