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Deprescribing in Older Adults: The Conversation Most Pharmacists Avoid

  • 60 minutes
What we'll cover
  • 0:00 Why Stopping Feels Hard
  • 8:00 Spotting Hidden Medication Harm
  • 18:00 Deciding What No Longer Fits
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What you'll take away

Practical shifts you can apply this week

  • Identify High-Risk Prescribing Cascades

    Spot falls, confusion, fatigue, and refill inertia as signals to review the regimen, not just the diagnosis.

  • Evaluate When Benefits No Longer Outweigh Risks

    Prioritize medicines that no longer fit prognosis, goals, or time-to-benefit in an older adult.

  • Apply A Structured Conversation Model

    Use language that lowers defensiveness and helps patients, caregivers, and prescribers consider a trial stop.

  • Draft A Deprescribing Plan

    Leave with a practical format for tapering, monitoring, documentation, and follow-up.

  • Defend A Pharmacist-Led Recommendation

    Support your recommendation with patient goals, evidence, and a clear risk-mitigation plan.

Agenda

What we'll cover

  1. 0:00

    Why Stopping Feels Hard

    Why inertia feels safer than action, and why that instinct can quietly raise patient risk.

  2. 8:00

    Spotting Hidden Medication Harm

    Find prescribing cascades and high-yield medication classes behind falls, confusion, and decline.

  3. 18:00

    Deciding What No Longer Fits

    Reassess indication, benefit-harm balance, prognosis, and goals to choose what to stop first.

  4. 28:00

    Leading The Conversation Well

    Practice framing deprescribing as a trial, not a loss, with patients and caregivers.

  5. 39:00

    Working Across Prescriber Friction

    Present a clear rationale, specific plan, and monitoring steps so recommendations travel better.

  6. 47:00

    Building Safe Tapering Plans

    Decide when to stop versus taper, what rebound to expect, and how follow-up should work.

  7. 56:00

    Cases, Recap, And Q&A

    Work through familiar cases, review the framework, and leave with one next-step action for this week.

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