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Polypharmacy in the Elderly: Managing Multiple Medications in the Senior Population (1 credit Monograph)

Hours: 1.00

Target Audience: Physicians and practitioners of all specialties who treat patients over the age of 65.

Original Release Date: May 12, 2016
Review Date: November 12, 2018
Expiration Date: May 12, 2019

Description: The prevalence of many chronic conditions increases with age, and so do the number of medications prescribed to manage them. The conundrum for the prescribing physician is that the over-65 population is less likely to obtain the same therapeutic benefit from drugs as younger patients, and more likely to be affected by adverse drug events. These adverse events include delirium, falls, fractures, GI bleeding, cognitive decline, hospital admissions and nursing home admissions.   Older patients benefit significantly when the number of medications is reduced. This Monograph will assist the physician in reviewing the elderly patient’s medication list and identifying medications that may be reduced in dose, replaced with an alternative, or discontinued. It will present risk management strategies based on the 2012 updated Beers Criteria for Potentially Inappropriate Medications (PIMS), a literature review of new findings on additional classes of drugs that should be reconsidered, and several tools for medication review.

Learning Objectives: Upon completion, participants should be able to
a. State several classes of medication that may be candidates for reconsideration or
    discontinuation in the elderly and why.
b. Identify several tools available to the physician for conducting medication review for patients
    over 65.
c. Describe strategies for coordinating with other prescribers of medications for your elderly


Learning Assessment: There will be a post test for this activity with a minimum performance requirement of 6 out of 7 correct answers.

Estimated time to complete activity: 1 hour

Residents will earn a certificate of completion. Physicians will earn CME credit. 

CME Information - Read

Method and Medium: To obtain CME credit, read the entire monograph online, download to a printer and read, or download and save to your computer. Complete the evaluation and post test and print your certificate online.

CME Credit: 1.0


MOC Approved: Through the American Board of Medical Specialties ("ABMS") and Association of American Colleges' ("AAMC") joint initiative to create a wide array of Maintenance of Certification ("MOC") Activities, ' . (NEW) Polypharmacy and the Elderly: Managing Multiple Medications in the Senior Population (1 credit Monograph) . ' has met the MOC requirements as a Part II activity by the following ABMS Member Boards:

  • American Board of Family Medicine
  • American Board of Physical Medicine and Rehabilitation
  • American Board of Psychiatry and Neurology
  • American Board of Urology



State Requirements: Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:
California - This activity includes content in Geriatric Medicine
Connecticut - This activity includes content in Risk Management and Cultural Competence
Massachusetts - This activity includes content in Risk Management
New Jersey - This activity includes content in Cultural Competence
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

Disclosure Policy: LAMMICO requires planners, speakers, faculty and all those who influence the content of a CME activity to disclose any financial relationships they have with commercial interests that are relevant to the CME activity. The disclosures shall be reviewed for any conflict of interest and subject to a mechanism for resolution of conflict of interest. A disclosure statement of relevant financial relationships will be made to the audience prior to the activity.

Disclosure:  The writers and planning committee members for this activity have no relevant financial relationships to disclose. 

About the Authors: Ruth Ryan, RN, BSN, MSW, CPHRM - Read Bio & Karl N. Hanson, MD, FAAFP - Read Bio

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Manager of Risk Management

Editor: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2016

Bibliography: To view and download a Bibliography for this presentation, please select the References button below.

Member and Subscriber Access
Interested in a CME program like this for your team or facility? Contact us to schedule it and talk about pricing.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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