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Advances in Prescribing for Older Adults with Multimorbidity: Insights from HRB Seminar

This presentation discusses the complexities of prescribing medications for older adults with multiple chronic illnesses, highlighting research by Tom O'Dowd and Susan Smith. It reviews current literature including BJGP and Cochrane reviews, and presents insights from studies on the prevalence of conditions in Ireland. The talk touches on the need for improved medicines management and occupational therapy interventions, emphasizing policy implications for chronic disease management and healthcare contracts. Ongoing research projects aim to address the challenges of multimorbidity in primary care.

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Advances in Prescribing for Older Adults with Multimorbidity: Insights from HRB Seminar

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  1. Prescribing in older people Presentation to HRB PCRC seminar 10 Sept ‘09 Tom O’Dowd & Susan Smith

  2. Progress with Multimorbidity strand • Publications • BJGP • BMC • Cochrane review (currently being peer-reviewed) • BJGP • Additional funding • Irish Lung Foundation - clinical research fellow • Trinity College - OT research assistant • Adelaide Society - lecturers in health policy

  3. Two or more chronic illnesses in the same individual From primary care in Canada : Fortin et al BMJ 2007

  4. Lipid disorders 15 Hypertension 12.5 Depression 5.5 NIDDM 7.5 COPD 6 Asthma 5 Acute MI 2 IHD-no angina 1.5 IHD-with angina 3.5 Cardiovascular disease other 2.5 Chronic alcohol abuse 3 Hiatus hernia 1 Prevalence of conditions %in General practice in IrelandSmith, Ferede, O’Dowd

  5. Single vs MultimorbiditySmith, Ferede, O’Dowd

  6. Research plan • Intervention • Medicines management • Occupational therapy • Function using rehab model • Feasability project with pilot study of multifaceted intervention Oct 09-Sept 2010 • Grant application HRB for RCT

  7. Policy implications • Needs to be developed • Current GMS contract is not geared to chronic illness • Current hospital care is suited to simple & complicated care • Planning conference on chronic disease with Adelaide Society in early 2010 • Will need input from HRB Primary Care Research Centre

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