Question

A 72-year-old woman in a residential aged care facility is reviewed by her GP. She has advanced Alzheimer dementia, limited mobility and multiple comorbidities. She is on 12 regular medicines. According to the RACGP Silver Book principles, what is the most appropriate approach to her chronic disease management?

Accepted Answer

Systematically review her medicines and consider deprescribing those with limited benefit or high risk

Answer

Maintain all current medicines to avoid destabilising her conditions

Answer

Discontinue all preventive medicines immediately

Answer

Avoid discussing treatment goals with her family

Answer

Add additional medicines to achieve tight disease control targets

Practice question