A 83-year-old woman with a CFS of 6 has type 2 diabetes, COPD, atrial fibrillation, and depression. She is on 11 medications and feels overwhelmed. He...

Question

A 83-year-old woman with a CFS of 6 has type 2 diabetes, COPD, atrial fibrillation, and depression. She is on 11 medications and feels overwhelmed. Her GP uses the NICE NG56 approach to review her care. The GP asks about her main priorities. She says: 'I just want to feel less tired and be able to see my grandchildren more.' According to NICE NG56, how should this information guide the medication review?

Accepted Answer

Her priorities should guide the review - medications that contribute to tiredness should be assessed for deprescribing, and treatments that support her functional goal should be prioritised

Answer

It is irrelevant - all medications should be continued as per individual disease guidelines

Answer

All medications should be stopped immediately to reduce her pill burden

Answer

She should be referred to a pharmacist and the GP should not be involved

Answer

Her priorities cannot override clinical guidelines

uk-dgm MCQ (SBA): Patient Priorities in Multimorbidity Management