An 86-year-old woman with CFS 7 and advanced dementia is bedbound with an estimated prognosis of weeks. She takes Bisoprolol, Ramipril, Atorvastatin, ...

Question

An 86-year-old woman with CFS 7 and advanced dementia is bedbound with an estimated prognosis of weeks. She takes Bisoprolol, Ramipril, Atorvastatin, Aspirin, Metformin, and Alendronic acid. She cannot swallow reliably. Which medications should be prioritised for deprescribing?

Accepted Answer

Atorvastatin, Aspirin (if primary prevention), Alendronic acid, and Metformin - these provide minimal benefit given short prognosis and swallowing difficulty

Answer

None - continue all unchanged

Answer

Only Alendronic acid

Answer

Only Atorvastatin

Answer

Stop all simultaneously today

uk-dgm MCQ (SBA): Deprescribing at End of Life

An 86-year-old woman with CFS 7 and advanced dementia is bedbound with an estimated prognosis of weeks. She takes Bisoprolol, Ramipril, Atorvastatin, Aspirin, Metformin, and Alendronic acid. She cannot swallow reliably. Which medications should be prioritised for deprescribing?