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7.4 PHARMACISTS
Pharmacists are trained to conduct thorough medication reviews, consisting of an appraisal
of age-related physical changes that predispose older adults to drug-drug interactions, drug-
disease interactions and medication side effects.
Medication use is one of the most highly modifiable risk factors for falls in older adults.
Polypharmacy, known as the use of multiple medications or the administration of more
medications than is clinically indicated, is common in older adults. Approximately 85% of
older adults take at least one prescription medication and about 25% take 5 or more types of
medications. Therefore, a routine medication review is a key component in preventing falls
in older adults.
To date, there is no established pathway in Malaysia to guide pharmacists in performing
comprehensive medication management that incorporates a fall-oriented assessment and
intervention. This process would require involvement by trained pharmacists from various
levels and facilities to ensure the continuity of care as the patient transits between
settings.
ASSESSMENT AND INTERVENTION FLOWCHART
FRIDS – Falls-Risk Increasing Drugs
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