Reframing the Older Adult in Primary Care
- Functional status, frailty, and life expectancy in prescribing decisions
- Clinical decision framework for multi-morbid patients
- Aligning treatment with patient goals and aging-in-place priorities
Pharmacology and Prescribing Safety in Older Adults
- Beers Criteria updates and clinical implications
- STOPP/START criteria in medication optimization
- Anticholinergic burden and cognitive risk
- High-risk medication classes (benzodiazepines, PPIs, sedatives)
- Polypharmacy and falls risk pathways
- Diabetes, hypertension, anticoagulation, and pain management updates
Deprescribing, Cost Navigation, and Clinical Workflow
- Deprescribing as a structured clinical intervention
- Billing integration: CCM, TCM, MTM workflows
- Medicare Part D cost counseling strategies
- Low-cost therapeutic substitutions
- Caregiver integration in medication management
Limitations and Risks
- Limitations of guideline-based prescribing in complex populations
- Risks of deprescribing (withdrawal, destabilization, symptom recurrence)
- Limited evidence in frail, multi-morbid older adults
- Variability in patient response and need for individualized care
- Areas requiring further research and evolving clinical guidance