Talking Meds Episode 4: Sensible prescribing in older people - Weighing up benefits and harms of treatment

Another episode in the series ‘Sensible prescribing in Older people with Jonathan and Lucy’. Jonathan and Lucy discuss Brenda, an older lady who has become frail and has significant dementia that is affecting her ability to cope with everyday life and living. She has been taking aspirin, originally intended to reduce her risk of a further heart attack, but which hasn’t been thought about for a while. They discuss how clinicians are prone to overestimate benefits of medicines, but underestimate harms. The importance of finding out a patient’s (and their carer’s) expectations are key to sensible prescribing. Sometimes the tablets aren’t worth our precious older people taking them, as the harms may well outweigh the potentially small benefits.

Resources mentioned in this episode include: