Pharmacotherapy guidelines for the aged by family doctors for the use of family doctors - Part D Basic conditions supporting drug treatment. Part E Guidelines group, disclaimer, internet addresses.

摘要

The family doctor play a spe cial role in the health system.S/he look mainly after chronically ill, elderly and mulu morbid patients and strives to control the course of disease of these patients with the aid of their own multiple mostly pharmaco-thera-pies as well as those of other specialists. Evidence-based recommendations that support G.P's in the therapy of their patients are lacking. Therefore, the Hesse Guidelines Group has put together these guidelines to support family doctor's in the drug therapy of the aged. General rules for the management of age-associated diseases by family doctors are: Before prescribing medication for the elderly patient the family doctor is required to carry out a thorough check of the patient's pharmacotherapy including self-medication and drugs prescribed by other doctors. Key questions for family doctors are: Is the therapy causal or symptomatic? Can therapy goals be arranged according to priority in order to avoid unnecessary medication? Which interactions and side effects must be expected? Does the patient understand and accept the prescription?