Case Report

Pharmacist's Role in an Interdisciplinary Falls Clinic

Authors: Emily K. Flores, PharmD, BCPS, Robin Henry, PharmD, MBA, David W. Stewart, PharmD, BCPS

Abstract

Falls are caused by many factors in older patients. Medications have been shown to be a risk factor for falls, and studies have shown that patients taking more than five total medications may have a two-fold increased risk of impaired balance. A more recent model suggests only medications with sedating and anticholinergic properties contribute significantly to physical impairment. The authors of this paper helped to develop a multidisciplinary clinic to evaluate the risk of falls in at-risk patients. We present the case of a woman on multiple medications that increased her risk of falling. Of note, this patient was taking a total of 14 prescription medications, seven of which were considered sedating. Based on a comprehensive medication evaluation, six specific changes were recommended to improve this patient's medication regimen and reduce her risk of falling.


Key Points


* Medications may significantly contribute to a patient's risk of falling.


* Patients taking more than five total medications and as few as one sedating medication can have an increased risk of falling.


* A multidisciplinary clinic including a pharmacist can identify medications likely to increase the risk of falling and make appropriate adjustments to the medication regimen.

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