Author Question: All of the following statements about the Beer's List are true except: 1. It is a list of ... (Read 64 times)

ahriuashd · **on:** Jul 24, 2018

All of the following statements about the Beer's List are true except:

1. It is a list of medications or medication classes that should generally be avoided in persons 65 years or older because they are either ineffective or they pose unnecessarily high risk for older persons and a safer alternative is available.
2. It is derived from the expert opinion of one geriatrician and is not evidence-based.
3. These criteria have been adopted by the Centers for Medicare and Medicaid Services for regulation of long-term care facilities.
4. These criteria are directed at the general population of patients over 65 years of age and do not take disease states into consideration.

Question 2

Which of the following is not consistent with the rules for geriatric prescribing:

1. Half-life will be longer in older adults
2. Steady state is reached more quickly in the older adult
3. Reduce the number of drugs in the patient's regimen whenever possible
4. Adverse drug responses present atypically in the older adult

enass · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: 1
RAT: The Beer's criteria are intended as a guide and not a punitive regulatory tool. In 2011, the American Geriatrics Society (AGS) assembled a team to develop an evidence-based tool based on the original work of geriatrician Dr. Beers. Disease states are discussed in the updated AGS version.

Answer to Question 2

ANS: 2
RAT: Due to an increased half-life of lipid-soluble drugs, steady state will likely take longer to achieve in older adults. The other statements are true with respect to geriatric prescribing.