The American Geriatrics Society (AGS) today published the results of its examination of care to determine the top five things patients and physicians should question when caring for older adults.
- Recommending percutaneous feeding tubes in patients with advanced dementia; instead of offering oral-assisted feeding.
- Using antipsychotics as first choice to treat behavioral and psychological symptoms of dementia.
- Using medications to achieve hemoglobin 7.5 percent in most adults age 65 and older; moderate control is generally better.
- Use of benzodiazepines or other sedative-hypnotics in older adults as first choice for insomnia, agitation, or delirium.
- Use of antimicrobials to treat bacteriuria in older adults unless specific urinary tract symptoms are present.
AGS partnered with the American Board of Internal Medicine Foundation’s “Choosing Wisely” campaign to evaluate information from ABIM societies and AGS members. They looked at whether physician-ordered tests and procedures were sufficiently evidence-based, whether the potential health benefits were worth any risks they might pose, if they were redundant or medically necessary. The goal of the campaign is to pinpoint and eliminate unnecessary health spending. Continue reading