14 Jun 2023 BC Provincial Deprescribing Webinar Series #3
This live webinar has already taken place. Scroll down to view the video recording.
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When challenged by complex cases involving people taking too many medications, we may ask:
- Can I stop any of these?
- Which should I stop first?
- Do I need to taper this drug? If so, how?
- What should I monitor for after stopping, and when?
Many clinicians address these clinical questions successfully, improving outcomes for patients. Sometimes, things don’t work out as we hope. At the Therapeutics Initiative, we want to create a platform for healthcare providers, patients, caregivers, advocates and policy makers to learn from each other about successes and challenges in deprescribing. Learning together, we hope to build confidence and knowledge about deprescribing in BC and beyond. This was the third session, which was held on Wednesday, June 14, 2023.
Links to the previous sessions in the Deprescribing Webinar series (links include the slide decks and video recording for each session):
- February 8, 2023: BC Provincial Deprescribing Series Webinar #1: It’s about time!
- April 19, 2023: BC Provincial Deprescribing Webinar Series #2
DATE: Wednesday, June 14, 2023
TIME: 12:00 – 13:00 Pacific Time convert to your local time
WHERE: This is a free virtual event.
CME CREDITS: MainPro+/MOC Section 1 credits: 1.0. Those who registered, attended the webinar and completed the evaluation will receive their certificate.
Shauna Archer, NP (F) Victoria BC – Case #1: “Can deprescribing ameliorate postural hypotension in a man with complex mental health issues?”
Slides for the presentation can be found in the link below.
Shauna Archer – Deprescribing Workshop
Marc Clark MD, FCFP, Edmonton AB – Cases #2 and #3: “Back from the ‘pre-dead’ – hospice patients who bounced back after deprescribing”
Slides for the presentation can be found in the link below.
Dr. Marc Clark – BC Deprescribing Rounds
LEARNING OBJECTIVES
By the end of the presentation, attendees will be able to
- Recognize when a medication list is not appropriate for a patient’s long-term health
- Begin to develop a plan to simplify by deprescribing potentially harmful or redundant drugs.
- Identify helpful collaborators (pharmacists, specialists, or other colleagues) who can assist with successful deprescribing
Presenter Bios 
Shauna Archer is a family nurse practitioner within Island Health Authority. She is an alumna of the BC Centre on Substance Use Nurse Practitioner Addiction Fellowship and an Adjunct Professor within the UBC school of nursing. Her practice is focused on primary care of persons diagnosed with complex, concurrent mental health and substance use disorders. Shauna observed a high prevalence of chronic disease and polypharmacy within her patient population and became interested in de-prescribing after witnessing the pitfalls of prescribing inertia and prescribing cascades. Outside of professional life, Shauna and her husband enjoy chasing their young son around the robust beaches and forests of southern Vancouver Island.
Dr. Clark is an experienced family physician, now working mainly in palliative care. Currently he is working with colleagues in Ethiopia to set up the first hospital-based, government-funded palliative care service in Africa, outside of South Africa.
The BC Provincial Deprescribing Webinars are coordinated by:
Tom Perry MD, FRCPC
Clinical Associate Professor, Department of AP&T, UBC
Co-Chair, Education Working Group, UBC Therapeutics Initiative
tom.perry@ubc.ca
Wade Thompson PharmD, PhD
Assistant Professor, Department of AP&T, UBC
Organizer, International Deprescribing Conference
Education Working Group, UBC Therapeutics Initiative
wade.thompson@ubc.ca
INVITATION TO SUBMIT & PRESENT A CASE AT FUTURE WEBINARS!
Please let colleagues or friends know about this new webinar series.
- We host a 1-hour case-based webinar every 2 months (except August). The initial schedule is Wednesdays at 12:00-13:00 h Pacific Time, but we may vary this in future, depending on demand.
- Deprescribing Webinars are open to pharmacists, doctors, nurse practitioners, nurses, health profession students, patients & care providers, and others in health care who are interested in how to address undesirable polypharmacy effectively through responsible deprescribing.
- The Webinars are case-based. We invite case submissions from any health profession (including students, and potentially from patients/caregivers who wish to share their experiences). As in any health care setting, we expect our audience to respect the confidentiality of information presented with informed patient consent.
Who should submit?
- Nursing, psych nursing, NP, medical, and pharmacy students or residents;
- Recently qualified practitioners working in hospital, community, or long-term care who identify a deprescribing problem or success they think will interest others;
- Senior clinicians in any health care field who want to share their acumen and experience with deprescribing clinical logic, pharmacokinetics, avoiding withdrawal, teaching others how to deprescribe successfully, use of electronic aides or AI;
- Patients or families who think their story may enlighten health professionals.
What will you need to submit a case?
- Patient consent to present anonymized relevant history, physical findings, drug list;
- Consent of your supervisor if relevant (e.g. students/residents);
- Obtain key details including all medications and doses, relevant vital signs (e.g.supine & standing BP and HR, RR and SaO2) while you have authorized access to patient record.
If interested, please contact Dr. Perry or Dr. Thompson at the emails above. We will work with submitters to develop succinct, effective presentations that allow time for audience discussion in Zoom Chat, Q&A, and through our moderators. If you wish to propose a case, don’t be shy! DO respect patient privacy – don’t disclose any information that could identify an individual. Dr. Perry can discuss possible case presentations by telephone, if you email him.
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