부산대학교 도서관

As Taiwan is becoming an aged society, the medical conditions and health concerns of the elderly have come to assume increasing importance. Degeneration of multiple organs and systems, loss of physiological reserve, and multimorbidity give rise to various geriatric syndromes among the elderly, not only aggravating the complexity of medical care but also imposing great burden on patients and their families. Due to the interactions of diseases and geriatric syndromes, medical professionals have directed greater attention to the issue of polypharmacy recently. In order to prevent adverse drug effects and potential inappropriate medication, physicians make use of different assessment tools to review drug list thoroughly. Physicians also adjust dosage and simplify prescriptions to improve quality of medicine usage, decrease related risks of pharmaceutical treatments, and ultimately achieve the value and benefits of deprescribing. In this case report, we present a case of recent consciousness disturbance. We describe the processes of clinical assessment and functional reviews in detail and show the results with the intervention of CGA. Through CGA, our multidisciplinary team not only clarified the patient's clinical problems and geriatric syndrome but also developed personalized treatment plans. By sharing such a clinical experience, we hope to improve the clinical practice of geriatric care, raise the efficacy of medical resource utilization and enhance quality of care for elderly patients and their families.