Identifier: TFG:1675
Authors: Fuentes Hita, Marta; Gascón Reyes, Sara
Abstract:
Aims: To investigate the role of nurses in the deprescription of benzodiazepines and, subsequently, to know the strategies of detoxification of this pharmacological group. Methods: It was been made a bibliographic review in the database of SciELO, Dialnet Plus, Elservier, Google Scholar and PubMed. Using the keywords for the search strategy: "benzodiazepines", "aged", "deprescriptions", "falls", "adverse effects", "polypharmacy". Articles that met the inclusion criteria were selected. Results: It was founded 136 articles of which were selected 24 articles. 8 of them dealt with the use of benzodiazepines in the elderly, including the adverse effects of prolonged treatment and the inappropriate use of this pharmacological group for this population; 4 articles spoke about the prevention of falls in elderly people medicated with benzodiazepines; and the remaining 12 dealt with the deprescription of benzodiazepines in elderly people, including the role of the nurse and the strategies to follow for detoxification. Conclusions: Deprescription in polymedicated elderly people has become a great challenge to nursing primary care. Although there are clinical practice guidelines on the different programs and interventions to address this situation, the results show that currently there is a high prevalence in elderly people who perform inadequate treatments with benzodiazepines which in the long term can cause important changes in their quality of life. Nowadays, the scientific evidence shows us the importance of carrying out a periodic review of the treatments established in the elderly to be able to carry out the benzodiazepine withdrawal strategies and to prevent the adverse effects. The results show that for this reason it is necessary to implement these nursing programs from the primary care field which allows for an individualized follow-up of these patients and, at the same time, improve the quality of their life.