For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Porirua, Kapiti health care homes trim time-wasting by working smarter
Porirua, Kapiti health care homes trim time-wasting by working smarter

At a Porirua Union & Community Health Service gathering to launch the health care home: health service board member Ara Swanney, administration support team member Pakileata Palauni, nurse Litia Gibson, GP Nadine Kuiper, manager Hiueni Nuku, Capital & Coast DHB board members Ana Coffey, Roger Blakeley, Eileen Brown and Kathryn Adams, health service board chair Ian Frater, Porirua mayor Mike Tana, DHB director of Pacific people’s health Taima Fagaloa, nurse Ma’u Pauta, Compass Health chief executive Martin Hefford, GP Sapna Samant, clinical coordinator Ioana Amusia Viliamu and senior administrator Jacqueline Ward
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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