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
Generous donation to help save tiny lives
Generous donation to help save tiny lives

New cutting edge training manikins are helping doctors and nurses hone their resuscitation skills and save tiny lives.
NICU nurse manager Rosemary Escott demonstrates use of the ‘Premature Anne’ for Maria Chandler from the New Zealand Financial Markets Association and her daughter Grace Chandler.
The ‘Premature Anne’ is a state-of-the-art, realistically-proportioned, 25-week premature manikin designed to be used in simulation training.
Two models – worth a combined total of almost $9000 – were recently donated to the neonatal intensive care unit (NICU) at Wellington Regional Hospital.
They were gifted by the Neonatal Trust with funds from the 2017 New Zealand Financial Markets Association (NZFMA) Thomson Reuters Charity Golf Classic.
Wellington’s NICU cares for more than 1100 neonatal babies each year – some as small as 500g, the equivalent of a block of butter – and having these manikins to train with will help doctors and nurses give these babies an even better fighting chance.