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Medication review after fall — DGM MCQ

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ModeratePolypharmacyMedication review after fallDGM

An 83-year-old woman has had three falls and dizziness since several new medicines were started after hospital discharge. She has frailty and mild renal impairment. Her daughter brings a bag of old and new tablets. Current medicines include mixed antihypertensives, analgesics and sedatives. What is the most appropriate assessment?

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Correct answer: E — Brown-bag medication review with reconciliation and deprescribing plan

A brown-bag review can identify duplication, discontinued medicines, sedatives and renal-dose problems after discharge. Checking one new drug alone misses interactions, using both supplies risks overdose, EEG is not first-line, and adding a sedative worsens risk. Falls after discharge often signal medication-system failure.

Reference: NICE NG56; NICE NG249