Do not delay palliative cares in the dying patients.
It is important that physicians give proper care to terminally ill patients; they require appropriate and early recognition of their needs (also through the use of standardized and validated tools) thus leading to correct management of symptoms (such as pain, dyspnea,...
Do not use benzodiazepines in elderly patients as a first choice for insomnia, agitation, delirium.
Anxiety, depression and insomnia are very frequent in the elderly population and often require pharmacological treatment. Benzodiazepines are still frequently prescribed in the elderly; however, they do have side effects, even severe ones, such as excessive sedation,...
In the absence of urinary symptoms, do not screen for bacteriuria and in any case do not treat with antibiotics bacteriuria in elderly subjects whether they live in the community or in residential facilities.
In the absence of symptoms, screening for bacteriuria should be avoided in subjects with an indwelling bladder catheter. In case of asymptomatic bacteriuria (absence of systemic or local symptoms) in elderly patients with cognitive impairment, delirium or a history of...
Do not prescribe “gastroprotection” for stress ulcer prophylaxis in medical patients unless there is a high risk of bleeding.
According to international guidelines, the prophylaxis of peptic stress ulcers with antisecretive drugs, represented by H2 receptor antagonists and proton pump inhibitors, is not routinely indicated for the “medical” patient, unless it is related to patients admitted...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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