Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Do older adults in residential care eat enough fibre?
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Dietitian Catherine Wall discusses recent research into dietary fibre provision and consumption for older adults living in residential care facilities
1. Lämås K, Karlsson S, Nolén A, et al. Prevalence of constipation among persons living in institutional geriatric-care settings - a cross-sectional study. Scand J Caring Sci 2017;31(1):157–63.
2. Garratt SM, Kerse NM, Peri K, et al. Pharmacoepidemiology of medications omitted in New Zealand Residential Aged Care Homes. Australas J Ageing 2020;39(4):e490–97.
3. Harris LA, Horn J, Kissous-Hunt M, et al. The Better Understanding and Recognition of the Disconnects, Experiences, and Needs of patients with Chronic Idiopathic Constipation (BURDEN-CIC) study: Results of an online questionnaire. Adv Ther 2017;34(12):2661–73.
4. Makharia G, Gibson PR, Bai JC, et al. World Gastroenterology Organisation global guidelines: Diet and the gut. J Clin Gastroenterol 2022;56(1):1–15.
5. O’Brien L, Wilkinson TJ, Frampton C, et al. A systematic review and meta-analysis of the dietary fibre menu provision and consumption for older adults living in residential care facilities. Am J Clin Nutr 2024; 6 June online.