Talking Meds Episode 2: Sensible prescribing in older people with Jonathan and Lucy - Prescribing cascades

Jonathan introduces a new series within the podcast called ‘Sensible prescribing in Older people with Jonathan and Lucy’. Jonathan and Dr Lucy Pollock outline their plan to share some real patient stories that may help us think about how to ensure we consider what really matters to patients when we are reviewing their medicines.

Lucy grew up in Northern Ireland, read medicine at Cambridge University and St Bartholomew’s Hospital and is eternally grateful for the advice of an early boss who hoped she would not be offended if he suggested she should become a geriatrician. She trained in general and geriatric medicine in London before taking up a consultant post in Somerset in 2001. She lives with her husband and dog Rose near Langport. They have three grown-up children. Lucy writes about her patients, their families and the complicated, funny, sad problems that arise as we age. The Book About Getting Older (2021) and The Golden Rule (2024) are both published by Penguin Random House.

In this episode, Jonathan and Lucy talk how about we need to be really careful when starting some medicines, making sure we are considering some of the potential, perhaps unintended consequences. Lucy tells about her experiences where sometimes the very best of intentions to try and help treat symptoms may lead to ‘prescribing cascades’ and how tricky that can be for our patients.

Useful sources referred to in this episode include:

Useful PrescQIPP resources: