Melissa Morgan-Gouveia

Research output: Chapter in Book/Report/Conference proceedingChapter


Polypharmacy is common among homebound older adults living with multiple chronic conditions and is associated with poor health outcomes. Polypharmacy often results from prescribing cascades, where an adverse effect of one medication is treated with another medication. Home-based medical care provides a unique opportunity to perform true medication reconciliation by reviewing medication bottles in the home and to create an accurate list of the medications a patient is taking, including over-the-counter medications. Careful medication review and assessing the patient’s home environment can help to identify potentially inappropriate medications and barriers to adherence. Polypharmacy can be reduced through deprescribing-the systematic process of discontinuing medications when the potential harms outweigh the benefits- with the goal of improving patient outcomes.

Original languageEnglish (US)
Title of host publicationHome-Based Medical Care for Older Adults
Subtitle of host publicationA Clinical Case Book
PublisherSpringer International Publishing
Number of pages6
ISBN (Electronic)9783030234836
ISBN (Print)9783030234829
StatePublished - Jan 1 2019
Externally publishedYes


  • Adverse drug reactions
  • Deprescribing
  • Geriatric syndromes
  • Home-based medical care
  • Homebound
  • House call
  • Inappropriate medications
  • Multimorbidity
  • Polypharmacy

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)


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