title: The inability of older adults to recall their drugs and medical conditions.
abstract: OBJECTIVE
  Previous research has shown that many older adults without known cognitive impairment are unable to recall basic knowledge about their medical history. We sought to determine whether older adult patients in our own clinic population were able to recall their drug regimens and medical conditions from memory.
  
  
  METHODS
  Patients aged 65 years or older with no known cognitive impairment, dementia, or memory loss who were presenting for routine outpatient follow-up in our medical school neurology and general medicine clinics were recruited. Each patient was asked to recall the number and names of their presently prescribed drugs and their associated medical conditions. Each patient was also administered a Mini-Mental State Examination (MMSE) cognitive screening test (range 0-30).
  
  
  RESULTS
  Most patients were unable to recall their drug regimens or their medical conditions. Of 99 patients taking drugs, only 22% correctly named their drugs from memory, and only 34% correctly named their medical conditions associated with the drugs. Fewer than half (49%) correctly recalled the number of drugs they were taking. Poor recall performance was evident even in high-cognitive (MMSE>27) patients.
  
  
  CONCLUSIONS
  The accuracy of recall memory in older adults regarding their drugs and medical conditions may be poor, which has important implications towards medication reconciliation within meaningful-use doctrine. Clinicians treating older adults should be very cautious before relying on their patients' memories for accurate recall of their medical conditions, their drug regimens, and even the number of drugs they are taking.
authors.affiliation: Southern Illinois University School of Medicine, Springfield, IL, USA.
authors.forename: GaToya
authors.initials: G
authors.lastname: Jones
authors.forename: Vajeeha
authors.initials: V
authors.lastname: Tabassum
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Zarow
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Ala
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D011939:Mental Recall; D009483:Neuropsychological Tests; D055553:Prescription Drugs / Q000627:therapeutic use*
chemical_list: D055553:Prescription Drugs
references.citation: Pharm World Sci. 1996 Apr;18(2):63-8
references.pmid: 8739259
references.citation: Postgrad Med J. 1990 Feb;66(772):116-21
references.pmid: 2349180
references.citation: JAMA. 2008 Dec 24;300(24):2867-78
references.pmid: 19109115
references.citation: Drugs Aging. 2008;25(12):1033-47
references.pmid: 19021302
references.citation: Alzheimers Dement. 2013 Mar;9(2):141-50
references.pmid: 23265826
references.citation: Br J Clin Pharmacol. 2001 Jun;51(6):615-22
references.pmid: 11422022
references.citation: J Gen Intern Med. 2001 Feb;16(2):112-5
references.pmid: 11251762
references.citation: Clin Interv Aging. 2008;3(2):383-9
references.pmid: 18686760
references.citation: Gerontology. 2010;56(5):491-5
references.pmid: 20339299
references.citation: J Am Geriatr Soc. 2001 Oct;49(10):1353-7
references.pmid: 11890495
references.citation: Int J Geriatr Psychiatry. 2000 Nov;15(11):1021-7
references.pmid: 11113982
references.citation: J Psychiatr Res. 1975 Nov;12(3):189-98
references.pmid: 1202204
references.citation: Arch Intern Med. 2000 Jul 24;160(14):2129-34
references.pmid: 10904455
references.citation: Drugs Aging. 2014 Apr;31(4):283-9
references.pmid: 24604085
references.citation: Image J Nurs Sch. 1991 Winter;23(4):231-5
references.pmid: 1937521
references.citation: Mt Sinai J Med. 2011 Jul-Aug;78(4):613-26
references.pmid: 21748749
references.citation: Ann Intern Med. 2014 Jun 3;160(11):791-7
references.pmid: 24663815
references.citation: Arch Intern Med. 1990 Apr;150(4):841-5
references.pmid: 2327844
references.citation: Mayo Clin Proc. 1996 Sep;71(9):829-37
references.pmid: 8790257
references.citation: JAMA. 2010 Oct 13;304(14):1592-601
references.pmid: 20940385
references.citation: Ann Intern Med. 2003 Jun 3;138(11):927-37
references.pmid: 12779304
references.citation: Postgrad Med J. 1996 Nov;72 (853):671-6
references.pmid: 8944209
references.citation: Neurology. 1999 Jan 15;52(2):231-8
references.pmid: 9932936
references.citation: Hosp Pract (Off Ed). 1987 Jan 30;22(1A):99, 103, 106, 110
references.pmid: 3100557
references.citation: J Am Geriatr Soc. 2002 Mar;50(3):530-4
references.pmid: 11943052
references.citation: Maturitas. 2010 Jul;66(3):246-50
references.pmid: 20399044