{
  "schema_version": "uw.editorial_geo.v1",
  "article_index": "AGE-125",
  "catalog_id": "AGE-125",
  "language": "en",
  "headline": "Several medicines: coordinating prescriptions around the older person's goals",
  "description": "The whole regimen, actual use and personal goals: preparing for shared review and checking assistance afterwards.",
  "master_filename": "ARTICLE_EN.md",
  "master_revision": "staging-r1-20261019",
  "master_sha256": "c007d09c1c1e9281c897d52fc34517de370c093db21adba14bb66c78dcb4dbf0",
  "short_answer": "A medicine count proves no error; review need not end in discontinuation. Gather known facts about every product and actual use, discussing goals, obstacles and conflicting instructions with a competent professional. Lists, instructions, supply and monitoring are different outcomes. Do not independently change dose, formulation or treatment, or remove essential care as leverage. New sudden confusion and suspected poisoning need immediate local emergency medical help; suspicion does not wait for symptoms.",
  "claims": [
    {
      "id": "C01",
      "type": "bounded_official_information",
      "text": "FDA discusses a current list of all products used, including nonprescription medicines and supplements.",
      "source_ids": [
        "K1"
      ],
      "article_sections": [
        "II. The list should describe what actually happens"
      ],
      "limitations": "Information for discussion, no personal regimen/automatic interaction checker; label gaps and do not delay urgent help for a dossier."
    },
    {
      "id": "C02",
      "type": "author_professional_review_distinction",
      "text": "Quantity establishes no error, and shared review does not require discontinuation.",
      "source_ids": [
        "K1",
        "K2"
      ],
      "article_sections": [
        "I. The number of packages does not answer the question",
        "III. Several prescribers need a clear connection",
        "VI. A review need not end in discontinuation"
      ],
      "limitations": "UK/US sources create no worldwide service entitlement or individual decision; linked tools/taper algorithms not applied."
    },
    {
      "id": "C03",
      "type": "author_participation_reasoning",
      "text": "Personal goals, family assistance, information access and representation involve different roles.",
      "source_ids": [
        "K2"
      ],
      "article_sections": [
        "III. Several prescribers need a clear connection",
        "IV. The person's goals belong in medicines discussions too",
        "VI. A review need not end in discontinuation",
        "VII. Carrying out a plan needs actual conditions"
      ],
      "limitations": "Viktor/Alina are fictional; age/diagnosis/disagreement transfer no universal authority, no individual capacity/authority determination."
    },
    {
      "id": "C04",
      "type": "bounded_safety_information",
      "text": "New sudden confusion alone and suspected poisoning need immediate medical contact; suspicion does not wait for symptoms.",
      "source_ids": [
        "K3",
        "K4"
      ],
      "article_sections": [
        "V. An observed change and its cause are different questions"
      ],
      "limitations": "Appropriate local emergency service, no worldwide999/home test/diagnosis; packaging, dose experiments and scheduled review must not delay help."
    },
    {
      "id": "C05",
      "type": "author_practical_reasoning",
      "text": "Prescription changes and implementation need understandable current instructions, actual support and suitable monitoring.",
      "source_ids": [
        "K1",
        "K2"
      ],
      "article_sections": [
        "VI. A review need not end in discontinuation",
        "VII. Carrying out a plan needs actual conditions",
        "IX. Check what is actually arranged after a change"
      ],
      "limitations": "No independent splitting/mixing/substitution/stopping or care withholding as punishment; article assigns no dose or review interval."
    },
    {
      "id": "C06",
      "type": "author_ethical_comparison",
      "text": "Purpose and convenience can be considered while retaining another’s pain, without philosophy/religion becoming treatment.",
      "source_ids": [
        "K5",
        "K6"
      ],
      "article_sections": [
        "VIII. Direction and another person's pain: limits of comparison"
      ],
      "limitations": "Stoic suffering permits no relief denial, harbour imagery determines no dose, comparing goods guarantees no clinical outcome."
    }
  ],
  "questions": [
    {
      "question": "Can sudden confusion wait for a planned review?",
      "answer": "No. New sudden confusion alone requires immediate contact with an appropriate local emergency medical service. Suspected poisoning likewise waits for neither symptoms nor documents.",
      "claim_ids": [
        "C04"
      ],
      "article_sections": [
        "V. An observed change and its cause are different questions"
      ]
    },
    {
      "question": "Does review mean medicines will necessarily be removed?",
      "answer": "No. Consider actual use, goals, expected benefit, risk and difficulty. Clinical decisions and explanations are not determined by box numbers; this article authorises no independent regimen change.",
      "claim_ids": [
        "C02",
        "C05"
      ],
      "article_sections": [
        "I. The number of packages does not answer the question",
        "IV. The person's goals belong in medicines discussions too",
        "VI. A review need not end in discontinuation"
      ]
    },
    {
      "question": "What should be checked after an agreed change?",
      "answer": "Current instructions, who explains them, medicine access, actual helpers, monitoring and the intended contact. Notes and functioning assistance differ; urgency retains a separate route.",
      "claim_ids": [
        "C05"
      ],
      "article_sections": [
        "VII. Carrying out a plan needs actual conditions",
        "IX. Check what is actually arranged after a change"
      ]
    }
  ],
  "sources": [
    {
      "id": "K1",
      "title": "FDA — 5 Medication Safety Tips for Older Adults",
      "url": "https://www.fda.gov/consumers/consumer-updates/5-medication-safety-tips-older-adults",
      "edition": "Current displayed title5tips; update date not established; accessed2026-10-19",
      "read_scope": "Complete main74–129 read, linked pages/images not inspected",
      "role": "US information, all-products list, interactions/questions, no independent dose/skip/stop; not individual causation or emergency contact worldwide",
      "rights_status": "UNKNOWN",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete source/clinical framework/form/images/logos; RESEARCH.md"
    },
    {
      "id": "K2",
      "title": "NHS SPS — A person-centred approach to polypharmacy and medication review",
      "url": "https://sps.nhs.uk/articles/a-person-centred-approach-to-polypharmacy-and-medication-review/",
      "edition": "Published2025-01-17, lastupdated2026-02-05",
      "read_scope": "Title/version217–223, complete main235–355 and history356–373; infographic and linked tools/algorithms not inspected/applied",
      "role": "UK professional whole-regimen/shared review, implementation/monitoring; no home algorithm or worldwide SMR entitlement/medicine-count threshold",
      "rights_status": "UNKNOWN",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete source/clinical framework/form/images/logos; RESEARCH.md"
    },
    {
      "id": "K3",
      "title": "NHS — Sudden confusion (delirium)",
      "url": "https://www.nhs.uk/symptoms/confusion/",
      "edition": "Reviewed2024-05-28,nextreview2027-05-28",
      "read_scope": "Entire main13–74/date75–76 read",
      "role": "New sudden confusion alone needs immediate medical contact; no home test gate/diagnosis or worldwide UK number",
      "rights_status": "UNKNOWN",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete source/clinical framework/form/images/logos; RESEARCH.md"
    },
    {
      "id": "K4",
      "title": "NHS — Poisoning",
      "url": "https://www.nhs.uk/conditions/poisoning/",
      "edition": "Reviewed2025-06-12,nextreview2028-06-12",
      "read_scope": "Entire main13–106/date107–108 read",
      "role": "Suspicion needs immediate contact before symptoms; no packaging delay/home treatment or worldwide UK number",
      "rights_status": "UNKNOWN",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete source/clinical framework/form/images/logos; RESEARCH.md"
    },
    {
      "id": "K5",
      "title": "Seneca — Moral letters to Lucilius71, Richard M.Gummere",
      "url": "https://en.wikisource.org/wiki/Moral_letters_to_Lucilius/Letter_71",
      "edition": "Wikisource oldid14843928, edited2025-02-03; parent namesGummere/frontmatter1925 firstprinted1918, exactLetter71VolumeII print basis not separately confirmed",
      "read_scope": "Complete1–7 lines101–112 plus beginning8; later tail18/19–37 shown/read, not9–17 or wholeletter; parentedition109–145",
      "role": "Goal/timely advice, critically bounded Stoic suffering claims; no dose, imposedgood, pain-relief denial or silence requirement",
      "rights_status": "FOOTER_LABEL_CC_BY_SA_ADDITIONAL_TERMS_EXACT_VERSION_GLOBAL_STATUS_NOT_ASSESSED",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete source/clinical framework/form/images/logos; RESEARCH.md",
      "version_url": "https://en.wikisource.org/w/index.php?title=Moral_letters_to_Lucilius/Letter_71&oldid=14843928",
      "edition_reference_url": "https://en.wikisource.org/wiki/Moral_letters_to_Lucilius"
    },
    {
      "id": "K6",
      "title": "Dhammapada — F.MaxMuller, selected290–293",
      "url": "https://www.gutenberg.org/files/2017/2017-h/2017-h.htm",
      "edition": "Gutenberg2017; SacredBooksOfEastX/I, introduction/notes/index omitted; exactprint/digitalupdate not established",
      "read_scope": "Header0–16; ChapterXXI290–305 shown/read544–569, mainargument290–293; not wholebook/Pali research",
      "role": "Religious comparison of goods/another’s pain, not clinical payoff guarantee, compulsory suffering, drug/dose selection or harm permission",
      "rights_status": "UNKNOWN_FOR_DIGITAL_EDITION_AND_GLOBAL_JURISDICTIONS",
      "read_date": "2026-10-19",
      "search_executor": "Codex web.run / branch F author",
      "rights_notes": "Short original attributed paraphrase/minimal quotation, own RU/TH translations; no complete source/clinical framework/form/images/logos; RESEARCH.md"
    }
  ],
  "retrieval_limits": [
    "Fictional scene, no diagnosis, individual prescription, capacity/authority assessment or testing of a particular combination.",
    "FDA/UKSPS/NHS have different remits; do not universalise numbers/PCNeligibility or guaranteed services.",
    "No independent dose/form/taper schedules, splitting, mixing, substitution or clinical discontinuation.",
    "Do not deny essential assistance/pain relief through suspicion, convenience, a home test or leverage; no authority for covert medication.",
    "New suddenconfusion/poisoningsuspicion waits for no complete list/family consensus or symptoms in suspected poisoning.",
    "Seneca/Dhammapada provide no clinical proof, compulsory pain endurance or choice of medicine/dose."
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:AGE-125:en",
    "headline": "Several medicines: coordinating prescriptions around the older person's goals",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  },
  "production_acceptance": "NOT_RUN",
  "production_machine_publisher_compatibility": "NOT_RUN"
}