Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly
CSMR
Complete Structured Medication Review
Purpose : Guide to 10 part complete structured medication review
Admin time : Variable - highly operator dependent - may be completed in stages
User Friendly : Moderate
Administered by : GP, Physician
Content : Detailed 10 part approach to comprehensive structured medication review
Author : Grazioli A. (2024)
Copyright : Public Domain
Published in the public domain, may be used by any appropriately trained person as an assistive tool in the process of medication review, subject to inclusion of acknowledgement of author (Grazioli A. 2024) and source (CGA Toolkit Plus - cgakit.com)
CSMR
Different types of Medication Review
Level 0 - Ad-hoc Review
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Unplanned, opportunistic, unstructured review
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Patient may or may not be present
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May or may not involve a health professional
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Example: may be a single question about a medicine
Level 1 – Prescription Review
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Review of medicines without the patient's full medical notes; may not include a review of the full repeat prescription
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Patient may or may not be present
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Usually involves a single health professional
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Example: a medicines use review
Level 2 – Treatment Review
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Review of medicines with the patient's full medical notes
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Patient often not present
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Usually involves a single health professional
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Example: review of medicines for a particular condition such as asthma
Level 3 – Complete Clinical Medication Review
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Full structured, medication review with the patient's full medical notes
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Patient present
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Can be a single health professional or multidisciplinary
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Example: review of all medicines prescribed
The CSMR (Complete Structured Medication Review)
May be completed all at once, or in 4 separate sections.
The complete review comprises 10 parts
This Tool is used in the Medication Review
Back To : Medication Review
The Medication Review is one of 5 sub-domains of the
Medical Assessment
Back To : Medical Assessment
The Medical Assessment is one of 8 domains of the
Comprehensive Geriatric Assessment (CGA)
Back To : Comprehensive Geriatric Assessment
This Tool is also used in Proactive Care
of the Elderly
Back To : Proactive Care
