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The doctor is thinking "8 medications is a lot to keep straight, for anyone. My patient would be better served in a good AL with a Medication Management program".
One hopes the doctor FIRST thought "does my patient NEED all of these medications?".
If the doc thinks she isn't safe living on her own then they need to be explicit about the reasons, and IMO not discussing the problems with the patient (and if possible including her substitute decision maker or other trusted family member/friend) is a total cop out.
the simultaneous use of multiple drugs to treat a single ailment or condition.
the simultaneous use of multiple drugs by a single patient, for one or more conditions.
(Most of us elders are taking too many medications. Because my husband is diagnosed with Alzheimers, he's no longer taking any medications that dull or fog his memory.)
If he cognition is declining the chance of taking the medications incorrectly increases.
the alternate to Assisted Living would be a caregiver that would manage her meds and make sure she is safe.
There are medication dispensers that will dispense medications at the correct time so there is little chance to over dose BUT someone has to fill them and with declining cognition she may have to be reminded to take the meds that are dispensed.
What does the placement part of it mean? Placement of the medicines where she can't get them? Placement in a care facility? She's taking 8 drugs after this visit for various things wrong with her.
My dad had CHF, kidney disease, diabetes, dementia, a pacemaker /defibrillator requiring blood thinners, etc and he wasn't on 8 meds.
So why is she on 8 meds? That would be what I look at.
From what you said, I think the doctor should have spoken to her and not put that crap on the portal. May be time to find a geriatric doctor that gives a care.