Changing Horizons in Gerontology: Improving Primary and Secondary Prevention during a Pandemic - Adherence and Deprescribing in Older Adults

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Changing Horizons Series: Adherence and Deprescribing in Older Adults
25 March 2021
Online event
Organised by: 
Irish Gerontological Society

Recording of this event:

03:00 Dr David Mulcahy.   24:00 Dr Amanda Lavan.   43:00 Dr Maeve Durkan.   1:05:30 Garvan Lynch.  


Changing Horizons in Gerontology

Improving Primary and Secondary Prevention during a Pandemic - Adherence and Deprescribing in Older Adults

Thursday, March 25th 2021     15.00-16.30

The programme is intended for healthcare professionals

RCPI CPD Accreditation Pending

This webinar is supported by Servier Laboratories Ireland Ltd through an unrestricted education grant

>>Please click here to register now<<

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Dr Diarmuid O'Shea, Consultant Physician in Geriatric Medicine in St Vincent’s University Hospital

The focus on chronic disease management and other illnesses has taken a back-step during this Pandemic.  As we continue our clinical update series, this event will focus on the management of two chronic conditions, Hypertension and Hypercholesterolaemia, and advances in their management.  

Dr David Mulcahy, Consultant Cardiologist will reflect on the management of hypertension and Dr Maeve Durkan will focus on the 'epidemic' of diabetes, including control of blood sugar and cholesterol – three cornerstones of primary and secondary prevention in chronic disease management, during pandemic times.  

Dr Amanda Lavan, will discuss medication management in the older adult, with a focus on deprescribing and Mr Garvan  Lynch will explore the benefits and barriers to Medical Adherence.

Questions for consideration at this meeting will include: Can primary and secondary prevention strategies for chronic illnesses during a pandemic be improved?, Are Single Pill Combinations the answer?,  Can the STOPP/START tool support appropriate prescribing and deprescribing?

There is no charge for this symposium but donations to support our work are appreciated

The impact of COVID-19 on the physical, mental, emotional and social wellbeing of older people has been devastating and will be long-lasting.  ​Your backing means that we can continue to bring new, useable, research-based knowledge to the fore. In particular, delivering this support to those professionals who are best placed to translate emerging research evidence into improved practices and policies for older people.

>>Please click on this link to make a donation<<


Moderators:  Dr Dan Ryan and Dr Diarmuid O'Shea

Welcome     Prof Rose Anne Kenny, President of the Irish Gerontological Society

Introduction     Dr Diarmuid O'Shea

Deprescribing in Older Adults     Dr Amanda Lavan

Managing an Epidemic During a Pandemic     Dr David Mulcahy and Dr Maeve Durkan

Benefits and Barriers to Medical Adherence     Garvan Lynch 

Panel discussion with Q & A


Rose Anne Kenny is Professor of Medical Gerontology and Head of the academic department of Medical Gerontology at Trinity College Dublin. She is the present President of the IGS. She is also director of the recently established Mercer’s Institute for Successful Ageing (MISA) at St. James’s Hospital Dublin, which is a state of the art facility hosting ambulatory care, inpatients, education and research facilities for older adults. She is the founding Principal Investigator of Ireland’s largest adult population study on the experience of ageing– for The Irish LongituDinal study on Ageing  (TILDA). She has a high international standing for her research on ageing ranked in the top 5% of geriatric medicine publications.


Dr David Mulcahy MD, FRCPI, FESC, is Consultant Cardiologist at Tallaght University Hospital. He is founding Director of the Interventional Cardiology Service at Tallaght, and Founding member of the Clinical CRY unit - now an All-Island service. Special Interests include adolescent Congenital Heart Disease, and triggers for cardiovascular events. He has extensive publications in the area of clinical cardiology. Recent projects include forming an all-Island environmental group, Bugs, Bees and (native) Trees, linking health and the environment. 

Dr Maeve Durkan is a consultant Endocrinologist, practising in the Bon Secours Hospital Cork.  She is actively involved in UCC School of Medicine where she is a Senior Clinical Lecturer in Medicine. Maeve completed her undergraduate training in Ireland at the RCSI, followed by post-graduate Medical, and sub specialty Diabetes & Endocrinology training in the UK. Thereafter she completed her second residency in Internal Medicine at Yale University School of Medicine, USA and subsequently a fellowship in Diabetes, Endocrinology & Metabolism at Brown University School of Medicine, USA.

Maeve is the current  President of UEMS (European Union Committee for Medical Specialties), Board of Endocrinology.  She is the former Chair of the Diabetes division of the Irish Endocrine Society and remains an active member of the National Diabetes Clinical Advisory Group  She was  Co-Chair of the National Committee R3i (Residual Risk Reduction) Ireland and is now part of a  working national lipid network group looking to establish a National Lipid Screening Program.


Amanda Lavan is a graduate of the Royal College of Surgeons in Ireland and is currently working as a Consultant Geriatrician at St James’s Hospital, Dublin. In 2018 she was awarded her PhD from University College Cork, entitled “Adverse drug reactions and targets for deprescribing in high risk older adults”. She is a regular speaker with the Medication Management Program, lecturing about safe and effective prescribing in older adults. She recently became a member of the EUGMS Clinical Pharmacology Specialised Interest Group. She has published research in the areas of appropriate medication use in older adults, adverse drug reactions, deprescribing and geriatric oncology.


Lynch’s pharmacy is experienced in pharmacy practice and healthcare business processes analysis – consultation, prescribing, monitoring, patient wellbeing, time and resource savings. Garvan Lynch is passionate about technology and healthcare, and particularly in how technology can help improve patient medicine adherence. Previous experience includes the launch and evaluation of a patient consultation service, as part of Garvan Lynch’s MBA completed in 2015. A web-based medicines consultation was designed, launched in the pharmacy, evaluated and shown to improve medication knowledge of patients, prescription adherence and pharmacy turnover (Lynch, 2015). 


Diarmuid O’Shea is a Consultant Physician in Geriatric Medicine in St Vincent’s University Hospital and Registrar of the Royal College of Physicians of Ireland (RCPI).  He is a UCD medical graduate.  He was Clinical Lead for the National Clinical Programme for Older People with the HSE until 2019 and Chair of the Irish Committee on Higher Medical Training from 2017 to 2019.  He has held the position of Vice-President of Education and Professional Development in the RCPI and acted as the Masterclass Series Convenor in the RCPI since its inception in 2007.  He is immediate past president of the Irish Gerontological Society.


Dan Ryan is a Consultant Geriatrician and Stroke Lead at Tallaght University Hospital. He has a PhD in stroke medicine and trained in King's Hospital in London.  In March 2020 he set up the COVID nursing home webinar series, in collaboration with AIIHPC, which was attended by 3500 nursing home staff over 13 lectures.