Overview

The presence of a clinical pharmacist (for their pharmacological expertise) and a general practitioner (for their somatic expertise) in surgery departments would contribute to improve the management of medications in elderly patients.

Eligibility

Inclusion Criteria:

• The patient (or their representative) has given his consent and signed the consent form.
• The patient is affiliated to a health insurance programme.
• The patient is at least 65 years old (≥) treated by at least (≥) five medications for at least (≥) 6 months
• The patient is available for a follow-up of 3 months.
• The patient is hospitalized in the surgery department.
• Patient with a Trivalle score greater than or equal to 2 (≥).
• Patient living in a nursing home or going back home after hospitalization.

Exclusion Criteria:

• The subject is participating in another category I interventional study.
• The subject is in an exclusion period determined by another study.
• The subject is under safeguard of justice.
• It is not possible to give the patient (or his/her trusted-person) informed information.
• Palliative care