Moreover, physiological changes in the body such as reduction in absorption, distribution, excretion of medication might affect the action of medication and causes damages or toxicity in elderly. Likewise, several contributing factors which causes polypharmacy in adults, is visiting several physicians for a certain health problem and not sticking to one which increases the rate of using multiple medication as well as, administering medication to treat adverse effect increases the usage of different medication, prolonged use of unwanted medication and lastly, unclear or incomprehensible written documentation. Clinical consequences of polypharmacy include, adverse drug reaction which include NSAIDS, anticoagulant and CVD medications, drug-drug interaction where the drug effect changes in the body when using second or third drug that can delay action of medication and non-adherence to medication in elderly which is not following or unable stick to drug regimen, lack of communication between provider and patient and patient's believe that treatment is unnecessary. Finally, nurse's role is important to reduce the incidence of polypharmacy where educating patient and family member can help in reduction of mortality, morbidity and geriatric syndrome. Education include, potential side
Each time an addict injects themselves, they are at risk of overdosing and potentially dying. If the government is really concerned about the health and well-being of addicts, they should implement strategies to treat the addicts. A good metaphor is used in the article “Say No To Needle Distribution Programs, (2014) the metaphor refers to Russian Roulette in that handing out clean needles is a form of Russian Roulette. A user can go and get needles numerous times and be fine but one they will be unlucky and one day the addict 's needle will be the last needle
(Raynor, 2015) Even though ageism can be found almost anywhere, it’s incredibly prevalent in healthcare. One way it is manifested is through underdiagnosing seniors. This happens when complaints about curable medical conditions are written off as just “old age” (Kane & Kane, 2005). Unfortunately, this is especially prevalent when it comes to diagnosing mental health conditions because many doctors believe that old people simply “aren’t all there” (Blakemore, 2009). Logically, this has worrying impacts on the health of senior citizens as they will suffer from preventable ailments due to this.
As they are more likely to smoke, drink alcohol, have diets high in salt, cholesterol, and fat, take medications incorrectly, have poor health and suffer from many illness. Also, they are less likely to exercise, have good control of their medical conditions like diabetes, high blood pressure and unlikely to know early symptoms of stroke or heart attack. People with high health literacy, they have a greater understanding of when to seek treatment and reduce the use of health services. They are more knowledgeable about the actions they make to manage their own health such as what medication to take. However, people with low health literacy will find the healthcare information and services difficult and unsure how to take care of their health.
With the skyrocketing costs of the advanced medical technology and specialty pharmaceuticals, decreasing insurance reimbursement and high levels of uninsured patients, healthcare providers are required to be more cost effective in delivering their services. Some health care facilities operate under very tight budget. In 1992, Congress established 340B drug pricing program in order to provide discounted drugs for covered entities, such as “high-Medicaid public and private nonprofit hospitals, community health centers, and other safety net providers”1, to help those facilities to deliver pharmacy services to those underinsured or uninsured outpatient populations. This program is based on the agreement between the Secretary of
There is no use denying the fact that the human factor is one of the main reasons of the appearance of medication errors in the healthcare sector. That is why, it is possible to assume that some efforts aimed at the decrease of the level of negligence and inaccuracy among the stuff could be rather beneficial (Hospital Errors are the Third Leading Cause of Death in U.S., and New Hospital Safety Scores Show Improvements Are Too Slow, 2013). First of all, more attention should be given to prescriptions which are ordered to a patient as it is one of the main sources of medication errors. Moreover, it is possible to recommend to increase the skills in computer as the failure of CPOE could also be taken as the evidence of poor attainments. The system could have helped in case the stuff would be able to use it
Consequentialism is based more around the consequence and final result of the actions. In our text book, Ethical Reasoning, it states that in consequentialism, “consequences count, not motives or intentions” (Pence, 2011). Non-consequentialism is based around the intention of one’s doing, regardless of the consequences. A particular action may be good for a business but not good for society or ones health. An example of this would be pharmaceutical companies raising the cost for medicine, this cause many patients to suffer or not be able to afford the medication they need.
There was also no indication the amount of variability biological and psychological factors produced and there was also the potential that negative consequences could have been due to other substances, not caffeine. Ciapparelli et al (2010) also revealed that participants 24.1% of participants with psychiatric disorders were reported to use caffeine
On the other hand, the activation of the opioid receptors widely represented in the myenteric plexus and the intestines may affect the gastro-intestinal tract physiological functions. In particular, morphine delays the transit time from the stomach to the intestine and reduces intestinal and pancreatic secretions. Due to these actions morphine present frequent and relevant gastro-intestinal side effects including constipation, ileus, and occasionally abdominal pain. Moreover, nausea and vomiting are also common side effects of morphine. The vomit mechanism is not well and completely understood; however, the interaction with μ receptors in the chemoreceptor trigger zone and the vomiting center in
These alarming statistics raise a huge concern with the effectiveness of the transitions of care. The main issue with transitions of care is that there are discrepancies that mistakenly occur during this process. As reported by Judith Kristeller, PharmD BCPS, “the transition between inpatient and community settings in particular is prone to medication errors related to a lack of communication between health care providers, missed patient follow-up, inadequate patient education, etc.” (6). Medicare services have even included a three percent fine on Medicare payment for hospitals that have unnecessary readmissions, and this percent has increased since 2014 (5). There are so many issues with patient safety that should not be occurring, so reforms must be made in transitions of
There is no known cure for SLE, the aim is to reduce symptoms. Treatment can differ depending on how severe the symptoms are and which part of the body is being affected. Medication that can be provided are Anti-inflammatory medication for joint pain and stiffness, Corticosteroids, to reduce the immune responses, antimalarial drugs for skin and joint problems and steroid medication. Diet and exercise should be taken into to consideration, avoiding certain foods and minimizing stress could decrease the likely hood of triggering symptoms. SLE is one of the more fatal forms of rheumatic diseases that affects women more than men.
Additionally, it creates a more efficient way to process orders in a timely manner, rather than staff waiting on physicians to clarify illegible orders. Past studies propose that medication errors can be lessened by as much as 55% when a computerized physician order entry system is utilized alone, and by 83% when combined with a clinical decision support system that makes cautions in light of what the doctor orders. Using a computerized physician order entry system, particularly when it is connected to a clinical decision support, can result in improved efficiency and effectiveness of care. A more recent study shows the number of appropriate medication orders increases with the involvement of dosing frequency or dosing levels using a computerized
The risk is also increased if a physician has a patient who is confused about the proper way to take the medication. The patient could accidentally overdose. Also, elderly patients tend to forget to take their medications or get confused on when or how to take them. This could potentially be as fatal as an overdose. According to research done by David Phillips, in 1983 2,876 people died due to medication errors.
MEDICATION COMPLIANCE WITH MULTIPLE SCLEROSIS Multiple Sclerosis is an autoimmune disorder with no known cause or cure. Due to this fact, it is beneficial for patients begin disease modifying therapy once a definitive diagnosis has been made. Because disease modifying therapy is expensive, has potentially fatal side effects and the onset of debility can be delayed for years, many patients elect not to start disease modifying therapy or choose to discontinue therapy shortly after starting. The purpose of this paper is to explore ways to increase medication compliance. Multiple sclerosis is a chronic autoimmune disorder in which the body’s immune cells attack the protective myelin sheath surrounding nerves which leave plaques or scars that