Elderly patients often experience multiple co-morbidities and prescribed number of medications thereby increases the risk of adverse events (AEs), drug-disease and drug-drug interaction. This risk is more by age-related physiological changes, which influence ADME and pharmacodynamics. Particular drugs shows additional risks to elderly patients as a result of these changes, e.g. increased risk of upper GIT bleeding with NSAIDs and increased risk of falls and prolonged sedation with long-acting benzodiazepines or Prescription of such drugs is potentially inappropriate to use when safer alternative drugs are exist. Some studies by using Beers' criteria are controversial. There is disagreement for certain drugs as inap¬propriate, e.g. nitrofurantoin …show more content…
In these patients, the risk of Adverse drug reactions (ADRs) increases in proportion to the no. of simultaneous prescribed medications. Poor choice of medication by the physician is undoubtedly a major cause of ADRs in older citizens. Another scale and severity of the problem globally, there is little agreement about how best to prevent Inappropriateness in older people. Regular review of medications in older citizens seems a logical way of minimizing Inappropriateness and associated adverse drug reactions (ADRs). There is a need for the task to be carried out in an orderly, systematic way. Several factors contribute to greater propensity of ADRs in the elderly citizens, including use of potentially inappropriate medication (PIM). Elderly citizens are prescribed potentially inappropriate medication (PIM) in an ambulatory setting and during hospitalization. About one-third of the adverse outcomes in elderly citizens are estimated to be due to the use of …show more content…
Therefore, every criteria having questionnaire was evaluated according to the Likert scale of which is having (1) to (5) points, where (1) signifies that total agreement with inadequacy and (5) signifies that total disagreement with inadequacy. Items which score (1) and (2) were kept in list, while items (4) and (5) need to exclude from list; items with scores of (3) of uncertain opinion were presented to the experts again at another time. Questionnaire consisted of two categories, drugs should be avoided in elderly citizens as they were not effective or induces some type of risk factors and drugs to be used in specific medical conditions. The French list identified 34 medication products were inappropriate for elderly citizens >75 years of age, because at this age, pharmacokinetic and dynamic changes are more often likely to alter the response to medication than in younger ages. Among the medications which has found 25 were deemed unsuitable due to unfavorable benefit/risk, one was considered as questionable efficacy and other eight were classify as having both questionable efficacy and unfavorable risk/benefit. Among all medications or classes of medications in French list, just a few also proposed in the Beers criteria list, since those not available in France or considered harmful were excluded
Healthcare professionals must talk to their patients about possible side-effects of drugs they are taking and make sure they understand what can happen. In doing so, patients may start to understand why something is happening to them and it is a normal side-effect, which can not only lead to trust from the patients to providers, but can lead to the passing of knowledge from one to another which may prevent future
CMN 556 Unit Three Journal Unit three was quite challenging and very rewarding. So many of the patients I encountered during this unit (actually unit two because I have not had any clinical so far in unit three) have had ongoing struggles with addiction, specifically to benzodiazepines. I made it one of my goals for this unit to learn more about the proper use of benzodiazepines, and to discuss with my preceptor the many options for alternative medications and the treatment of anxiety. Benzodiazepines are not prescribed as widely as they once were, not just because of the addictive nature of this medication class, but because there is new evidence-based research that shows that there is a high risk for developing early-onset dementia with prolonged use. In the past, patients with diagnoses such as Post-Traumatic Stress Disorder and Panic Disorder were given this medication in order to reduce anxiety symptoms.
Complications may arise due to medications being discontinued abruptly and without physician’s approval.
Look Me in the Eye, a memoir by John Elder Robison, describes Robison’s life in detail growing up with Asperger’s, a form of autism. Ever since he could talk, Robison displayed unusual behaviors: often times Robison made inappropriate comments and was intermittently prone to violent outbursts. Since Asperger’s was not recognized in the 1960s, Robison was not diagnosed until the age of 40. However, Robison was able to overcome his label of “social deviant” and developed a knack for engineering, successfully maintaining a career and a family (Robison). John Elder Robison did not receive any form of treatment; he developed alternative ways to cope with his cognitive issue.
In our visit to La Isabella Geriatric Center, we investigated the mission and structure of this local community agency, requirements of the agency’s services, job titles and responsibilities and how professional ethics are applied in the agency. La isabella Geriatric Center, is an unlucrative healthcare organization, located in New York, proving health care services for over 140 years. This organization offers multiples of programs such as nursing home, short and long term rehabilitation, adult day health care, home care, case management, senior housing, early childhood education, institute for olders adults, health home programs, fitness programs and many other services. The mission of this agency is to provide quality care for both women
Hewan Zerihun NR 222 Professor Emily Namesny Chamberlin school of nursing 11/29/15 Health Promotion In Older Adults With type two diabetes Health Promotion In older Adults With Type Two Diabetes Type 2 diabetes is the most common form of diabetes and is more common in older adults ages 65 and older. In type 2 diabetes the body does not use insulin properly.
Medication errors can be very dangerous for the ones taking the wrong medicines or doses; therefore, safety measures must be in place. Administering them must be done with an understanding and focus. One missed check could have a staff member giving a resident the wrong set of pills. Some interventions to help prevent the medication error from occurring is to first report errors. When errors are reported, the main cause is to try and never let the error occur again.
Assessment and Intervention of Abuse, Neglect and Substance Disorders in Older Adults The older adult population is one of the fastest growing populations in the world and often time’s abuse, neglect and substance disorders in this population are under reported and or under diagnosed. This paper will help define elder abuse and neglect as well as discuss possible assessment tools and intervention that maybe used to help identify and deal with this growing problem.
A percentage of the population doesn’t consider prescription drugs very dangerous because they are prescribed by doctors. Unfortunately, that's true and it is very concerning to other people who are aware of the problem. We as a community must help each other and inform each other about the effects prescription drugs have. These types of drugs develop addicts which can be treated effectively depending the type of drug they took. There are two main treatments behavioral treatment and medications.
This system is used for reporting observed and new ADEs at the VA (VA, 2014). VA ADERS allows individuals to report, track, and electronically submit serious adverse drug events to the FDA’s MedWatch system (VA, 2014). Nurses should be educated on new medication policy and procedure, as well as, protocols (Anderson & Townsend,
Drug Kardexes were gathered and audited under certain criteria in order to identify potential risk areas in drug prescribing and administration, and also to provide ways in which these risks can be reduced or eliminated and reinforce drug management policies’ and guidelines. NICE (2002) audit cycle will be applied to this assignment to provide an acceptable framework (Appendix 1). Step 1: Preparing for Audit. The first step in the audit process is to identify which type of audit is to be carried out.
Medication use is potentially dangerous. Polypharmacy is increasing, and makes it harder to keep track of side effects and interactions and of potentially inappropriate drug combinations. “The risk of serious consequences, hospitalization, and death due to medication errors increases with patients’ age and number of medications (Scand J Prim Health Care, 2012)”. For example, the GP is supposed to monitor the patient's regular medication, but does not always do so. Lack of monitoring and keeping track of patients’ medication use is a main cause when a patient is given inappropriate drugs.
Most people are not educated about the how and why their drugs work, so it could be easy for them to not take it for reasons such as they don’t directly feel the benefits of their medications, they are having adverse reactions but are not mentioning them to anybody, or they can’t remember to take all of their medications at the right times. I think one of the biggest factor could be remembering to take the medication at the right time, but also in my case my medications were not treating real problems so it was easy for me to forget. A patient may feel the same way, because their disease state may have not progressed to a state where the symptoms are not severe enough to make a change in the patients thinking. During consultation with a patient it is important to ask the right open-ended questions when doing a medication review. Instead of asking, “are you taking all of your medication at the proper times?”
Pharmacology Self Reflections Neida Blondet Frontier Nursing University Prescribing medications to patients is a part of the advanced practice registered nurse’s (ARNP) role. As I started Advanced Pharmacology a few short eleven weeks ago, I did not realize how much more there was to that “simple” task. As I reflect on my journey through Advanced Pharmacology, I will share with you a few important facts about my journey, such as how my expectations of prescribing changed, any ah ha moments I had, what I felt to be the most significant piece of knowledge I acquired and finally what I think about Florida’s approved medication schedule for ARNPs. As I began Advanced Pharmacology, my perception of prescribing medications was that it
For instance, while prescribing medication for an elder patient with multiple