the years is polypharmacy. Polypharmacy is the concurrent use of medication by a patient, and it’s main victim is the elderly. This is a well known issue and surprisingly has a simple solution, yet there has been no visible change in policy to prevent polypharmacy from occurring despite the universal knowledge that it’s a health issue. As Rambhade and the other authors states, polypharmacy has far more disservice to both consumers and distributors. Rambhade states that polypharmacy has “ both direct
Adherence or compliance of medication can be defined as the extent in which the behavior of a person, which includes taking medications, following diet, or executing lifestyle changes coincides with the health or medical advice (1). Medical non-adherence then means the number of doses which were not taken or were taken incorrectly that prohibit or affect the therapeutic outcome of the patient. Medical nonadherence of the patient may increase or prolong the severity of an illness, leading to increased
How does polypharmacy come about? •Unfortunately, as we all age our bodies start to grow old with us. Arthritis kicks in, consitpation, diarrhea, our hearts get worn, our kidneys get tired, we forget important things. In this day and age there seems to be a medication for everything and a commercial for all of them. Our doctors don’t seem hesitant to prescribe a battery of medications for our high blood pressure and cholesterol, for our bloating, and for our digestive issues. Those medications
Introduction Polypharmacy is the use of various amount of medication by an individual to treat a disease or health problem, commonly seen in elderly, medication that are prescribed or over the counter including vitamins, supplements and herbal products. It is considered a huge problem as older adult are oblivious about risks of using multiple medications at once. As well as, a challenge to physicians when being neglectful about the drug interaction, side effects and adverse effect. In addition,
Prybys KM, Melville KA, Hanna JR, Gee A, Chyka PA. Polypharmacy in the elderly: Clinical challenges in Emergency Practice.Part 1: Overview, etiology and drug interactions. Emergency Medicine Reports.2002; 23(11):145-153 21. Ruscin MJ, Linnebur A. Drug –related problems in the elderly. Geriatric- Merck Manuals
open it for the home health nurses. Ms. Sallie Mae Fisher is also dealing with polypharmacy, which can contribute to her at risk for fall due as well. During the video, she expresses signs of confusion when talking to the nurses. This is most likely due to her being prescribed and taking many medications, with most of the side effects of those medicines being dizziness, drowsiness, and orthostatic hypertension. Polypharmacy is an issue, especially for the elderly. Therefore it is critical for the nurses
People are skeptical thinking that using multimodal medication is the same as taking drugs that do not mix, just like in polypharmacy. However, Manworren states, “Multimodal analgesia and polypharmacy are two distinctly different concepts that are easily confused and therefore may call into question the safety and efficacy of a multimodal postoperative pain treatment plan. The multimodal approach relies on the
Need and Importance of Clinical Pharmacists in Healthcare System INTRODUCTION According American College of Clinical Pharmacy, clinical pharmacists are described as a personnel who work directly with doctors, other health professionals and patients to ensure that the medications prescribed for patients contribute the best possible health outcomes. Clinical pharmacists practice in health care settings where they have frequent and regular interactions with doctors and other health professionals which
BACKGROUND The prevalence of older adults with urinary incontinence (UI) is increasing rapidly as the population becomes older.(1) Estimates of the prevalence of UI in residents in nursing home facilities range from 50% to 70%.(2) UI can severely affect quality of life, and its costs for society are high The major clinical types of urinary incontinence are stress incontinence (leakage with maneuvers that increase intra-abdominal pressure), urgency incontinence (sudden urgency followed by leakage)
New laws are pushing for a one-size-fits-all approach to the treatment of pain due to the growing concern of abuse and overuse. This is a hot topic due to growing numbers of related hospital admissions and deaths. The key ethical problem is that Dr. Wergin wants to help his patients with their pain management but the new laws restrict his prescribing authority. Forcing a patient to go about their daily activities with uncontrolled pain conflicts with the principles of beneficence and non-maleficence
Performance enhancing drugs are not equally available to any who might want them. Those who are willing to risk detection can obtain whatever advantage they may or may not receive in a given sport, while those equally interested but do not want to partake in the risks are denied whatever those gains might or might not be (“Procon.org”). The athletes who do not use them put in hours of hard work everyday to achieve their goals for getting stronger and bettering themselves for the sport they play
Promoting Healthy Aging: Depression in Older Adults Depression is a serious mental health problem which affects many areas of a person's health including social, physical, mental, emotional and spiritual health. It affects people of all ages and backgrounds and greatly diminishes their quality of life when health care is not sought. Depression can lead to lowered, depressed moods, social isolation and a loss of enjoyment in activities the sufferer usually enjoys, among many other negative symptoms
Overall, no matter the health profession, all healthcare providers have an obligation of doing no harm to patients and practicing a patient/person-centered approach. In addition, healthcare providers must help to the fullest extent based on their training and credentials. Equally important is to always demonstrate honesty and integrity, while maintaining compassion and confidentiality. Patients come in all shapes, sizes, races, backgrounds, and as such, should all be respected and treated equally
any medical conditions that could be contributing to malnutrition. Elderly people should be screened for dementia, anxiety and depression, since these illnesses can often contribute to lowered motivation and ability to prepare nutritious meals. Polypharmacy - when three or more prescription medications are taken - should be reviewed regularly in case any medications are causing loss of appetite, nausea or constipation. Oral health should be checked and regular visits to the dentist should be encouraged
outpatients; inpatients are victims of human error as well. Oftentimes when hospitals are understaffed and over worked, healthcare workers tend to make simple mistakes that cause not so simple problems for the patients’ wellbeing. In addition to polypharmacy, medication mix-ups are common. For example, in his article, “Medication Errors”, Michael Cohen explains how similar packaging can appear for prescription medications. He gives an example of a nurse whose patient needed eye drops. She collected
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
Do You Like My Body? Anna Nicole Smith (born Vickie Lynn Hogan) was a starry eyed small town girl who was launched into the world of fame powered by her sex appeal and eventually, her disarray. Anna Nicole was hardly born into the world of excess that surrounded her. Born and raised in a small town of Texas, Smith rose to fame as Playboy cover girl moving up to more couth modeling jobs like Guess (Piggot, 2020). Smith was deemed the “Marilyn Monroe of the 90’s”(Piggot, 2020)for her voluptuous blonde
Understanding the Nature and Danger of Medication Errors Medications are one of the backbones of disease management. However, reported cases of medication errors have been growing in alarming numbers. A study in the Philippines has shown a 97.8% prevalence rate of medication errors. A research conducted in the United Kingdom has shown that 38% of patients who are 75 years and older have been affected by prescribing and monitoring errors, while a Swedish study concludes a 42% medication error rate
ABSTRACT Heart failure is one of the leading causes of mortality in the world. At present, there are approximately 26 million heart failure patients worldwide (1). Heart failure is a life-threatening disease and addressing it should be treated as a global health priority. The prevalence and cost of the condition is set to rise due to Ireland’s ageing population and increases in diabetes and coronary heart disease (2). To a large extent, heart failure is a disease that is managed medically. Medications
Today, within the framework of psychoanalysis social identity problem dealt with in detail Erikson, interest in particular issues of the evolution of self-consciousness of man and the stages associated with the development of his identity. It has identified eight stages in the formation of a mature identity. The first four stages occur in infancy and childhood, the fifth stage of puberty, and the last three in adulthood, old age inclusive. In his works Erikson puts special emphasis on puberty, because