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Medication education for the older adult
- 1. Medication Education for the older adult LISA BRADNER
- 2. Risk Factors for Adverse Drug Reactions in the Elderly Older females are more at risk for adverse drug reactions than males and the younger population Drug reactions increase proportionally to the number of drugs taken, older adults are usually on a lot of prescription drugs which put them at a higher risk. Hepatic and/or renal insufficiency put the individual at a higher risk for adverse drug reactions
- 3. Problematic Drugs for the Older Adult Problematic Drug Classifications that are most often prescribed the older adult include: 1. long- acting benzodiazepines 2. Dipyridamole (Persantine) 3. Propozyphene (Darvon) 4. Amitriptyline (Elavil)
- 4. Polypharmacy Polypharmacy- The use of multiple medications at the same time. Prescribing more medication than what it clinically necessary
- 5. Characteristics of Older Adults with Medication Related Problems: 85 years and older More than 6 active medical diagnoses Low body weight or decreased body mass index Impaired kidney function Taking more than 5 different medications
- 6. Medication Regimen You should know: The route of your medication (Oral, inhaler, Injection) Appropriate time to take your medication The dosage of your medication Any side effects of your medications and when to consult medical attention Why are you taking this medication?
- 7. Interactions Does your medication interact with.. Other medications? Certain types of foods? Over the counter medications? Herbal remedies? Alcohol?
- 8. How to keep track of your medications Pill organizer Color coding Lists Memory devices Keep an up to date list of all medications you are currently taking. Always have on hang to show physician
- 11. Med Alerts
- 12. Consequences of Inappropriate Drug Management FALLS One-third of older adults fall each year. Falls can lead to substantial consequences which can most of the time be prevented Psychotropic drugs and narcotic analgesics are associated with falls because of their sedating nature and impact on the CNS. Cardiovascular drugs, especially blood pressure medications, also put a person at a high risk for falls because of their orthostatic blood pressure changes.
- 14. Death Adverse drug reactions may be between the fourth and sixth leading cause of death in the United States.
- 15. References Images received from www.google.com/images Ainslie, N. (2004) Learning Module Hospice: Polypharmacy Drug Use. Retrieved from: http://classes.kumc/som/amed900/polypharmcay/polypharmacy-Know.htm Aparasum, R. & Mort, J.R. (2000). Inappropriate prescribing for the elderly. Annals of Pharmacotherapeutics, 34, 338-346. Barat, I. Andreason, F., & Damsgaard, E. (2001). Drug therapy in the elderly. What doctors believe and patients actually do. British Journal of Clinical Pharmacology, 51, 615-622.