Risk assessment of patient falls while taking medications ordered in a teaching hospital.

Autor:	Ferreira Neto CJ; Departamento de Ciências Farmacêuticas, Curso de Farmácia, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil., Rocha AS; Departamento de Ciências Farmacêuticas, Curso de Farmácia, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil., Schmidt L; Departamento de Ciências Farmacêuticas, Curso de Farmácia, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil., de Almeida FP; Departamento de Ciências Farmacêuticas, Curso de Farmácia, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil., Dutra JC; Departamento de Ciências Farmacêuticas, Curso de Farmácia, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil., da Rocha MD; Departamento de Enfermagem e Saúde Pública, Curso de Enfermagem, Universidade Estadual de Ponta Grossa, Ponta Grossa, PR, Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de enfermagem [Rev Bras Enferm] 2015 Mar-Apr; Vol. 68 (2), pp. 278-83, 305-10.
DOI:	10.1590/0034-7167.2015680217i
Abstrakt:	Objective: to stratify prescribed medication in a fall risk scale, identifying subgroups of drugs and inpatient units with higher risk of falls. Method: retrospective study on prescription order forms given by medical clinic, surgical clinic, and general intensive care unit. Risk factors under consideration: 1) orthostatic hypotension; 2) arterial hypotension; 3) arterial hypertension; 4) bradycardia; 5) psychomotor agitation; 6) mental confusion; 7) dizziness; 8) drowsiness/sedation; 9) reduced eyesight; 10) seizures; 11) atonia/dystonia/muscle weakness; 12) hypoglycemia; 13) urgent urination and 14) urgent defecation/diarrhea. Risk levels adopted: 0: 0 factor; I: 1-2 factors; II: 3-5 factors; III: 6-9 factors; IV: 10-14 factors. Results: 3893 drugs were analyzed and stratified in levels: 0 22.7%; I 33.5%; II 28%; III 15.1%; IV 0.7%. Levels III and IV more often refer to drugs for stomach acid disorders, 22.6%, and psycholeptics, 100%. Conclusion: knowing the risk factors associated with medication may help prevent and reduce falls, especially when therapeutic regimens cannot be modified.
Databáze:	MEDLINE
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