Polypharmacy in older adults: the role of the multidisciplinary team
| Autor: | M. Caroline Burton, Joshua M. Baruth, Donna M. Miller, Teresa A. Rummans, Melanie T. Gentry |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Population Psychological intervention Pharmacist Context (language use) 030204 cardiovascular system & hematology Pharmacists Cholinergic Antagonists 03 medical and health sciences Patient safety 0302 clinical medicine Medication Reconciliation Professional Role Risk Factors Acute care medicine Humans Hypnotics and Sedatives 030212 general & internal medicine education Intensive care medicine Geriatric Assessment Potentially Inappropriate Medication List Aged Polypharmacy Aged 80 and over Patient Care Team education.field_of_study Inpatient care business.industry General Medicine Analgesics Opioid business Antipsychotic Agents |
| Zdroj: | Hospital practice (1995). 48(sup1) |
| ISSN: | 2154-8331 |
| Popis: | Patients over the age 65 are a quickly expanding segment of the US population and represent a large percentage of patients requiring inpatient care. Older adults are more likely to experience polypharmacy and adverse drug effects. This review explains the risks of polypharmacy and potentially inappropriate medications in the elderly. Specific classes of medications frequently used in older adults in acute care settings are examined, including anticholinergic, sedative hypnotics, and antipsychotic medications. We discuss strategies aimed at addressing polypharmacy in this population including a drug regimen review (which is distinct from medication reconciliation), screening tools, pharmacist-led interventions, and computer-based strategies in the context of current literature and research findings. We provide a summary of general guidelines that may be helpful for geriatricians and hospitalists in improving patient care and clinical outcomes. |
| Databáze: | OpenAIRE |
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