Medication Use by Elders
Terms
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- Meds commonly prescribed for elderly tend to have what side effects?
- dizziness, low blood pressure and mental confusion
- What can be the hazard or result of the common side effects for elder meds?
- falls
- What % of elders in long-term facilities are affected by psychosis?
- 38%
- What leads to inappropriate med use?
-
-short term use meds are frequently not discontinued
-drug dosage is excessive - What can be done to decrease inappropriate med use?
- educate the elders
- Define polypharmacy
- Many meds used by one person
- What can happen due to polypharmacy?
-
increase cost
increase incidences of adverse side effects - Why does polypharmacy happen?
-
use of different drs
elder does not give accurate info re meds or misunderstands directions - How many deaths occur because of adverse drug reaction (ADR)?
- 51%
- What % is hospitalized due to ADR?
- 39%
- How does kidney and liver dicline contribute to accumulation of ADR?
- kidney and liver help excrete meds, lower function decreases ability, thus drug accumulation in body occurs
- What manifest's in body due to accumulation of ADR's?
-
constipation
incontinence
confusion
memory loss
resltessness
falls
depression - What is drug induced delirium?
- acute and reversible confusion state cuased by over medicating or DC of meds
- What is drug-drug interactions?
- # of prescriptions and OTC meds
- What are the performance areas of medication routine that must exist to self-med?
-
be able to get the med
open/close containers
follow directions/schedules
take as prescribed
reporting problems and adverse effects - what skills are required to self medicate
-
manual dexterity
vision
hearing
memory
problem solving
motivation
ambulate, mobility
communication - what are some ass't aids for self med
-
calendars
pill boxes - what are typical side effects of hypertension meds?
- dizziness, low blood press, risks for falls
- what are typical side effects of arthritis meds?
-
upset stomach
ulcers
mental confusion
fluid retention
constipation - what are typical side effects of depression meds?
- dizziness, low blood press, mental confusion
- what are typical side effects of CHF meds?
-
Mental confusion
weakness (usually of LE)
slow heart rate
arrhythmias - what are typical side effects of diabetes meds?
- low blood sugar, dizziness