Organizational Leadership Strategies
Falls in the elderly due to polypharmacy and possible approaches
Polypharmacy refers to the use of multiple medicines by the elderly especially those above sixty years. Most times, it involves the use of more than five regular drugs. Alternatively, it is sometimes referred to as unnecessary prescriptions or purportedly excessive medication. Polypharmacy has not yet achieved a universal definition. This problem has been persistent across forty percent of the elderly population that reside in their own homes (Menaker, 2010).
Polypharmacy might be appropriate: most times, it tends to be inappropriate. Polypharmacy is associated disadvantages such as an increase in adverse reaction towards drug intake, prescribing cascade, higher costs and drug vs. drug interaction. Polypharmacy leads to a decrease in life quality, cognition and mobility. The use of multiple medications is common even in fair illness and does not indicate poor treatment. Studies have repeatedly shown that an inhibitor, aspirin, antidepressant, and paracetamol are mostly used at once (Miller, 2005).
Various researchers have proposed possible approaches to reduce Polypharmacy in elderly patients. Medical providers caring for the elderly use a medical grid to monitor the patients who are ready to be discharged. This comprises of a list of all drugs and the administration time over the previous month. This approach tends to reduce the number of drugs in a group of patients against the increase of medication. It also reduces the number of dosage taken each day by elderly patients. A research study by a New York Medicare group on primary care physicians found that patients are required to bring along their medications for regular reviews. This survey also...
Falls THE ISSUE OF ACCIDENTAL FALLS At some point, anyone who had learned how to walk has had the experience of falling down -- it is a universal experience for infants as they gain ambulatory ability. In hospitals, however, the accidental fall is the most reported type of patient safety incident, with elderly patient populations displaying a particular vulnerability (Oliver 2007, p.173). Approximately one-third of adults over the age of sixty-five will
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