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    Medical Practices: Polypharmacy Polypharmacy is a phenomena referred to as the intake of multiple medication by a patient, due to multiple medical conditions by a patient. It also is used for the pill burden that a patient has under such circumstances, majorly a problem for elderly people. Sometimes the combination they take may result in a side effect, because of a drug to drug reaction rather than curing. Moreover, due to similar names of the medicines such mishaps could result too. It especially

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    pharmacotherapy due to the high prevalence of resistant strains in hospitals and nursing homes, their treatment for UTI must have a C&S test and monitor for hypersensitivity reactions in the first 2 -30 minutes and delay reaction from 1-72 hours. Due to polypharmacy in the elderly population, fluid intake is essential from 2000 up to 3000ml of fluid to prevent crytalluria, monitor severe diarrhea as it could be sign of superinfection due to the elimination of natural flora or adverse effect to antibiotic

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    Inflammatory Musculoskeletal Diseases

    strength also lessen. The gait of a person with musculoskeletal problems changes with age; gait speed, stride length and step length are reduced ((Phyllis & Samuel, 2009). Treatment in older patients is risky because of polypharmacy where patients attend different specialty clinics, getting prescriptions for different medications. This raises the risk of drug-drug interaction. Adverse drug reactions are common among elderly patients because of comorbid chronic or acute diseases

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    If They Only Knew

    problems that characterize this illness, practitioners take care to try and minimize the number and doses of medications in order to avoid exposing the person with BPD to numerous side effects. Using multiple medications at the same time, also called polypharmacy, can also put the person at risk for attempting to use their supply of medications to commit suicide. Despite these risks, careful use of medications can help achieve some symptom relief in certain people with BPD. Examples of antidepressants

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    protection of the older adult and includes functions of the interdisciplinary team, individualized care, and evidence based protocols. Health policy, theories of aging and health protection will be explored in addition to cultural dimensions, and polypharmacy.  The inter-relatedness of the biophysical and psychosocial alterations and health problems resulting from multisystem alterations will be studied.  Settings of care and the future of gerontological nursing will be discussed.   2 Credit

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    Care for the Frail Older Patient

    During the frail adult specific admission process would be the first time that screening for potential health risks and thus interventions developed to minimize the health risk. Some of the risks that for the frail older adult would include polypharmacy, fall history, nutrition, delirium, and advance care planning. The frail older adult would also need to be screened to implement measures to prevent venous thromboembolus (DVT), pressure ulcers, and falls during their hospital stay. Also during

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    what age to purchase 18 show id and sign for medications antagonism when two drugs have their effects weakened by being given together the effect is against helping in the fight against disease synergism a condition of working together polypharmacy an individual will take medications that are not known to his or her doctor excreted removed from the body A DAME Absorption , Distribution , Action , Metabolism , Excretion The word treat can be broken into 5 different areas curative

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    Nursing Concept Analysis

    that the majority of research done has had vague definitions of adherence (Hughes, 2004). Some barriers to adherence were identified as poor cognitive ability, complex administration regimens, difficult medication packaging, multiple morbities, polypharmacy and lack of social support (Hughes, 2004). Pharmacists can play an active role in increasing adherence by collaboratively working with physicians and nurses in educating the patient about the medication (Hughes, 2004). Akerblad, Bengtsson, Ekselius

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    Comparative Juornal on Drug Treatment

    relevant information. The optimal functioning of verbal memory is a useful resource in everyday life, work, or education. All these facts may give the patient and prescriber a good reason to consider non-pharmacological treatment choices in place of polypharmacy. On the contrary, the results of the second study shows that one-quarter of individuals released returned to prison within 3 years for technical violations that included, among other things, testing positive for drug use. Returning to neighborhoods

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    Prescribed Medication and Non Compliance in the Elderly

    by would have resulted in premature death or decreased quality of life. For the elderly multipathology is an overwhelming problem resulting in increased amounts of medication, which in turn leads to an increase in side effects. This is known as polypharmacy – each drug has its own effect, its own set of side effects and a different way interacts with others. This multipathology often results in complex regimes which contribute to non-compliance (Watson 2000 & Banning 2004). In relation to

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    Polypharmacy in the Elderly

    Polypharmacy in the Elderly Courtney Lopez Western Governors University Polypharmacy in the Elderly I. Introduction a. Audience hook: John, an 85 year old man is admitted into the emergency room with a heart rate of 40, and complaints of dizziness and weakness for several days. Nancy RN is the nurse taking care of John when he is brought in. Upon reviewing Johns’ medications, Nancy is aware that there are two prescriptions for the same beta blocker each with a different dose and frequency

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    Functional Assessment

    one-third of community –dwelling persons age 65 years and one-half of those over 80 years of age fall each year. Patient who have fallen or have a gait or balance problem are at higher risk of having a subsequent fall and losing independence. Polypharmacy-Older persons are often prescribed multi medications by different health care providers, putting them at increased risk for drug-drug interactions and adverse drug events. The clinicians should review medications on each visit and have patient

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    A Study of Pregnant Women and Health Workers Knowledge on Malaria Prevention and Treatment Guidelines During Pregnancy

    This has important implications for the management of febrile illnesses, and over-diagnosing malaria patients may also distract from other causes of fever, some of which may be fatal [Wang et al. 2006]. Some of the prescribers have been practicing polypharmacy due to lack of diagnostic tools, whereby in this case most of prescriptions consist of antimalarial and one or more antibiotics used 3 as broad spectrum treatment. Also a substantial number of unnecessary treatments can lead to an introduction

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    Mental Health Ati

    ■ Indications of alcohol use in the older adult can include a decrease in ability for self-care (functional status), urinary incontinence, and signs of dementia. Older adults can show effects of alcohol use at lower doses than younger adults. Polypharmacy (the use of multiple medications), the potential interaction between substances and medication, and age-related physiological changes raise the likelihood of adverse effects, such as confusion and falls, in older adult clients. ☐ ☐ PN

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    intrinsic (e.g., older age, balance disorders, history of falls, decreased vision, altered cognitive status, or history of arthritis, heart attack, stroke, postural blood pressure changes, syncope, dizziness, or chronic lung disease), extrinsic (e.g., polypharmacy and use of certain medications known to increase fall risk [e.g., benzodiazepines, sedatives, neuroleptics, antidepressants, anticonvulsants, class I antiarrhythmics, and diuretics]), and environmental (e.g., inadequate lighting, slippery floors

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    Case Study for Polypharmacy

    units subq at bedtime 26. Flexeril 5mg TID PRN 27. Hydrocodone-APAP 5/325 mg q 6 hours PRN for pain 28. Sliding scale novolog for blood sugar checks 4 times a day Ms. J.O. is believed to be over sedated due to narcotics and typifies polypharmacy causing the multiple falls and changes in her mental status. Using Beer’s criteria see the potentially inappropriate medication list below. Even though there are very few medications Ms. J.O. takes that is actually on this list there are still

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    Falls: Facts, Risks, Prevention

    following six months. 9,500 deaths occur each year in the geriatric population as a result of injury secondary to falls (“10 Shocking Statistics….”). Fall risks that were discussed as part of the teaching: Orthostatic hypotension, postural changes, polypharmacy/side effects of meds, generalized weakness, poor vision/dim lighting, bathroom dangers including bathing and wet floors, urgency for toileting, rushing, walking too fast or not using wheelchair brakes, reaching for items that are high overhead

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    Compare and Contrast

    PD and needs to be assessed, as this can interfere with professional and personal daily activities.[1,3-5] If severe, this can cause disability. Treating associated factors such as anxiety, depression, sleep disorders, and fatigue; streamlining polypharmacy; and neurocognitive rehabilitation therapy may improve this domain.[3-6,17] The nurse should also evaluate safety issues such as the patient's ability to manage his or her own medications, to drive, and to live independently. Substance abuse

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    Geriatric Interview

    switched her to Plavix, for her stent. She takes Lasix daily, along with Metoprolol and Lisinopril. She also takes a multivitamin. She’s been on these three medications for a while and have worked well for her. In my opinion she isn’t at risk for polypharmacy. I think it’s incredible that she’s 94 and only on a few medications. I’ve seen people half her age on 21 different home medications. She counts her sodium intake daily and does her best to stay under 2 grams. Muzzy watches her weight carefully

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    Assessment of an Elderly Client

    really old. General assessment like the physical and history-taking might not be done at the same time because patient becomes tired easily. The elderly usually have multiple health issues which requires the use of many drugs which is also called polypharmacy. The elderly are best evaluated using a comprehensive geriatric assessment, which includes evaluation of function and quality of life usually by an interdisciplinary team. While assessing a geriatric patient, the nurse should consider that at

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    Health Officer

    within general practice. It is also important to review patient attitudes toward weight; elderly patients may be confused by media coverage of obesity and consider any weight loss to be beneficial. If geriatric syndromes (eg. falls, dementia, polypharmacy) or functional decline (eg. reduced mobility or ability to perform activities of daily living) are identified, consider referral to a geriatrician Address social and functional issues Low socioeconomic status, limited functional ability and

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    Needs Assessment Project

    will be reviewed in order to collect all the data needed to determine the proper intervention needed. The step of diagnosing whether these patients need education on proper hydration, diabetes mellitus education, fall prevention education, and polypharmacy will be determined after collecting this data during the assessment phase. These interventions can be added to the services currently provided by the Centerville Area Agency are holding congregate meal sites and providing a foot clinic. After

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    Information Based Decision Making

    and care plans. | Divulges clinical content.Detailed indicator of how clinical time is spent and on what.Captures positives and challenges of service delivery for individuals – this is not captured in quantitative information – e.g. engagement, polypharmacy effects, multiple risk indicators. | Quality of notes varies between clinicians.Only provides clinicians’ perspectives.Does not provide macro information for the service. | Service audits | Provides qualitative information that is not captured

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    International Business

    physiological changes that occur which make the older adult more susceptible to adverse drug reactions. * Five Rights of Medication Administration * The most common drugs that alter lab results * Polypharmacy- why is the older adult more apt to polypharmacy. * Beers’ List of Inappropriate drugs for Older Adults- this is in the e-text and www.consultgerirn.org. Make sure you are familiar with this. Benzodiazepines are mentioned quite a bit * MAP- this means medication

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    Net 2

    encountering patients who are agitated or behaving inappropriately, ensure the immediate safety of yourself, others and the patient. Be sure not to become a victim. Try to de- escalate the situation. Review the chart for any history and possible polypharmacy interaction. Alert the attending physician and suggest medication such as Ativan to the attending, if not contraindicated. If the patient is still not complying, call a code grey overhead with the room number. This will activate the rapid

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    Antihypertensives Long half-life benzodiazepines Large doses of benzodiazepines Tricyclic antidepressants (TCAs) Antipsychotics Anticonvulsants Tai chi exercises Correction of vision problems Environmental evaluation to remove hazards Reduction in polypharmacy Extrapyramidal symptoms Typical antipsychotics Metoclopramide Functional Domain Mobility Bone and muscle integrity Mental state Anticholinergic agents Benzodiazepines Pentazocine Skeletal muscle relaxants Amitriptyline, TCAs

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    Delirium in Icu

    released an editorial that detailed the implications of delirium in which it stated that between 30 to 80% of intensive care, or ICU, patients will suffer from delirium. The problem with delirium is that it often goes unreported and untreated. Age and polypharmacy greatly increase a patient’s risk of suffering from delirium due to the implications of these two factors on acetylcholine and other neurotransmitters. Assessment and Analysis The presence of delirium in patients has many potential complications

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    Fall in Geriatrics

    drugs (Al-Aama, 2011, p.773). According to Al-Aama (2011): Independent risk factors for falling include the following (arranged in order of evidence strength): previous falls, balance impairment, decreased muscle strength, visual impairment, polypharmacy (more than 4 medications) or psychoactive drugs, gait impairment and walking difficulty, depression, dizziness or orthostasis, functional limitations, age older than 80 years, female sex, incontinence, cognitive impairment, arthritis, diabetes

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    Pharmacology Homework

    you” that it doesn’t matter what she takes and how much of it she consumes along with her prescription medication. She is probably unaware of potential adverse effects that taking all of those substances can cause. 2. Potential outcomes of polypharmacy would be potential toxicity, adverse effects in medication and the patient being unaware of exactly what she is taking since some herbal substances contain a variety of active ingredients in widely varying quantities and strengths. Practical Scenario

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    Removal of Restrictions

    guidelines obtained from the University of Iowa Gerontological Nursing Interventions Research Center state that when the same provider renders care in and out of the hospital there are less mistakes with medication (Evidenced Based Practice Guidelines). Polypharmacy is an issue that must also be addressed. If nurse practitioners had the full ability to follow their patients and full prescriptive authority in and out of the hospital there would be decreased chances for adverse drug events. Often times the handling

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    teaching points include taking one pill a day, not stopping the medication without consulting the physician, and monitoring for side effects and adverse reactions.  --The client should notify the physician if side effects occur. • --Polypharmacy is a concern in the geriatric population.  --Duplication of medications needs to be identified before drug-drug interactions or adverse side effects can be determined.  --The phone call to the health care provider is the intervention

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    Impact of Cannabis Law

    Statistical Classification of Diseases, 10th revision [ICD-10], codes X40-X44, X60-X64, and Y10Y14) where an opioid analgesic was also coded (T40.2-T40.4). This captures all overdose deaths where an opioid analgesic was involved including those involving polypharmacy or illicit drug use (eg, heroin). Analysis of publicly available secondary data is considered exempt by the University of Pennsylvania Institutional Review Board. Author Manuscript Three states (California, Oregon, and Washington) had medical

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    Pharmacology Case Study

    takes to confirm that he or she is complying with the correct regimen. The process is especially important for those taking large numbers of medications to address chronic illnesses and multiple diseases. Taking multiple medications is known as polypharmacy. Since their grandchild cannot read, he can possible put the eye drops in John's eyes. John can inform him how many drops to add in each eye. The grandson can even count the pills out daily for the couple. Since the grandson knows his color, the

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    Organizational Leadership

    medical record, this information is easily shared between the acute care setting, and any outpatient visit the patient may have. Our affiliated primary care providers also have the ability to access and update this information, in an effort to reduce polypharmacy and other critical medication events. For steps taken to ensure accurate, up to date, medication histories for each patient, I gave Memorial Hermann a five. Care. Under the domain of care, there are four elements, those being the patient and family

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    Non Medical Prescribing

    request to prescribe for a patient that I have not assessed, poses ethical as well a professional and legal considerations. In the area that I practice my patients are generally over 60 years old and have many comorbidities and usually complex polypharmacy they are more susceptible to adverse drug reactions just by the nature of their physiology and disease process. Ethically the scenario can be seen as a conflict between respecting autonomy of the nonprescriber and beneficence and non-maleficence

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    physiological changes that occur which make the older adult more susceptible to adverse drug reactions. * Five Rights of Medication Administration * The most common drugs that alter lab results * Polypharmacy- why is the older adult more apt to polypharmacy. * Beers’ List of Inappropriate drugs for Older Adults- this is in the e-text and www.consultgerirn.org. Make sure you are familiar with this. Benzodiazepines are mentioned quite a bit * MAP- this means medication

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    Link Between Adhd and Psychotropics

    11 References Faraone, S., and Asherson, P., (2005), The Molecular Genetics of ADHD: A View From the IMAGE Project, retrieved on 12/01/09 from http://www.psychiatrictimes.com Zonfrillo, Penn, Leonard (2005) Pediatric Psychotropic Polypharmacy. Psychiatry MMC, Retrieved October 18, 2008 from http://www.psychiatrymmc.com Bellonci, Henwood (2004) Use of Psychotropics Medications in Child Welfare. Retrieved October 19, 2008, from http://www.hunter.cuny.edu/socwork/nrcfcpp/Psychotropic-Medications

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    Demographic Paper

    until they are 72 however for the last decade or more that time frame was at the age of 65. References Gopinath, S. S., Rajalingam, B. B., Sriram, S. S., & Vijayakumar, S. (2011). AN INDIVIDUAL BASED STUDY OF THE GERIATRIC POPULATION: A POLYPHARMACY. International Journal Of Pharmacy & Pharmaceutical Sciences, 3(4), 63-66. Stone, R. (2010). Caring for an Aging America in the Twenty-First Century.Generations, 34(4), 5. Warshaw, G. A., Modawal, A., Kues, J., Moore, I., Margolin, G., Sehgal

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