Drug-related problems in the elderly (eBook)

eBook Download: PDF
2009 | 2009
XI, 135 Seiten
Springer Netherland (Verlag)
978-90-481-2446-6 (ISBN)

Lese- und Medienproben

Drug-related problems in the elderly - Patrik Midlöv, Tommy Eriksson, Annika Kragh
Systemvoraussetzungen
96,29 inkl. MwSt
  • Download sofort lieferbar
  • Zahlungsarten anzeigen
Drug-related problems in the elderly is intended to serve as a source of information and clinical support in geriatric pharmacotherapy for students as well as all health care professionals, e.g. physicians, nurses and pharmacists. Pharmacotherapy is of great importance to all mankind. Drugs are however powerful and must be handled appropriately. This is especially important for elderly patients. Drug-related problem is not a major subject in most university programmes in medicine or pharmacy. When there is no speci c course, there is often no book covering the topic. In our view, as teachers at various university courses, there has been a shortage of literature that re ects the most important aspects of drug-related problems in the elderly. Medical practitioners, nurses and pharmacists, need to have this knowledge to be able to serve their patients in the best way. This book covers most aspects of drug-related problems in the elderly. With b- ter knowledge of drug-related dif culties and risks we hope that elderly will have fewer drug-related problems and bene t more from their pharmacotherapy.
Drug-related problems in the elderly is intended to serve as a source of information and clinical support in geriatric pharmacotherapy for students as well as all health care professionals, e.g. physicians, nurses and pharmacists. Pharmacotherapy is of great importance to all mankind. Drugs are however powerful and must be handled appropriately. This is especially important for elderly patients. Drug-related problem is not a major subject in most university programmes in medicine or pharmacy. When there is no speci c course, there is often no book covering the topic. In our view, as teachers at various university courses, there has been a shortage of literature that re ects the most important aspects of drug-related problems in the elderly. Medical practitioners, nurses and pharmacists, need to have this knowledge to be able to serve their patients in the best way. This book covers most aspects of drug-related problems in the elderly. With b- ter knowledge of drug-related dif culties and risks we hope that elderly will have fewer drug-related problems and bene t more from their pharmacotherapy.

Preface 5
Contents 6
1 Aging and Drugs 11
1.1 Introduction 11
1.2 Epidemiology 12
1.3 Drug-Related Problems 12
1.4 Evidence Based Medicine 13
1.5 Polypharmacy 14
1.6 General Improved Quality 14
1.7 Specific Problems, Consequences, and Improvements 15
1.8 Conclusions 16
References 16
2 Physiological Alterations with Aging 18
2.1 Introduction 18
2.2 Pharmacokinetics 19
2.3 Pharmacodynamics 23
2.4 Drug-Drug Interactions 24
2.5 Drug-Disease Interactions 25
2.6 Adverse Drug Reactions 25
2.7 Adverse DrugWithdrawal Events 26
2.8 Conclusions 26
References 27
3 Quality of Care in the Elderly 29
3.1 Quality Assurance 29
3.2 Patient Benefit and -Risks 30
3.3 Efficacy of (New) Drugs in the Elderly 31
3.4 Evidence Based Medicine 32
3.5 Shortcomings for EBM in the Elderly 37
3.6 Organisational and Professional Aspcts 39
3.7 Conclusions 42
References 42
4 Inappropriate Drugs in the Elderly 44
4.1 Introduction 44
4.2 Benzodiazepines 45
4.3 Antipsychotic Drugs 48
4.4 NSAID 49
4.5 Drugs with Anticholinergic Effects 50
4.6 Conclusions 51
References 51
5 Drugs and Common Health Conditions in Old Age 55
5.1 Gastrointestinal Health Problems 55
5.2 Constipation 56
5.3 Dryness of the Mouth 57
5.4 Peptic Ulcers and Chronic Gastritis 59
5.5 Hiatus Hernia 62
5.6 Urinary Incontinence 64
5.7 Renal Failure in Old Age 68
5.8 Obstruction of Urinary Flow 70
5.9 Falls and Fractures 70
5.10 Osteoporosis 73
5.11 Sarcopenia, MuscleWeakness in Old Age 76
5.12 Orthostatic Hypotension 76
5.13 Vertigo 79
5.14 Conclusions 81
References 82
6 Drugs and Neuro-Psychiatric Disorders 85
6.1 Introduction 85
6.2 Delirium in the Elderly 85
6.3 Dementia 90
6.4 Affective Disorders 91
6.5 Psychotic Disease 92
6.6 Conclusions 93
References 93
7 Errors, Problems, Events and Reactions on Medication 96
7.1 Introduction 96
7.2 Medication Errors 97
7.3 Drug-Related Problems 100
7.4 Adverse Drug Events 100
7.5 Adverse Drug Reactions 100
7.6 Risk Medications 102
7.7 Risk PatientsÛThe Elderly 103
7.8 Conclusions 104
References 104
8 Practical Problems Related to the Patients Medication Intake 106
8.1 Confusing Names 106
8.2 Problem to Remember 109
8.3 Problem in Handling 110
8.4 Problem to Swallow 110
8.5 Food Interactions 112
8.6 Short Use Before Date 114
8.7 Conclusions 115
References 115
9 Compliance and Concordance 116
9.1 Introduction 116
9.2 From Compliance to Concordance 117
9.3 Compliance/Adherence in the Elderly 117
9.4 Clinical Consequences 118
9.5 Practical Problems 119
9.6 Knowledge, Attitudes and Motivation 119
9.7 Tools to Detect Problems Related to Non-compliance 119
9.8 Interventions for Improvement 120
9.9 Conclusions 121
References 122
10 Strategies and Interventions for Improvement 124
10.1 Introduction 124
10.2 Information Technology DevelopmentWithin Health Care 125
10.3 Evidence Based Database Sources for Effective Clinical Practices 125
10.4 Pharmaceutical Care and Medicines Management 126
10.5 Medication Reconciliation 127
10.6 Medication Review 129
10.7 Trigger Tools 129
10.8 Personalised Medicine 130
10.9 Conclusions 130
References 131
11 Summary and Perspectives 133
11.1 Vision and Objectives for Medication Use in the Elderly 133
11.2 Quality Improvement 134
11.3 Product- or Patient- Centred Treatment 134
11.4 Summary of Simple Practice Conclusions 135
References 136

Erscheint lt. Verlag 7.7.2009
Zusatzinfo XI, 135 p.
Verlagsort Dordrecht
Sprache englisch
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Geriatrie
Medizin / Pharmazie Medizinische Fachgebiete Pharmakologie / Pharmakotherapie
Medizin / Pharmazie Pharmazie
Studium 1. Studienabschnitt (Vorklinik) Biochemie / Molekularbiologie
Schlagworte Adverse Drug Reactions • Age • Drug-related problems • elderly • Inappropriate drugs • Intervention • Medication Errors
ISBN-10 90-481-2446-8 / 9048124468
ISBN-13 978-90-481-2446-6 / 9789048124466
Haben Sie eine Frage zum Produkt?
PDFPDF (Wasserzeichen)
Größe: 1,5 MB

DRM: Digitales Wasserzeichen
Dieses eBook enthält ein digitales Wasser­zeichen und ist damit für Sie persona­lisiert. Bei einer missbräuch­lichen Weiter­gabe des eBooks an Dritte ist eine Rück­ver­folgung an die Quelle möglich.

Dateiformat: PDF (Portable Document Format)
Mit einem festen Seiten­layout eignet sich die PDF besonders für Fach­bücher mit Spalten, Tabellen und Abbild­ungen. Eine PDF kann auf fast allen Geräten ange­zeigt werden, ist aber für kleine Displays (Smart­phone, eReader) nur einge­schränkt geeignet.

Systemvoraussetzungen:
PC/Mac: Mit einem PC oder Mac können Sie dieses eBook lesen. Sie benötigen dafür einen PDF-Viewer - z.B. den Adobe Reader oder Adobe Digital Editions.
eReader: Dieses eBook kann mit (fast) allen eBook-Readern gelesen werden. Mit dem amazon-Kindle ist es aber nicht kompatibel.
Smartphone/Tablet: Egal ob Apple oder Android, dieses eBook können Sie lesen. Sie benötigen dafür einen PDF-Viewer - z.B. die kostenlose Adobe Digital Editions-App.

Buying eBooks from abroad
For tax law reasons we can sell eBooks just within Germany and Switzerland. Regrettably we cannot fulfill eBook-orders from other countries.

Mehr entdecken
aus dem Bereich
Das Lehrbuch für das Medizinstudium

von Florian Horn

eBook Download (2020)
Georg Thieme Verlag KG
69,99
Das Lehrbuch für das Medizinstudium

von Florian Horn

eBook Download (2020)
Georg Thieme Verlag KG
69,99