Geriatric Drug Therapy Interventions

Author : James W Cooper
Publisher : CRC Press
Page : 96 pages
File Size : 55,8 Mb
Release : 1998-02-02
Category : Medical
ISBN : 0789003945

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Geriatric Drug Therapy Interventions by James W Cooper Pdf

Medication costs and common drug-related problems, such as misapplication of therapy, medication misuse, and adverse effects, can often be avoided or reduced. Geriatric Drug Therapy Interventions will help you get better outcomes with your patients as it points out pitfalls to avoid and provides you with logical principles for administering drug therapy. Offering guidelines, advice, and gentle reminders, this book shows you the importance of properly documenting patient problems and of considering the entire medical history of your patients. It also helps you perform fall and psychoactive drug risk assessments and address under-recognized and undertreated problems such as malnutrition, depression, sensory deficits, anemia, osteoporosis, and pressure ulcers. As Geriatric Drug Therapy Interventions clarifies, increased consultant pharmacist involvement in comprehensive pharmaceutical services results in the reduction of drug-related problems and medication-associated costs with long-term care patients. Using this book's helpful and substantive interventions, you can improve clinical, economic, and humanistic outcomes in your practice. For this purpose, Geriatric Drug Therapy Interventions discusses: a study designed to teach pharmacy students to identify, document, solve, and prevent medication-related problems providing patient-focused care and assuming responsibility for patient outcomes reimbursing pharmacists for performing cognitive service and cost-savings activities how the prevalence of drug-related problems that influence the need for hospital and nursing home admissions increases with age reasons for patient noncompliance NSAID-associated gastritis, gastrointestinal bleeding, drug-induced delirium, incontinence, and constipation why the advent of managed care does not bode well for the overall health outcomes of the elderly Pharmacists, physicians, and other health care providers can't control all aspects of drug use, but there are many practical steps you can take to help your patients use their prescriptions appropriately. Geriatric Drug Therapy Interventions will help you monitor the efficacy of drug therapy, guide patients who are exasperated with being poked, prodded, and barraged with medications, and work together to develop therapy patterns and schedules that are effective and comfortable.

Author : Martin Wehling
Publisher : Springer Science & Business Media
Page : 356 pages
File Size : 42,5 Mb
Release : 2012-08-17
Category : Medical
ISBN : 9783709109120

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Drug Therapy for the Elderly by Martin Wehling Pdf

With people aged 65 years and older currently making up the fastest growing age group throughout the world, the demographic revolution of an aging society will inevitably lead to increased pressure to develop a rationalistic and age-tailored process of diagnosis and treatment among the elderly. As aging people often suffer from several chronic diseases and are being treated with multiple medications concurrently, unwanted drug interactions occur more frequently. Whereas recent approaches have recommended to remove particular drugs from the medication regimen to avoid adverse effects, Drug Therapy for the Elderly underlines both indispensable and dispensable elements of drug treatment in order to provide an overall assessment of drugs suitable for the aged. In view of the multimorbidity and polypharmacy situations experienced by elderly patients, this book takes into account the special needs and requirements shown by this group, thus serving as a timely reference for physicians who treat the elderly.

Author : Springhouse Publishing,Springhouse
Publisher : Springhouse Publishing Company
Page : 1000 pages
File Size : 41,5 Mb
Release : 2000-01-01
Category : Medical
ISBN : 0874349982

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Handbook of Geriatric Drug Therapy by Springhouse Publishing,Springhouse Pdf

This one-of-a-kind guide covers how to safely prescribe and administer drugs to the elderly. Readers find guidelines for nearly 800 drugs, proven strategies for improving patient compliance, and drug updates on the Internet. Contents include effects of aging on drug therapy; drug entries alphabetized by generic name; components of analgesic combination products; creatinine clearance calculations; HCFA guidelines for using antipsychotics, anxiolytics, sedatives, and other drugs in long-term care facilities; adverse reactions misinterpreted as age-related changes; age-related changes in laboratory values; and a photoguide to tablets and capsules.

Author : Cynthia G. Olsen,William N. Tindall,Mark E. Clasen
Publisher : American Pharmacists Association (APhA)
Page : 360 pages
File Size : 44,9 Mb
Release : 2007
Category : Medical
ISBN : UOM:39015076181281

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Geriatric Pharmacotherapy by Cynthia G. Olsen,William N. Tindall,Mark E. Clasen Pdf

Geriatric Pharmacotherapy: A Guide for the Helping Professional provides practical guidelines to help physicians, pharmacists, nurses, physician assistants, and other clinicians manage drug therapy in the elderly. the text hinges on the realization that geriatric care is an individualized art and all members of the health care team have drug therapy responsibilities.

Author : G. Barbagallo-Sangiorgi,A.N. Exton-Smith
Publisher : Springer Science & Business Media
Page : 517 pages
File Size : 50,6 Mb
Release : 2012-12-06
Category : Science
ISBN : 9781461327912

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Aging and Drug Therapy by G. Barbagallo-Sangiorgi,A.N. Exton-Smith Pdf

One of the greatest advances in Geriatric Medicine during the last quarter of a century has been the increased realization of the possibilities of treatment for elderly patients. Neglect has been replaced by a more optimistic therapeutic endeavour and countless old people have benefitted from this approach. But there is also a drawback, and this is the risk of hazardous side effects of medication which are often directly proportional to the biological potency of the drug and may be unpredictably increased due to changes in the senile organism. In fact the anatomical and biological changes in old age alter both the kinetics of most drugs and the receptor response. On account of these changes the individual tolerance of aged patients to drug therapy may be quite different from that of younger subjects. Thus for a variety of reasons elderly patients receive more drugs, but they are at a higher risk of encountering adverse reactions, which often show atypical clinical features. We can therefore speak of "geriatric iatrogenic disorders" and point out that some of these side effects are determined by a complex pathogenesis due to the particular pathophysiological condition in the elderly. It is important to encourage the habit of individ ually evaluating potential risk versus expected advantages of drugs in keeping with the same principles adopted in the evaluation of cost/benefit ratio.

Author : James W Cooper,Marie A. Chisholm
Publisher : CRC Press
Page : 108 pages
File Size : 43,5 Mb
Release : 2000-07-10
Category : Medical
ISBN : 0789007894

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Musculoskeletal Drug Therapy for Geriatric Patients by James W Cooper,Marie A. Chisholm Pdf

How can we safely and effectively treat musculoskeletal disorders in this fast-growing population? Musculoskeletal Drug Therapy for Geriatric Patients is an essential reference for pharmacists, physicians, and nurses who plan treatment for elderly patients suffering from post-menopausal osteoporosis, osteoarthritis, rheumatoid arthritis, and gout or hyperuricemia. The medical cost of these common ailments is staggering: osteoporosis alone causes more than 1.5 million fractures each year with annual costs to the health system of approximately $14 billion. The human cost--in pain, disfigurement, restricted movement, and lost work--is incalculable. Today pioneering research is being done, and new drugs have become available to alleviate patients’suffering. Musculoskeletal Drug Therapy for Geriatric Patients offers detailed discussions of the newest drug treatments and recent findings on older medications. For example, many authorities agree that acetominophen should be frontline therapy of degenerative arthritis in the elderly, yet the most common adverse drug reaction of geriatric patients in long-term care is for NSAID gastropathy. This book suggests safer options, including the newest COX-2 inhibitors and disease-modifying anti-rheumatic drugs. Musculoskeletal Drug Therapy for Geriatric Patients offers clear strategies for the assessment and treatment of these painful, debilitating disorders in the elderly. Including tables and charts that comprehensively list test results, Musculoskeletal Drug Therapy for Geriatric Patients provides solid advice on the issues of medical management of these common diseases. This valuable book examines specific issues, including: the newest COX-2 inhibitors and how they work the evaluation, diagnosis, and management of osteoporosis osteoarthritis and its drug therapy a scholarly assessment of geriatric rheumatoid arthritis and its treatment. dosage, contraindications, and possible negative effects of various medications determining the need for chronic prophylactic therapy in patients with gout or hyperuricemia Although none of these musculoskeletal diseases can yet be cured, effective drug therapy can keep them in check. Musculoskeletal Drug Therapy for Geriatric Patients will help you give your patients the most powerful new treatments with the fewest side effects, thereby improving their quality of life.

Author : G. Barbagallo-Sangiorgi,A.N. Exton-Smith
Publisher : Springer
Page : 523 pages
File Size : 55,9 Mb
Release : 2011-11-04
Category : Science
ISBN : 1461297214

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Aging and Drug Therapy by G. Barbagallo-Sangiorgi,A.N. Exton-Smith Pdf

One of the greatest advances in Geriatric Medicine during the last quarter of a century has been the increased realization of the possibilities of treatment for elderly patients. Neglect has been replaced by a more optimistic therapeutic endeavour and countless old people have benefitted from this approach. But there is also a drawback, and this is the risk of hazardous side effects of medication which are often directly proportional to the biological potency of the drug and may be unpredictably increased due to changes in the senile organism. In fact the anatomical and biological changes in old age alter both the kinetics of most drugs and the receptor response. On account of these changes the individual tolerance of aged patients to drug therapy may be quite different from that of younger subjects. Thus for a variety of reasons elderly patients receive more drugs, but they are at a higher risk of encountering adverse reactions, which often show atypical clinical features. We can therefore speak of "geriatric iatrogenic disorders" and point out that some of these side effects are determined by a complex pathogenesis due to the particular pathophysiological condition in the elderly. It is important to encourage the habit of individ ually evaluating potential risk versus expected advantages of drugs in keeping with the same principles adopted in the evaluation of cost/benefit ratio.

Author : Lisa C. Hutchison,Rebecca B. Sleeper
Publisher : ASHP
Page : 482 pages
File Size : 52,7 Mb
Release : 2010-03-24
Category : Medical
ISBN : 9781585283057

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Fundamentals of Geriatric Pharmacotherapy by Lisa C. Hutchison,Rebecca B. Sleeper Pdf

A change is coming. By 2050, the world's 65-and-older population will double, and the 85 and older population will mushroom fivefold. As the number of older adults surge, so too will the number of medication management challenges pharmacists and other health care providers experience. For the geriatric population, complex cases are often the norm, and providing safe and effective care can mean considering assessments of function and cognition, contacting multiple prescribers, and understanding a patient's history, beliefs, and care giving situation before making therapeutic decisions. Fundamentals of Geriatric Pharmacotherapy: An Evidence-Based Approach gives practitioners the information they need to improve outcomes and personalize care for elderly patients. Section 1 explores important foundational concepts such as social and behavioral issues, ethical considerations, biomedical principles of aging, geriatric assessment, and polypharmacy. Section 2 covers common disease states in aging adults, providing evidence-based treatment information as well as helpful tips for minimizing common problems and contending with clinical controversies. Particular attention is given to how treatment can differ along the spectrum of active elderly to frail elderly patients. Useful features throughout the book guide practitioners in navigating the maze of information required when caring for an older patient. These include: Summarized treatment guidelines Reviews of the evidence-base Special focus on recommendations for frail elderly At least one full case study, or more, in each chapter Clinical Pearls Key Points highlight important information in each chapter Key terms and definitions The demands of an aging population mean a greater understanding of geriatric pharmacotherapy will soon be essential for all health care providers. Fundamentals of Geriatric Pharmacotherapy ensures that you'll have the information needed to respond appropriately.

Author : Stephen Jackson,Paul Jansen,Arduino Mangoni
Publisher : John Wiley & Sons
Page : 552 pages
File Size : 48,9 Mb
Release : 2009-04-22
Category : Medical
ISBN : 0470024291

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Prescribing for Elderly Patients by Stephen Jackson,Paul Jansen,Arduino Mangoni Pdf

A guide for doctors to quickly choose the right drugs in the right dose for the most important clinical problems in the elderly Prescribing medications for elderly patients is complex - this book gives clear advice on treatment regimes, drug interactions, adverse effects, and recommended dose changes Provides practical help with the problems that can arise in reaching an accurate diagnosis in the elderly, recommends clear treatment options, lists key drug interactions and side effects, and advises when to amend doses

Author : James W Cooper,William E Wade
Publisher : CRC Press
Page : 140 pages
File Size : 40,6 Mb
Release : 1998-04-02
Category : Medical
ISBN : 0789003953

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Gastrointestinal Drug Therapy in the Elderly by James W Cooper,William E Wade Pdf

If you?re a pharmacist, nurse, or physician involved in caring for elderly patients, you?ll definitely want to take advantage of the concise review of the most important drugs for gastrointestinal problems in Gastrointestinal Drug Therapy in the Elderly. Compact, clear, and concise, this new volume will give you vital information concerning drug therapy for the elderly as presented by some of the world?s most authoritative, qualified professionals. Your knowlege of effective drug therapies will expand, and you?ll find new avenues of application for your treatment methods. Gastrointestinal Drug Therapy in the Elderly brings out your practical side, giving you method after method for dealing with the gastrointestinal maladies of elderly patients. Its scope is broad and contemporary, covering everything from gastroesophageal reflux disease to peptic ulcers, from inflammatory bowel disease to constipation and diarrhea. Specifically, you?ll get pragmatic guidance in the following areas: heartburn causes and treatments gastritis and peptic ulcers inflammatory bowel disease case studies of drug effects on the gastrointestinal tract You?ll also receive in this useful volume a review of basic pathophysiology and the effects of drugs on the GI tract. Filled with useful case studies and recent findings on drug use, Gastrointestinal Drug Therapy in the Elderly is your guide to practicality and heightened success in the treatment of persistent gastrointestinal problems in your elderly patients.

Author : Patrik Midlöv,Tommy Eriksson,Annika Kragh
Publisher : Springer Science & Business Media
Page : 139 pages
File Size : 40,6 Mb
Release : 2009-07-07
Category : Medical
ISBN : 9789048124466

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Drug-related problems in the elderly by Patrik Midlöv,Tommy Eriksson,Annika Kragh Pdf

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.

Author : Jeffrey C. Delafuente,Ronald B. Stewart
Publisher : Harvey Whitney Books Company
Page : 592 pages
File Size : 50,6 Mb
Release : 1995
Category : Medical
ISBN : UOM:39015048656535

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Therapeutics in the Elderly by Jeffrey C. Delafuente,Ronald B. Stewart Pdf

Author : James W Cooper
Publisher : CRC Press
Page : 168 pages
File Size : 55,5 Mb
Release : 1991-06-12
Category : Medical
ISBN : 1560240865

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Drug-Related Problems in Geriatric Nursing Home Patients by James W Cooper Pdf

Medication mishaps can and do happen in nursing homes. This highly important new book focuses on the scope of drug-related problems (DRP) of misuse and adverse reaction to medications in the nursing home environment. Experts provide practical methods for detecting DRPs, they explain a systematic approach to preventing DRPs, and they document the magnitude of DRPs in the long term care setting. Each chapter of this timely book deals with a different type of drug-related problem and includes operational definitions, prevalence of the problem, and the actions needed to detect and minimize risk and prevent recurrence. A checklist at the end of each chapter aids readers in assessing specific problems in nursing homes, home health care, day care settings, and other locations in which medications are given to the elderly. Illustrative case examples are used throughout the text. With an emphasis on awareness and change, Drug-Related Problems in Geriatric Nursing Home Patients will be invaluable for pharmacists, physicians, and nurses who work in long term care; health care planners who need to be cognizant of the scope and magnitude of medication mishaps in the nursing home; administrators who are ultimately responsible for such problems. Students and educators will find the information, and especially the checklists, timely and practical.

Author : James W Cooper
Publisher : CRC Press
Page : 88 pages
File Size : 49,6 Mb
Release : 1996-07-21
Category : Medical
ISBN : 1560244151

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Geriopharmacotherapy in Home Health Care by James W Cooper Pdf

Home health care, as an organized entity in the continuum of health care in the U.S., is a fairly new phenomenon. Geriopharmacotherapy in Home Health Care looks at the state of the pharmaceutical arena in home health care. With origins in a federally funded grant program, five state programs--North Carolina, Hawaii, Mississippi, South Carolina, and Utah--have evolved into a progressively interactive group, with certain common problems and perceptions across states, both in medications and other programmatic concerns. The contributing authors of this book examine several of these problems and concerns in detail. Each chapter assists readers in understanding the pharmaceutical endeavors undertaken through the initiative and creativity of these state-funded home health programs, which are still developing and growing. There are multiple concerns about the impact of medication on patients cared for by home health care workers, among them, the high incidence of chronic diseases, debilitating illnesses, and the potential for adverse reactions to medication. Several of the topics explored in detail include: a critical analysis of the medications patients consume how to clinically critique problems and seek interventions to remedy therapeutic and clinical problems survey results on pharmaceutical services from home health agencies in North Carolina needed modifications in available computer software to provide optimal computer capabilities for consultant pharmacy services an examination and comparison of several software programs for practicality and logistical capabilities Geriopharmacotherapy in Home Health Care documents the outgrowth of program innovation and the creativity of five states’current status of home health care pharmacy. With continued tremendous growth in the elderly population, the demands on home health care will continue to grow dramatically for years to come. Home health care professionals--nurses, nurses aids, consultant pharmacists, agency directors and workers--will find the developments in this book informative as they increase and improve the services available to homebound elderly.

Author : Holly Holmes
Publisher : Elsevier Health Sciences
Page : 960 pages
File Size : 49,6 Mb
Release : 2012-04-30
Category : Medical
ISBN : 9781455744046

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Polypharmacy, An Issue of Clinics in Geriatric Medicine - E-Book by Holly Holmes Pdf

With the use of multiple medications in the elderly patient comes the risk of drug-related problems. This issue covers polypharmacy in the elderly patient with topics that include: The Interplay between Polypharmacy, Geriatric Conditions, and Adverse Drug Reactions, Factors Leading to Excessive Polypharmacy, Clinical Practice Guidelines for Chronic Diseases and How They Contribute to Polypharmacy, Polypharmacy in Nursing Home Residents, Psychotropic Polypharmacy, Deprescribing Trials: Methods to Reduce Polypharmacy and the Impact on Prescribing and Clinical Outcomes, Ethical Framework for Medication Discontinuation in Nursing Home Residents with Limited Life Expectancy, Pharmacokinetics in the Elderly and the Interaction with Polypharmacy, Medication Adherence to Multi-drug Regimens, Improvements in Electronic Prescribing to Reduce Inappropriate Medication Use and Polypharmacy, and Tools to Decrease Polypharmacy.