Deprescribing Polypharmacy Patients

Polypharmacy, described as an individual taking more than four medications, can be concerning with the aging population. Polypharmacy concerns include adverse drug reactions, drug interactions, higher cost, decreased mobility, decreased quality of life and cognition impairment. Those at greater risk of negative polypharmacy consequences include elderly, psychiatric patients, recently hospitalized, individuals with multiple doctors or pharmacies and people with impaired vision or dexterity. There are times that polypharmacy is at times needed to help a person with their diagnosis, an example of this is using multiple medications to treat congestive heart failure which can include digoxin, diuretics, and angiotensin-converting enzyme inhibitors

Hello Professor. I agree that medications are the magic solution to treat diseases if they are used appropriately. For example, when antipsychotic medications are not used correctly could lead to functional decline and cognitive impairment. The health care professionals’ knowledge of safe medication use, risks and benefits, and the drug-related problem are important when taking care of elderly patients. “In 2015, the AGS Beers Criteria were again updated by an expert panel of healthcare and pharmacy experts to help prevent potential medication side effects and other medication-related problems in older adults” (Health in Aging, 2015). It is pivotal to use the guidelines of Beers Criteria in our daily practice to prevent inappropriate use of

The intended use of medications is meant to improve a person’ health, it is very important the individual administering medication or self-medicating use the drugs correctly, by following the doctors’ instruction for the medication prescribed. Medication is given to diagnose, treat, and prevent illness. Medication can be very dangerous, which can potentially cause harm or even deaf if it’s not used properly.

In today's society people are quick to find easy and fast ways to make them feel better or reduce stress leading to long term health problems. Medication is designed to ease someone or somethings pain, but overusing a drug can result in side effects that can force someone to need more drugs to get better. Siri Carpenter believes that the use of multiple and unnecessary medication is escalating and frightening. “The use of multiple, often unnecessary medications — especially among older people — is an entrenched, escalating, frightening, and mostly unexamined problem in modern healthcare care,” (Carpenter 1). People find it easy to take

1). People have begun to rely on prescription drugs, more today than ever before. This is one of the immediate reasons for the breakdown in the patient-doctor relationship – the evolution and rise in the development of pharmaceuticals and prescription drugs (Changing, pg 3). For instance, the Baby Boomers are recognized nationally for taking the most prescription drugs. According to my mother, patients rely primarily on prescription drugs rather than other forms of treatment because of the fast paced economy and because society as a whole has adopted a “lack of caring” attitude. “As people age, all they want are pills.”-Mother

Prescribed medication is on the rise in the United States. Particularly among the elderly as they are more inclined to be taking medications. According to the textbook, about thirty percent of people who are sixty-five or older take eight or more prescriptions daily. (Snyder, 62) With that comes an increase in medication misuse and abuse. The difference between the two has to do with the intentions or motivations the person has. Medication misuse is an unintentional or willful use of a medication in a way that differs from prescribed dose or intent. (Snyder, 61) The first example found in the textbook includes taking several unused antibiotics for strep throat from last years prescription, thinking the sore throat is strep throat. The second example is a person who takes a double dose of Tylenol, thinking the higher dose will clear the symptoms faster. The last example from the book is failing to take entire course of antibiotics prescribed for them. (Snyder, 61) On the other hand, medication abuse is deliberately taking a drug for non-medical reason. For example, taking a prescription medicine that was prescribed to someone else, taking the medicine in a different form such as snorting it, or taking a certain medicine with the intent to get high. Both medication abuse and misuse in the elderly population is of concern on the grounds that it can bring mental and physical debilitation. Older people misusing or abusing medications puts them at greater danger and may lead to

Nearly half of seniors do not take their medications when or how they were prescribed. There are mistakes on dosages, methods of delivery, time of delivery, what they should be taken with, and even if they should still be taken. Compounding the issue, most seniors over the age of 65 are taking between 8 and 13 different medications. Put these numbers together and it is no wonder that problems with medication management are one of the leading reasons seniors end up in the emergency room, and is the number one reason seniors end up back in the hospital after being recently discharged. According to a study published in "Pharmacotherapy", nearly 70 percent of hospitalized seniors suffered from at least one

With the growing reliance on medication therapy as the primary intervention for most illnesses, patients receiving medication interventions are exposed to potential harm as well as benefits. Medicines have proven to be very beneficial for treating illness and preventing disease. This success has resulted in a dramatic increase in medication use in recent times. Unfortunately, this increase in use and expansion of the pharmaceutical industry has also brought with it an increase in hazards, error and adverse events associated with medication use.

Pharmaceutical drug dependency is not a new craze sweeping the nation. Although it has progressed, it is something that has been a noticeable issue since the early twentieth century. For starters, there is a pill for everything; pregnancy, being over-weight, pain, sneezing, and much more. When you have a variety like that, it’s hard not to take the easy way out. The latest generations of prescription drugs compensate conditions such as depression, gynecological disorders, hyperactivity, impotence, sleeping problems and more. We are waist deep in a pill culture. According to Tennent, a reason for this up-rise in patients being so eager to take up prescription drugs is that new and more sophisticated drugs have reduced the severity of accompanying side-effects. (Tennent) However, this is a gamble and something one could not be sure of. There are medications prescribed for less

The US is an aging society like many societies around the world and as a result, there is an increase in the number of patients admitted to nursing homes. The elderly population is a fragile population that undergoes mental and physical decline in health. This increases the number of medications used, which increase the risk of adverse drug reactions due to drug-drug and drug-disease interactions. Pharmacists have become increasingly active in nursing homes by providing medication therapy management services, but the benefit in reducing prevalence of these adverse drug reactions is not fully understood. Medication therapy management is a growing field that has been incorporated by pharmacists in different states to optimize therapeutic outcomes in individual patients. Understanding the relationship between medication management and drug- drug

In the United States today, the elderly make up approximately 13% of the population but use 30% of all prescriptions written. This article focuses on the importance of understanding patients’ prescriptions and their adverse drug events (ADE), as well as the best ways to care for patients with many prescriptions. The article also discusses the best ways to avoid ADEs.

According to an article written by Anna Gorman of Health Leaders Media, the use of prescription drugs is a growing concern. The article mentions Lola Cal, a patient in a geriatric unit in Santa Monica, California whose medical records show that she is on 36 different medications. Although people born from 1946 to 1964, known as the baby boomer generation, only make up 16% of the U. S. population, this generation accounts for one-third of prescription drug use. Many elderly patients take several medications to treat chronic illnesses and raise their chances for serious side effects and dangerous drug interactions. Dr. Maristela Garcia, director of the inpatient geriatric unit at UCLA Medical Center in Santa Monica states that polypharmacy is “America’s other drug problem.

People all over the world, continue to be tendered prescription medication, which in many cases further complicate health issues with its myriad of side effects. In fact, statistics have shown that approximately 100,000 people around the world die as a result of prescription drugs annually (Smith, 2012). On the contrary, according

Secondly, a national pharmacare program resolves the problems of underuse of needed therapy (Morgan, et al. 2015). The current system separates the management of medicine from the management of health care; consequently, this approach negatively impacts the safe and effective use of medicines (Morgan, et al. 2015). Studies reveal that one in three elderly Canadians receive prescriptions for drugs known to pose health risks for older patients (Morgan, et al. 2015). Canada needs a program to ensure the safe use of

Elderly patients that take several medications compound the risk of developing an adverse drug reaction. Not only does the aging process have an effect on how elderly bodies process medication, but elderly people take more medications than their younger counterparts. According to Conry (2005), the elderly patient takes an average of 5 prescription medications and two non-prescription medications (Conry, 2005). While medications are frequently necessary to enhance the quality of life of the elderly, non-pharmacologic methods should be used whenever possible. Healthcare providers need to understand how aging impacts the body’s response to medications, which drugs pose more risk to