Essay On Polypharmacy

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

This report is Part 1 of assignment for Marketing MBA 565-MBOL1 to Dr. Stephen Baglione

In our experience with Pharmasim we learned that Marketing decision making must be very sensitive and responsive to everything going on in the industry which is very complex. Consumer responses to marketing tactics can be volatile and unpredictable and no idea is guaranteed to work well. Marketing is a matter of meticulous research, assumptions, planning, and volatility at times. Overall we took away two major points: 1) that it is important to consider the product lifecycle in evaluating how to promote businesses and, 2) that the “Sweet Spot” as a competitive advantage should be the greatest point of consideration when evaluating how to best gain leverage to beat the competition in the minds of

According to the Food and Drug Administration (FDA 2009), the wrong route of administrating medication accounts for 1.3 million injuries each year. An article published in September issue of the Journal of Patient Safety estimates there are between 210,000 and 400,000 deaths per year associated with medical errors. This makes medical errors the third leading cause of deaths in the United States, behind that comes heart disease and cancer. To prevent medical errors always follow the Three Checks and most importantly the Rights of Medication Administration. The “Rights of Medication Administration” helps to ensure accuracy when administering medication to a patient. When administering medication the administer should ensure they have the Right Medication, Right Patient, Right Dosage, Right Route, Right Time, Right Route, Right Reason, and Right Documentation. Also remember the patient has the right to refuse, assess patient for pain, and always assess the patient for signs of effects.

Prescription drug abuse has become an epidemic in the United States especially among the youth of our country. The Partnership for a Drug Free America says that 2,500 teens a day abuse prescription drugs. Abuse of these narcotics can lead to serious mental and physical consequences. Why is this such a problem, what can we do to solve it, and how is it affecting our social lives?

The twenty-first century has seen pharmaceutical companies grow in unprecedented size and strength. Due to the unprecedented growth the larger pharmaceutical companies have gained leverage and power in the prescription drug industry, but they lack innovation to market and they seek ways to help the business continue to increase its profits. The pharmaceutical industry was once ethically sound and was a valuable player in the development of human health. However, overtime with the lack of innovation pharmaceutical companies are becoming an unethical market that exploits patients, doctors and anyone else it can to increase its profitability. With eyes only on profitability this can create a hazard for patients because there

Due to the large number of consumers being prescribed multiple medications, and the complexity of managing those medications, it is of a major safety concern that systems are in place for clinicians to reconcile patients medications to resolve any discrepancies in what the patient is using, or should be using, and newly added ones.

As reported previously, more than 30% of us have used two or more prescription drugs in the past 30 days. Furthermore, more than 10% of us have used five or more prescription drugs during this time. Many of us may even be using OTC drugs alongside these. But do we know what this cocktail of medication is doing to our health?

Perhaps the most challenging aspect of older adult pharmacology is the concomitant use of multiple medications. Among community-

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.

Adverse drug events include adverse drug reactions (ADRs); drug-drug interactions due to uncertainty about the benefits and harms of simultaneous treatment; drug-disease interactions due to potential risk of worsening one condition by treating a co-existing one; improper drug election, sub- and supra-therapeutic dosage, noncompliance/failure to receive drug, and wrong drug (10, 13-16). Older adults are at increased risk for developing adverse drug events due to multiple concurrent diseases and physiological changes that occur as part of the ageing process, particularly, in pharmacokinetics (reduced renal elimination) and pharmacodynamics (increased sensitivity to certain medications) affecting drug disposition (10).

Mrs A is a 71 year old widow with CCF and osteoarthritis who has recently been exhibiting quite unusual behaviour. Her daughter is concerned about her mother's ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two to three months Mrs A has become confused, easily fatigued and very irritable. She has developed disturbing obsessive/compulsive behaviour constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly mouldy. Her prescribed medications are:

1. Identify potential sources of synergy in the proposed acquisition of Star Genomics. Identify a set of problems that the acquisition may create. How can Pills & Co. address them? From the strategic viewpoint, does it appear to be a sensible acquisition for Pills & Co.?

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

Pharmacology is the branch of medicine and biology that seeks to understand drugs and how they affect the body. It involves the analysis of how drugs interact with the biological function of the body and how these drugs react with each other, their natures, and their properties. All drugs are considered chemicals and when ingested into the body an affect from the drug takes place. According to Doweiko (1999), “A drug is essentially a foreign chemical that is introduced into the individual’s body to bring about a specific desired response. There are many forms of drugs and how these drugs are administered in the body determines the kind of result that will take place. The Central Nervous System, (CNS) plays a major role in how these