Polypharmacy in geriatric patient
| dc.contributor.author | Narayanan, Jaiganesh Sowmiya | |
| dc.date.accessioned | 2024-07-12T21:58:29Z | |
| dc.date.available | 2024-07-12T21:58:29Z | |
| dc.date.issued | 2021 | en_US |
| dc.department | Maltepe Üniversitesi, Rektörlük | en_US |
| dc.description.abstract | Introduction: Polypharmacy in elderly patient is concurrent use of 5-9 or more drugs than the patient needs. The risk factor are loss of cognition, adverse drug events and serious drug interactions. There is also increased risk of developing geriatric syndrome and negatively affects the nutritional status leading to malnutrition. Unnecessary medications increase the cost of treatments and promotes non-adherence in patient. Materials and Methods: Literature review was performed in order to identify the magnitude and the impact of polypharmacy, as well as methodologies directed to reduce improper use of multiple medications in geriatric patients. Results The analysis show that the prevalence of polypharmacy in the elderly patient is very high – around 20% of people age 70-74 are using more than 10 medications and the main group of medication are indicated for cardiovascular, metabolic and also nervous system disorders. Techniques used to reduce polypharmacy are SAIL (Simplify, Adverse effect, Indication, List) and TIDE (Time, Individualize, Drug interaction, Educate) - criteria to follow and reduce the adverse outcomes and interaction before prescriptions. Tools help to identify the potentially inappropriate medications use include Beers, STOPP (Screening Tool of Older People’s Prescriptions), START (Screening Tool to Alert to Right Treatment) criteria. The ARMOR tool (Assess, Review, Minimize, Optimize, Reassess) helps to minimize the problems in elderly patient and improve the quality of life. Discussion and Conclusion All of the criteria used to deprescribe the unwanted medications to different extent show improvements in elderly patient and decrease adverse event. The elimination of inappropriate medication and review of medication regimen can decrease the polypharmacy in patients. Prescribe optimization method is used to eliminate all consequences of polypharmacy. Patient centered approach helps to decrease use of unwanted over the counter medication in patients and decrease the adverse events. | en_US |
| dc.identifier.citation | Narayanan, J.S. (2021). Polypharmacy in geriatric patient. International Faculty of Medical Sciences and Nursing(MEDNS) Student Congress, Maltepe Üniversitesi. s. 88-89. | en_US |
| dc.identifier.endpage | 89 | en_US |
| dc.identifier.isbn | 978-605-2124-39-0 | |
| dc.identifier.startpage | 88 | en_US |
| dc.identifier.uri | https://hdl.handle.net/20.500.12415/8812 | |
| dc.language.iso | en | en_US |
| dc.publisher | Maltepe Üniversitesi | en_US |
| dc.relation.ispartof | International Faculty of Medical Sciences and Nursing(MEDNS) Student Congress | en_US |
| dc.relation.publicationcategory | Uluslararası Konferans Öğesi - Başka Kurum Yazarı | en_US |
| dc.rights | info:eu-repo/semantics/openAccess | en_US |
| dc.snmz | KY08060 | |
| dc.subject | Polypharmacy | en_US |
| dc.subject | Elderly patient | en_US |
| dc.subject | inappropriate medication | en_US |
| dc.subject | geriatric syndromes | en_US |
| dc.title | Polypharmacy in geriatric patient | en_US |
| dc.type | Conference Object | |
| dspace.entity.type | Publication |
