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Polypharmacy in the elderly PowerPoint

Download Millions of Presentations, Graphic Assets, Fonts, Icons & More Become a Pro with these valuable skills. Join Millions of Learners From Around The World Already Learning On Udemy Polypharmacy in the Elderly Marc Evans M. Abat, M.D., FPCP, FPCGM Internal Medicine-Geriatric Medicine Head, Center for Healthy Aging, The M Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising Polypharmacy in the Elderly. Rosemary D. Laird, MD. Assistant Professor of Medicine. University of Kansas Medical Center. Center on Aging - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 166bd-OWU2 Prevalence of Polypharmacy. Common in older adults (age > 65 years) Prevalence is increasing. Kantor 2015 - 39% of older Americans take 5 or more medications. Maher 2014 - review article. Ambulatory Care. 37.1% male & 36% female community dwelling adults 57-85 yo took > 5 medications, 47.3% take OTC, 54.2% take dietary supplement Hospita

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  1. 3 POLYPHARMACY *Haider SI, Johnell K, Thorslund M, Fastbom J (2007). Trends in polypharmacy and potential drug- drug interactions across educational groups in elderly patients in Sweden for the period 1992 - 2002. International Journal of Clinical Pharmacology and Therapeutics 45 (12): 643-653 *Prevalence: around40% 4
  2. To empower the older adult and their family members or othercaregivers to participate in limiting the potential harms from polypharmacy, the following should be considered and acted on. Assess polypharmacy risk (5 to 9 medications = moderate risk or 10 or more = greater ris
  3. POLYPHARMACY Pio L. Oliverio, MD Fellow, Geriatrics SVCMC, Jamaica, NY February 27, 2006 Definition POLYPHARMACY Use of several drugs or medicines together in the - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3bf86d-YTk1

Frank C, Weir E Deprescribingfor older patients. CMAJ, Dec 9 2014 186(18) 3/27/2018 12 Reason to stop med Examples Comment Noncomplaince Anti-HTN,Diabetic oral ID in med rec, discuss attitudetoward med Taken incorrectly Inhalers Prescribeeasier delivery Gaines - POLYPHARMACY powerpoint (). Polypharmacy, defined as regular use of at least five medications, is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes. There are several. Polypharmacy has been associated with a general decline in functional ability in the elderly. A prospective study of community-dwelling older adults (412 women and 328 men) found that an increased number of prescribed medications correlated to an increased difficulty in performing activities of daily living ( Magaziner, Cadigan, Fedder, & Hebel. 4. The elderly have a much higher risk of Adverse Drug Reactions. They are on more medications ( average 4.5 prescription and 2 OTC drugs) and do not tolerate, metabolize or excrete medications as well as younger patients. Some medications that commonly cause Delirium in the elderly are Digitalis, Diuretics, Anti-Cholinergics, Neuroleptics

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Prescribing cascade (i.e., use of a newly prescribed drug to counter adverse effects of another prescribed drug) and poor-quality prescribing among the elderly are common. 3 More than 35.8% of older U.S. adults are prescribed 5 or more medications, and 15% of those patients are taking medications in combinations that pose a risk of major drug. Start studying Polypharmacy: in the Elderly. Learn vocabulary, terms, and more with flashcards, games, and other study tools

Polypharmacy in the elderly - SlideShar

  1. Polypharmacy is common in older people and associated with potential harms. The aim of this study was to analyse the characteristics of an older multimorbid population with polypharmacy and to identify factors contributing to excessive polypharmacy in these patients. This cross-sectional analysis is based on the PRIMA-eDS trial, a large randomised controlled multicentre study of polypharmacy.
  2. ation), polypharmacy, adverse drug events in the elderly and others
  3. Polypharmacy in the Elderly. Even though persons aged 65 years and older comprise about 14% of the total population, they account for over one-third of total outpatient spending on prescription medications in the United States. Based on a recent population bulletin, the number of people over age 65 is projected to at least double from 46.
  4. The risks associated with medicines with anticholinergic effects in polypharmacy are highlighted in polypharmacy resources such as NHS Scotland guidance (2018) and All Wales Medicines Strategy Group (AWMSG) guidance (2014).A systematic review and meta-analysis (Ruxton et al. 2015) reported that use of such medicines was associated with an increased risk of cognitive impairment and all-cause.
  5. Polypharmacy, or one person taking 5 or more medications, is an epidemic among the elderly. This can seriously impact a patient's health, and can lead to adv..

effects to older patients • Framework used as one metric for monitoring quality of care in older adults Beers criteria-3 groupings or recommendations I. Potentially inappropriate in all older adults II. Potentially inappropriate in all older adults with certain diseases/syndromes III. Drugs to be used with caution in older people STOPP criteri 3. Dispensing, preparation and administration This is a high-risk situation as the medication (diclofenac) has the potential to cause harm. MEDICATION SAFETY IN POLYPHARMACY Polypharmacy refers to t he u se of a patient. The term can be used when too many forms of medication are used by a patient, more drugs are prescribed than clinically warranted, or even when all prescribed medications are clinically i ndicated but there are too many pills to take (pill burden).. The common result of p olypharmacy is in creased adverse drug reactions and higher costs • Identify what polypharmacy is • Identify factors leading to polypharmacy • Discuss consequences of polypharmacy • Identify common medications which are potentially inappropriate for use in older adults with dementia • Discuss why it is important to consider simplifying medication regimen as dementia progresses. Older adults and elderly are affected more by the harmful effects of polypharmacy. The harmful effects of polypharmacy are preventable. Polypharmacy. The use of multiple medications, or polypharmacy, is becoming an increasingly serious problem within the healthcare system, particularly within the older adult and elderly population

PPT - Polypharmacy in the Elderly PowerPoint presentation

Over one quarter of the older population (27%) are taking 5 or more medications (polypharmacy) and this had not changed since 2012 (2016 report) While polypharmacy is linked to more falls and higher levels of adverse drug events and interactions, it may still be clinically necessary for an individual's treatment regime Dangers of Polypharmacy •Depending on study, 3.4% - 57.9% of hospitalizations are related to iatrogenic events •>180K life-threatening or fatal ADEs happen each year in outpatient settings -approx 1/2 are preventable Risks Associated with Polypharmacy •Physiological decline of function •Drug-induced iatrogenic diseas

  1. 10_Polypharmacy_Overview_and_Principles.ppt - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. Scribd is the world's largest social reading and publishing site
  2. Polypharmacy is a major concern in the care of older adults. Multiple factors con-tribute to this problem, and recognizing these factors is an initial step in address-ing the problem. Further, identifying those individuals at risk for medication problems, as well as implementing specific strategies in practice to reduce th
  3. Polypharmacy at discharge and medicines reconciliation 21 Suggestions for improving care in the context of multi-morbidity 22 Medicines management in care homes 23 Polypharmacy and stopping medicines 24 Medication waste, medicines management and polypharmacy 25 4 Evidence-based polypharmacy 27 5 Prescribing and polypharmacy in older people 2
  4. Polypharmacy is common among elderly persons because of the need to treat the various disease states that develop with age. Although the deprescribing of unnecessary medications is a way of limiting polypharmacy, the underprescribing of effective therapies in older patients is a concern
  5. Polypharmacy Murthy Gokula, MD a,*, Holly M. Holmes, MDb KEYWORDS • Inappropriate medication • Medication management • Elderly • Polypharmacy Approximately one-third of drugs prescribed in the United States may be unneces-sary.1 Older adults use higher numbers of medications compared with younger ag
  6. the elderly are at such a high risk of having adverse effects from their medications due to the shear amount of medications that most of them take. polypharmacy in the elderly definitely needs to be taken seriously by all those who are involved. the elderly (those over 65 yrs.) make up approximately 13% of the population, however they use 30% of the prescriptions written. on average they also.
  7. The risks of polypharmacy are heightened in the elderly because of a number of factors including age-related physiologic changes and the presence of comorbid conditions. Polypharmacy is a strong.

medskl.com is a global, free open access medical education (FOAMEd) project covering the fundamentals of clinical medicine with animations, lectures and conc.. 3 Overview: • Working definition of polypharmacy and inappropriate medications • Epidemiology of polypharmacy and inappropriate prescribing • Negative health consequences of inappropriate medications Prevalence of PIMs in US cohort • Utilized Medicare Part D data • Retrospective cohort study design; time period 200

Polypharmacy - SlideShar

Polypharmacy is the concurrent use of multiple medications. While there are almost always good intentions behind this—treating several chronic conditions at the same time, for example—it can cause side effects and even additional health concerns Among older adults, polypharmacy is a common problem. Currently, 44% of men and 57% of women older than age 65 take five or more medications per week; about 12% of both men and women take 10 or more medications per week. These agents include both prescription and over-the-counter (OTC) preparations, such as vitamin and mineral supplements and. Polypharmacy continues to grow in importance because of aging populations. Many countries are experiencing a fast growth of the older population, 65 years and older. This growth is a result of the baby-boomer generation getting older and an increased life expectancy as a result of ongoing improvement in health care services worldwide Polypharmacy is common both at admission and hospital discharge, and its prevalence is rising over time. The majority of medications taken by older adults with HF are noncardiovascular medications. There is a need to develop strategies that can mitigate the negative effects of polypharmacy among older adults with HF

Introduction. The WHO has predicted that the number of older people (conventionally defined as ≥65 years) worldwide will reach 1.5 billion by 2050.1, 2 This population growth poses significant challenges for healthcare systems, as older people use a disproportionate amount of healthcare resources (eg, medications).3, 4 Although there is no single agreed definition of the term 'polypharmacy. Polypharmacy describes, in simplistic terms, the use of multiple medications in an individual. It has become a normal aspect of modern medicine, driven by an ageing, multimorbid population, the increasing availability of preventative medications and an increasing use of single-disease guidelines and adherence to evidence-based practice. However, polypharmacy is also associated with a range of.

PPT - POLYPHARMACY PowerPoint presentation free to

A drug education tool developed for older adults changes knowledge, beliefs and risk perceptions about inappropriate benzodiazepine prescriptions in the elderly. Pat Educ Couns. 2013;92(1):81-87. 13. Scott IA, Hilmer SN, Reeve E, Potter K, Le Couteur D, Rigby D, et al. Reducing inappropriate polypharmacy: the process of deprescribing The prevalence of polypharmacy and cardiovascular specific polypharmacy in the elderly segment of the cardiovascular population aged 65 years and above were 31.4% and 13.7%, respectively. It is more than two times the polypharmacy in all outpatient prescriptions reported in 2013 by Admassie et al study in the same setting [ 35 ]

Polypharmacy: Evaluating Risks and Deprescribing

POLYPHARMACY is a a red flag for clinicians on the lookout for medication-related harms in their older patients, say experts. Almost 1 million older Australians regularly take five or more prescription medicines, according to research, published in the MJA, that highlights the need to implement a proposed National Strategic Action Plan to address polypharmacy define polypharmacy is variable, but generally ranges from 5 to 10 [1]. While polypharmacy most commonly refers to prescribed medications, it is important to also consider the number of over-the-counter and herbal drugs or supplements used by the elderly. Polypharmacy is an important issue in older people who, compared to younger individuals

PPT - The Dangers of Polypharmacy PowerPoint Presentation

Today, polypharmacy, a common and important problem related to drug use, occurs subsequent to this multimorbidity in the elderly in all populations. In recent decades, several scientific investigations have studied polypharmacy and its correlates, using different approaches and definitions, and their results have been inconclusive Diabetes self-management education (DSME) is an integral part of diabetes care for all individuals with diabetes who want to achieve successful health-related outcomes, regardless of age. 1 The goal of DSME is to enable patients to better manage their diabetes. Medical care in the absence of adequate self-care is rarely effective for chronic illnesses. 2 Studies of self-management.

Polypharmacy in the elderly - Anna Cantlay, Tessa Glyn

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Polypharmacy in elderly patients - PubMe

10-35% of elderly outpatients experience ADRs May occur in as many as 44% of hospitalized elderly ADR risk doubles when drug use increases from 1 to 4 drugs; increases 14-fold in elders who use 7 drugs Beers MH, Baran RW, Frenia K. Drugs and the Elderly, Part 1: The Problems Facing Managed Care. Th Polypharmacy in Older Adults Teaching Module. This PowerPoint teaching module gives definitions, demographics and risks associated with polypharmacy, i.e. the use of multiple drugs, and the use of more medication than is clinically indicated or warranted In 2012 inappropriate polypharmacy resulted in $1.3 billion in avoidable healthcare costs in US [3]. Taking medications may be necessary for health, improving symptoms or prolonging life expectancy [4]. The risks and benefits of medication changes with age. Polypharmacy increases the risk of harmful effects

Polypharmacy

Managing medications in the elderly can be complicated by the physiologic effects of aging and the prevalence of comorbidities. Consistent use of tools such as the Beers criteria and the STOPP/START criteria, as well as medication reconciliation, can reduce polypharmacy and its adverse drug effects, improving health outcomes in this population I will be analyzing polypharmacy in the elderly population. This population is of older people aged 65 years and above, and it is characterized by vulnerability to diseases due to their reducing immune system caused by advancement in age (Eriksson, 2017). Polypharmacy is prevalent with people falling under this category

Although polypharmacy is a term that can be applied to any age, it is more frequently applied to elderly individuals, or those who are over sixty-five years of age. This reflects the fact that after a certain age, individuals are likely to be administered a range of medications to assist with a range of medical issues Polypharmacy in the Elderly Dr. Keith White Chair and Medical Lead Shared Care - Polypharmacy . 2 Or How Scotland invented the Modern World . 3 Sir William Ferguson Anderson 1914 - 2001 . 4 Became the first Professor of Geriatrics PowerPoint Presentation Author

Polypharmacy ( polypragmasia ) in the elderly PowerPoint Presentation. Download Presentation. Polypharmacy ( polypragmasia ) in the elderly 1 / 28. Polypharmacy ( polypragmasia ) in the elderly Polypharmacy for the elderly: a representative sample from Hungary • The distribution of the frequency (%) in fuction of the number of therapeutic. Polypharmacy is a growing problem in modern medicine, especially in patients with Congestive Heart Failure (CHF) as it increases their overall morbidity and mortality (1) US Center for Medicare and Medicaid Services estimates that polypharmacy costs its nation's health plans more than US$50 billion annually (2 • Polypharmacy is common in older people with multimorbidity and is associated with significant risks of adverse outcomes • Need to take opportunities to review medicines during admission, on transfer to RACF, and when patient's condition or PowerPoint Presentation Author

Drug use in elderly and techniques to avoid polypharmacy

Polypharmacy in the elderly: a literature revie

Introduction Polypharmacy is the simultaneous use of numerous medications by the patient. More than 50% of the elderly population in the united states are prone to polypharmacy (Charlesworth et al, 2015). Polypharmacy among the elderly population is one of major challenges affecting the country and leading to unnecessary deaths. Poly pharmacy results to major health complications like overdose. Companion PowerPoint Presentation. and the elderly is strongly associated with increased length of hospital stay, morbidity. and mortality. In the elderly it is associated with a faster cognitive decline, loss of other comorbidities or polypharmacy • The negative neuro-cognitive effects of delirium in adults and the elderly are

Polypharmacy in Older Adults : Home Healthcare No

Background: Multimorbidity and the associated use of multiple medicines (polypharmacy), is common in the older population. Despite this, there is no consensus definition for polypharmacy. A systematic review was conducted to identify and summarise polypharmacy definitions in existing literature Medicines are the most common intervention to improve health. The number of medicines taken by older people in the UK has been steadily increasing for the last three decades. Polypharmacy is a term that refers to either the prescribing or taking many medicines. Concerns about the risks of polypharmacy in primary and secondary care are growing, supported by evidence which associates. Older people, and particularly those who are frail, are susceptible to the adverse effects of polypharmacy. Medication reviews should be undertaken regularly in older people with polypharmacy. Medicines management systems, research, and education are essential to improve safe practice in the management of polypharmacy. Nursing Standard. 30, 39.

PPT - Polypharmacy and Medication-Related Challenges in

Introduction Polypharmacy is increasingly common and can increase the risk of adverse drug reactions (ADRs), accounting for a significant proportion of hospital admissions. It may also impair functional status and quality of life. Current efforts to improve polypharmacy take place largely in primary care, but there may be a role for increased support from medicines specialists in the secondary. This study show high prevalence of polypharmacy in a cohort of elderly people with T2D when comparing to other countries such as Sweden (56.70%), 21 Italy (57.10%), 22 and Greece (22.50%). 23 This can be explained by a higher overall prevalence of polypharmacy in older population with chronic diseases in Portugal. 2 A prescribing cascade begins when a drug is prescribed, an adverse drug event occurs that is misinterpreted as a new medical condition, and a subsequent drug is prescribed to treat this drug-induced adverse event (figure). We first described the idea of a prescribing cascade in The Lancet in 1995,1 and expanded on this concept in The BMJ in 1997.2 The identification and interruption of. Polypharmacy often caused by excessive duration of therapy and failure to communicate between clinicians. Among the elderly: 17-25% take sedative-hypnotics; 18% have been prescribed an opioid analgesic. Even when taken as prescribed tolerance, dependence and toxicity may develop In particular, the proportion of elderly patients in polypharmacy (use of five to nine drugs) was 44.2% and 23.2% was in excessive polypharmacy. More in detail, with regard to excessive polypharmacy, there was a slightly increase from 18.9% in subject aged 65-74 years to 27.9% in subject aged 85 or more

Polypharmacy in older patients: identifying the need for

The war against polypharmacy: a new cost-effective geriatric-palliative approach for improving drug therapy in disabled elderly people. Isr Med Assoc J 2007;9:430-4. Tannenbaum C, et al. Reduction of inappropriate benzodiazepine prescriptions among older adults through direct patient education: the EMPOWER cluster randomized trial Division of Care of the Elderly Department of Family Medicine, University of Alberta March 06, 2016. Polypharmacy. in the Elderly. 1. Faculty/Presenter Disclosure PowerPoint Presentation Author: ACFP Created Date: 4/27/2016 2:45:01 PM. Polypharmacy is a term to describe patients who are taking multiple prescription medications, over the counter (OTC) drugs, and supplements in order to treat multiple conditions. Many of these are elderly patients. In the ambulatory care setting, a generally accepted number of medications that describe polypharmacy is five prescriptions or more

Polypharmacy: America's other drug problem American

Background The use of potentially inappropriate medications (PIMs) is an important issue in older patients who are at risk of adverse drug events. Aim To determine the prevalence of PIM use, according to Beers criteria, among an older population (aged ≥65 years) in a large family medicine setting, and to identify the associated risks. Design & setting A prospective cross-sectional study of. Polypharmacy is defined as the use of 4 or more medications, while severe polypharmacy is defined as the use of 10 or more medications (Zia, Kamaruzzaman, & Tan, 2015). One in 2 elderly patients is affected by polypharmacy and more than 1 in 10 by severe polypharmacy. This can be associated with self-medication and the use of over-the-counter. Investigating polypharmacy and drug burden index in hospitalised older people. Internal Medicine Journal, 43(8), 912-918. Britton A, Russell R. (2004). Multidisciplinary team interventions for delirium in patients with chronic cognitive impairment. The Cochrane Database of Systematic Reviews, Issue 2

Polypharmacy entails the use of ≥5 medications, increasing the risk for inappropriate treatments, including medications that are not indicated, are not effective, or constitute therapeutic duplications. 30,31 Older adults admitted to the CICU take an average of 12 different prescriptions that include preadmission medications, new therapies. Polypharmacy is a contextual issue •Polypharmacy can be a good thing, but •Polypharmacy increases the risk for inappropriate prescribing. •Polypharmacy increases the risk for adverse drug events. •Polypharmacy correlates with multimorbidity and vice versa. •Polypharmacy is a common implicit reason for the exclusion of older adult To describe the number and type of drugs used and to evaluate the role of different factors associated with polypharmacy (PP = 6-9 drugs) and excessive polypharmacy (EPP = > or =10 drugs), with special reference to the number and type of medical diagnoses and symptoms, in a population of home‐dwelling elderly persons aged 75 or more Polypharmacy is a common observation among older adults secondary to their complex medical needs requiring management with 1 or more medications. The use of numerous medications may result in medication-related problems such as inappropriate indications, therapeutic duplication, adverse effects, drug interactions, unnecessary medications, poor adherence, and a strain on health care resources

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Polypharmacy full guidance v22016: Considerations on Polypharmacy and Adverse DrugPPT - SUICIDE IN THE ELDERLY PowerPoint Presentation, freePPT - Medication Use in the Elderly Patient: Physiology

19. Leipzig, Rosanne, MD. Drugs and Falls in Older People: A Systematic Review and Meta-analysis: II. Cardiac and Analgesic Drugs. Journal of the American Geriatrics Society, 27 Apr. 2015. Web. 21 Feb. 2016. 20. Lee, R.D. (1998). Polypharmacy: A Case report and a new protocol for management. J Am Board Fam Pract, 11(2),140-44. 2 Older people (and people with cognitive impairment, dementia, severe illness or a hip fracture) are more at risk of delirium. About 20-30% of people on medical wards in hospital have delirium. Between 10% and 50% of people who have surgery go on to develop delirium, varying on different types of surgery and settings inappropriate use of medication in the elderly • Identify common medications that may affect nutrition (appetite, taste, weight, or dry mouth) Causes of polypharmacy. A drug-induced adverse event which mimics symptoms of PowerPoint Presentatio 2. Rollason V, Vogt N. Reduction of polypharmacy in the elderly: a systematic review of the role of the pharmacist. Drugs Aging. 2003;20(11):817-832. 3. Haque R. ARMOR: a tool to evaluate polypharmacy in elderly persons. Ann Long-Term Care. 2009;17(6):26-30. 4. Patterson SM, Hughes C, Kerse N, Cardwell CR, Bradley MC

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