intrinsic (e.g., older age, balance disorders, history of falls, decreased vision, altered cognitive status, or history of arthritis, heart attack, stroke, postural blood pressure changes, syncope, dizziness, or chronic lung disease), extrinsic (e.g., polypharmacy and use of certain medications known to increase fall risk [e.g., benzodiazepines, sedatives, neuroleptics, antidepressants, anticonvulsants, class I antiarrhythmics, and diuretics]), and environmental (e.g., inadequate lighting, slippery floors
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As Dr. Dumphey’s medical assistant Theresa is required to administer medication, keep accurate medication records, and provide patients with information about the medications that are prescribed to them. Theresa answers the phone call from a patient of Dr. Waring, an elderly woman with multiple medical problems. Dr. Waring prescribed her a medication for bronchitis two days ago and she maybe having a reaction to it. Since Dr. Dumphey and Dr. Warning have an arrangement for him to cover for her while
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you” that it doesn’t matter what she takes and how much of it she consumes along with her prescription medication. She is probably unaware of potential adverse effects that taking all of those substances can cause. 2. Potential outcomes of polypharmacy would be potential toxicity, adverse effects in medication and the patient being unaware of exactly what she is taking since some herbal substances contain a variety of active ingredients in widely varying quantities and strengths. Practical Scenario
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really old. General assessment like the physical and history-taking might not be done at the same time because patient becomes tired easily. The elderly usually have multiple health issues which requires the use of many drugs which is also called polypharmacy. The elderly are best evaluated using a comprehensive geriatric assessment, which includes evaluation of function and quality of life usually by an interdisciplinary team. While assessing a geriatric patient, the nurse should consider that at
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Falls: Risks, Facts, Prevention Falls: Risks, Facts, Prevention The following information is a compilation of the teaching plan utilized for the community teaching assignment. The information presented includes statistical analysis and detailed information on potential risks of injury and death related to falls among the elderly. It also highlights prevention methods that can be utilized in an attempt to decrease Emergency Room visits
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The most common inappropriate individual behaviors in older adults are counting as sedentary behavior, tobacco exposure, alcohol consumption, medication misuse, polypharmacy, and fear of falls. Hence, these unhealthy behaviors reflects diminished physical activities, decreased physical reserves and vulnerability (sacropenia) which lead to frailty in older adults. Many researches reveal that the modification interventions
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what age to purchase 18 show id and sign for medications antagonism when two drugs have their effects weakened by being given together the effect is against helping in the fight against disease synergism a condition of working together polypharmacy an individual will take medications that are not known to his or her doctor excreted removed from the body A DAME Absorption , Distribution , Action , Metabolism , Excretion The word treat can be broken into 5 different areas curative
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Comprehensive geriatric assessment is defined as a multidisciplinary diagnostic and treatment process that identifies medical. Psychological and functional limitations of a frail older person in order to develop a coordinated medical management of illness. It requires evaluation of multiple issues including physical, cognitive, affective, social, financial, environmental and spiritual components that influences an older persons by a team of health professionals may identify a variety of treatable
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strength also lessen. The gait of a person with musculoskeletal problems changes with age; gait speed, stride length and step length are reduced ((Phyllis & Samuel, 2009). Treatment in older patients is risky because of polypharmacy where patients attend different specialty clinics, getting prescriptions for different medications. This raises the risk of drug-drug interaction. Adverse drug reactions are common among elderly patients because of comorbid chronic or acute diseases
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ABSTRACT Heart failure is one of the leading causes of mortality in the world. At present, there are approximately 26 million heart failure patients worldwide (1). Heart failure is a life-threatening disease and addressing it should be treated as a global health priority. The prevalence and cost of the condition is set to rise due to Ireland’s ageing population and increases in diabetes and coronary heart disease (2). To a large extent, heart failure is a disease that is managed medically. Medications
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