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Iatrogenesis in the elderly. Drug-related problems
Journal of Gerontological Nursing
|September 1, 1991
Summary
Elderly patients face higher risks of adverse drug reactions due to factors like polypharmacy and medication errors. Gerontologic nurses play a key role in preventing these reactions through careful drug review and client education.
Area of Science:
- Gerontology
- Pharmacology
- Nursing
Background:
- Adverse drug reactions (ADRs) are influenced by age, toxicity, drug interactions, and individual patient factors.
- Elderly individuals are particularly vulnerable to ADRs due to polypharmacy, medication errors, and self-administration issues.
Purpose of the Study:
- To highlight the unique risks of adverse drug reactions in the elderly population.
- To outline the role of gerontologic nurses in preventing and managing ADRs in older adults.
Main Methods:
- Review of factors contributing to drug reactions in the elderly.
- Identification of nursing interventions for ADR prevention and management.
Main Results:
- Polypharmacy, incorrect drug use, and medication errors significantly increase ADR risk in older adults.
- Age-related physiological changes can alter drug metabolism and response.
Conclusions:
- Gerontologic nurses are essential in mitigating ADRs through comprehensive drug histories and client education.
- Proactive drug review and astute clinical observation are crucial for patient safety in the elderly.