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Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution01:00

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution

Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are not...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption01:22

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption

As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...

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Antihypertensive medication adherence among elderly Chinese Americans.

Ya-Hui Hsu1, Chia-Ling Mao, Mercy Wey

  • 1Santa Clara Valley Health and Hospital System, San Jose, CA, USA.

Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society
|August 3, 2010
PubMed
Summary

Only 52% of Chinese American elders adhere to antihypertensive medications. Forgetfulness, side effects, language, and cultural barriers hinder adherence, necessitating culturally tailored interventions.

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Area of Science:

  • Gerontology
  • Public Health
  • Pharmacology

Background:

  • Hypertension is a prevalent chronic condition among elderly populations.
  • Medication adherence is crucial for managing hypertension and preventing complications.
  • Understanding adherence barriers in specific ethnic groups is vital for targeted interventions.

Purpose of the Study:

  • To determine the level of antihypertensive medication adherence among Chinese American elders.
  • To identify demographic factors associated with antihypertensive medication nonadherence.
  • To explore influential factors hindering medication adherence in this population.

Main Methods:

  • A descriptive cross-sectional survey design was employed.
  • Data were collected from Chinese American elders regarding their antihypertensive medication adherence.
  • Statistical analyses examined relationships between adherence and demographic/influential factors.

Main Results:

  • 52% of elderly Chinese Americans reported adherence to antihypertensive medications.
  • Gender, education, residency duration, hypertension duration, and perceived medication safety did not significantly correlate with adherence.
  • Forgetfulness, adverse medication effects, language barriers, and cultural factors were identified as significant barriers to adherence.

Conclusions:

  • A significant proportion of Chinese American elders exhibit nonadherence to antihypertensive medications.
  • Culturally sensitive and linguistically appropriate strategies are needed to improve medication adherence.
  • Addressing forgetfulness, side effects, language, and cultural barriers is essential for effective hypertension management in this demographic.