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Polypharmacy and Medication Management in Older Adults
Jennifer Kim1, Abby Luck Parish1
1Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA.
Polypharmacy, the use of multiple medications in older adults, is a growing global issue. This practice increases the risk of adverse drug events and worsens geriatric syndromes, necessitating patient-centered care.
Area of Science:
- Geriatric Medicine
- Pharmacology
- Patient Safety
Background:
- Polypharmacy affects approximately 30% of adults aged 65+ in developed nations.
- The use of multiple medications, both prescription and over-the-counter, poses significant risks for older adults.
- Polypharmacy is linked to the exacerbation of geriatric syndromes and adverse drug events.
Purpose of the Study:
- To highlight the increasing problem of polypharmacy in older adults.
- To underscore the association between polypharmacy and negative health outcomes in the elderly.
- To advocate for patient-centered and nonpharmacologic strategies in managing symptoms.
Main Methods:
- Literature review on polypharmacy prevalence and impact in older adults.
- Analysis of risks associated with multiple medication use in geriatric populations.
- Synthesis of evidence supporting nonpharmacologic interventions.
Main Results:
- Polypharmacy is a significant and worsening global health concern for individuals 65 years and older.
- Increased medication use is correlated with adverse drug events and the deterioration of geriatric syndromes.
- Potentially inappropriate medications contribute to patient harm.
Conclusions:
- Nurses play a crucial role in mitigating polypharmacy risks through patient-centered care.
- Nonpharmacologic strategies are essential for managing common symptoms in older adults.
- Optimizing patient function and quality of life requires a holistic approach to medication management.
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