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Applying the Social-Ecological Approach to Evaluate Diabetes Medication Management in Older People
Ivy O Poon1, Christopher W Ogboe1
1Texas Southern University, College of Pharmacy and Health Sciences, Houston, Texas.
Abstract:
Glucagonlike peptide-1 receptor agonist is a common antidiabetic medication class to lower HbA1c, weight, and cardiovascular risk. This case study describes the challenges a patient with uncontrolled diabetes faced after receiving a prescription for liraglutide because of multiple levels of influence, including individual, family, institutional, and policy level barriers. The case highlights the importance of utilizing a person-centered care approach by evaluating patient's preferences, visual and motor coordination, cognitive function, psychological stress, and medication cost before prescribing injectable products for elderly patients.
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