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臨床的に複雑な高齢者の薬の管理: "幸福な媒介が必要"
Michael A Steinman1, Joseph T Hanlon
1Division of Geriatrics, University of California, San Francisco, and the San Francisco VA Medical Center, San Francisco, California 94121, USA. mike.steinman@ucsf.edu
JAMA
|October 14, 2010
まとめ
高齢者は多くの場合,複数の薬を服用し,問題を引き起こすことがあります. この記事では,医療成果を向上させるために,高齢の患者における薬剤使用を改善し,うつ薬を処方するための戦略をレビューします.
科学分野:
- ゲロントロジーはゲロントロジーの学科です.
- 薬理学 薬理学とは
- 内科内科は,内科の内科である.
背景:
- ポリファーマシーは高齢者の間で一般的であり,利点があるが,重大なリスクをもたらす.
- これらのリスクには,処方誤り,不十分な遵守,薬物の副作用,および健康への悪影響が含まれます.
- 高齢者における複数の医薬品の管理は,医療における重要な課題です.
研究 の 目的:
- 高齢者の薬物使用の最適化に関する証拠に基づいた文献をレビューする.
- 特定の薬物および薬物クラスの安全な離脱 (処方停止) のための戦略について議論する.
- 医療従事者向けに,高齢者の患者に対する薬物療法の評価と改善のための体系的なアプローチを提示する.
主な方法:
- 高齢者の薬物管理に関する根拠に基づいた研究の文献レビュー.
- 複数の薬を服用している高齢の患者のケーススタディのイラスト.
- 薬剤の改善と処方停止に関する情報の統合.
主要な成果:
- 複数の薬剤の使用は,高齢者集団において治療上の利点と重大なリスクの両方を提示します.
- 薬剤のレビューと処方停止のための体系的なアプローチを,証拠が支持しています.
- 改善された薬物管理は,患者,介護者,および家族に利益をもたらすことができます.
結論:
- 薬物療法の最適化と賢明な処方停止は,高齢者の健康と生活の質を改善するために不可欠です.
- 医療従事者は,ポリファーマシーを効果的に管理するために,体系的な方法を必要とします.
- 患者中心の医薬品評価は,高齢者の複数の薬物使用に関連するリスクを軽減することができます.
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