相关实验视频
在临床复杂的老年人中管理药物:"必须有一个快乐的中间体"
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
概括
老年人经常使用多种药物,这可能导致问题. 这篇文章回顾了改善老年患者药物使用和抑郁症的策略,以提高健康结果.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 内部医学 内部医学
背景情况:
- 多药在老年人中很普遍,提供了好处,但带来了重大风险.
- 这些风险包括处方错误,不良坚持,不良药物事件和负面的健康结果.
- 在老年人中管理多种药物是一个关键的医疗保健挑战.
研究的目的:
- 审查基于证据的关于优化老年人药物使用的文献.
- 讨论特定药物和药物类别的安全戒断策略 (停止处方).
- 为医疗保健专业人员提供一个系统的方法来评估和改进老年患者的药物治疗方案.
主要方法:
- 对老年人药物管理的基于证据的研究进行文献综述.
- 一个老年患者使用多种药物的案例研究说明.
- 综合改善药物治疗方案和减缓处方的信息.
主要成果:
- 多种药物使用在老年人群中既具有治疗优势,也存在重大风险.
- 证据支持药物审查和停止处方的系统方法.
- 改善药物管理可以使患者,护理人员和家人受益.
结论:
- 优化药物治疗方案和明智的降低处方对于改善老年人的健康和生活质量至关重要.
- 医疗保健专业人员需要系统的方法来有效地管理多药房.
- 以患者为中心的药物评估可以减轻与老年人多种药物使用相关的风险.
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