加泰罗尼亚养老院的药物治疗和与药物相关的问题:一个多学科的方法
Emilie Anderssen-Nordahl1,2,3, Margarita Sánchez-Arcilla Rosanas4, Montserrat Bosch Ferrer1,2,3
1Clinical Pharmacology Service, Vall d'Hebron University Hospital, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Frontiers in pharmacology
|March 26, 2024
概括
养老院居民经常面临多种健康问题和多药,导致与药物相关的问题. 一项多学科审查发现了许多问题,并建议采取干预措施,以改善老年人药物管理.
科学领域:
- 老年病的医生 老年病的医生
- 临床药理学 临床药理学
- 公共卫生 公共卫生
背景情况:
- 老龄化与脆弱性,多发病率和慢性疾病的增加有关.
- 多药在老年人中常见于疾病管理,增加了与药物相关问题的风险 (MRPs).
- 有限的指导方针存在于处理多药和MRPs,特别是在制度化的老年人群中.
研究的目的:
- 描述在养老院里住院的病人.
- 系统地审查他们的药物计划.
- 确定与药物相关的问题 (MRPs) 并提供建议.
主要方法:
- 在西班牙巴塞罗那的五个养老院进行了横截面研究.
- 包括有公共卫生覆盖的机构住院患者.
- 一个由临床药理学家协调的多学科团队审查了MRP的药物,包括药物相互作用和治疗重复.
主要成果:
- 包括483名患者,平均年龄为86.3岁; 72.0%是女性.
- 患者平均有17.4个与健康有关的问题,每位患者处方药量为8.22.
- 对82.4%的患者提出了建议,对49.5%的患者建议停止使用药物.
结论:
- 在加泰罗尼亚的养老院中,健康问题和多药物的高患病率.
- 发现了大量的MRP,突出了对标准化干预措施的需求.
- 多学科的团队方法对于在住院老年患者中管理多药和MRP至关重要.
相关概念视频
01:28Drug Therapy
43
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
43
01:22Alzheimer's Disease: Treatment
184
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
184
01:26Psychosis: Goals of Pharmacotherapy
125
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
125
01:24Parkinson's Disease: Treatment
264
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
264
01:19Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
01:29Documentation in Long-Term and Home Healthcare Setting
888
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
888