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Medication Education for
the older adult
LISA BRADNER
Risk Factors for Adverse Drug Reactions in
the Elderly
 Older females are more at risk for adverse drug reactions than males and the
younger population
 Drug reactions increase proportionally to the number of drugs taken, older adults
are usually on a lot of prescription drugs which put them at a higher risk.
 Hepatic and/or renal insufficiency put the individual at a higher risk for adverse
drug reactions
Problematic Drugs for the Older Adult
 Problematic Drug Classifications that are most often prescribed the older adult
include:
 1. long- acting benzodiazepines
 2. Dipyridamole (Persantine)
 3. Propozyphene (Darvon)
 4. Amitriptyline (Elavil)
Polypharmacy
 Polypharmacy-
 The use of multiple medications at the same time. Prescribing more medication
than what it clinically necessary
Characteristics of Older Adults with
Medication Related Problems:
 85 years and older
 More than 6 active medical diagnoses
 Low body weight or decreased body mass index
 Impaired kidney function
 Taking more than 5 different medications
Medication Regimen
 You should know:
 The route of your medication (Oral, inhaler, Injection)
 Appropriate time to take your medication
 The dosage of your medication
 Any side effects of your medications and when to consult medical attention
 Why are you taking this medication?
Interactions
 Does your medication interact with..
 Other medications?
 Certain types of foods?
 Over the counter medications?
 Herbal remedies?
 Alcohol?
How to keep track of your medications
 Pill organizer
 Color coding
 Lists
 Memory devices
 Keep an up to date list of all medications you are currently taking.
 Always have on hang to show physician
Pill organizer
Color coding medications
Med Alerts
Consequences of Inappropriate Drug
Management
 FALLS
 One-third of older adults fall each year. Falls can lead to substantial consequences
which can most of the time be prevented
 Psychotropic drugs and narcotic analgesics are associated with falls because of
their sedating nature and impact on the CNS.
 Cardiovascular drugs, especially blood pressure medications, also put a person at
a high risk for falls because of their orthostatic blood pressure changes.
Death
 Adverse drug reactions may be between the fourth and sixth leading cause of
death in the United States.
References
 Images received from www.google.com/images
 Ainslie, N. (2004) Learning Module Hospice: Polypharmacy Drug Use. Retrieved
from: http://classes.kumc/som/amed900/polypharmcay/polypharmacy-Know.htm
 Aparasum, R. & Mort, J.R. (2000). Inappropriate prescribing for the elderly. Annals
of Pharmacotherapeutics, 34, 338-346.
 Barat, I. Andreason, F., & Damsgaard, E. (2001). Drug therapy in the elderly. What
doctors believe and patients actually do. British Journal of Clinical Pharmacology,
51, 615-622.

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Medication education for the older adult

  • 1. Medication Education for the older adult LISA BRADNER
  • 2. Risk Factors for Adverse Drug Reactions in the Elderly  Older females are more at risk for adverse drug reactions than males and the younger population  Drug reactions increase proportionally to the number of drugs taken, older adults are usually on a lot of prescription drugs which put them at a higher risk.  Hepatic and/or renal insufficiency put the individual at a higher risk for adverse drug reactions
  • 3. Problematic Drugs for the Older Adult  Problematic Drug Classifications that are most often prescribed the older adult include:  1. long- acting benzodiazepines  2. Dipyridamole (Persantine)  3. Propozyphene (Darvon)  4. Amitriptyline (Elavil)
  • 4. Polypharmacy  Polypharmacy-  The use of multiple medications at the same time. Prescribing more medication than what it clinically necessary
  • 5. Characteristics of Older Adults with Medication Related Problems:  85 years and older  More than 6 active medical diagnoses  Low body weight or decreased body mass index  Impaired kidney function  Taking more than 5 different medications
  • 6. Medication Regimen  You should know:  The route of your medication (Oral, inhaler, Injection)  Appropriate time to take your medication  The dosage of your medication  Any side effects of your medications and when to consult medical attention  Why are you taking this medication?
  • 7. Interactions  Does your medication interact with..  Other medications?  Certain types of foods?  Over the counter medications?  Herbal remedies?  Alcohol?
  • 8. How to keep track of your medications  Pill organizer  Color coding  Lists  Memory devices  Keep an up to date list of all medications you are currently taking.  Always have on hang to show physician
  • 12. Consequences of Inappropriate Drug Management  FALLS  One-third of older adults fall each year. Falls can lead to substantial consequences which can most of the time be prevented  Psychotropic drugs and narcotic analgesics are associated with falls because of their sedating nature and impact on the CNS.  Cardiovascular drugs, especially blood pressure medications, also put a person at a high risk for falls because of their orthostatic blood pressure changes.
  • 13.
  • 14. Death  Adverse drug reactions may be between the fourth and sixth leading cause of death in the United States.
  • 15. References  Images received from www.google.com/images  Ainslie, N. (2004) Learning Module Hospice: Polypharmacy Drug Use. Retrieved from: http://classes.kumc/som/amed900/polypharmcay/polypharmacy-Know.htm  Aparasum, R. & Mort, J.R. (2000). Inappropriate prescribing for the elderly. Annals of Pharmacotherapeutics, 34, 338-346.  Barat, I. Andreason, F., & Damsgaard, E. (2001). Drug therapy in the elderly. What doctors believe and patients actually do. British Journal of Clinical Pharmacology, 51, 615-622.