A Importância do Farmacêutico no Acompanhamento Farmacoterapêutico em Pacientes Idosos Polimedicados / The Importance of the Pharmacist in the Pharmacotherapeutic Follow-Up in Polymedicate Elderly Patients

Resumo: A atuação do profissional farmacêutico se tornou indispensável no cuidado com a saúde do idoso. principalmente na educação de um consumo de medicamentos consciente e seguro. Em decorrência do envelhecimento, o indivíduo se torna mais propenso a evoluções patológicas, e assim aumentando o consumo de medicamentos. Isso amplia as possibilidades de erros relacionados aos fármacos, como interações, reações adversas e incidentes relacionados a administração medicamentosa. Desta forma, o presente trabalho teve como objetivo realizar uma revisão integrativa sobre a importância do acompanhamento farmacêutico na promoção da qualidade de vida dos idosos polimedicados e detectar prováveis riscos relacionados ao uso de medicamentos. A metodologia empregada consiste em um estudo de pesquisa bibliográfica com abordagem integrativa. A busca pelas publicações foi realizada através das plataformas Biblioteca Virtual em Saúde (BVS), Pubmed, Google Acadêmico e Periódico CAPES. A literatura disponível indica que o farmacêutico possui papel fundamental na orientação medicamentosa do idoso polimedicado, garantindo um tratamento farmacoterapêutico mais eficaz e seguro, e assim proporcionando maior qualidade de vida durante o processo de envelhecimento.Palavras-chave: Automedicação; Polifarmácia; Uso Inadequado de medicamentos. Abstract: The role of the pharmacist has become essential in caring for the health of the elderly. mainly in the education of a conscious and safe consumption of medicines. As a result of aging, the individual becomes more prone to pathological developments, thus increasing the consumption of medications. This expands the possibilities of drug-related errors, such as interactions, adverse reactions and incidents related to drug administration. Thus, this study aimed to carry out an integrative review on the importance of pharmaceutical monitoring in promoting the quality of life of polymedicated elderly people and detecting probable risks related to the use of medication. The methodology used consists of a bibliographic research study with an integrative approach. The search for publications was performed using Biblioteca Virtual em Saúde (BVS), Pubmed, Google Scholar and Periódico CAPES. The available literature indicates that the pharmacist has a fundamental role in the medication guidance of the polymedicated elderly, ensuring a more effective and safer pharmacotherapeutic treatment, and thus providing a better quality of life during the aging process.Keywords: Inappropriate use of medications. Polypharmacy. Self-medication.

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HUBUNGAN PERAN FAMILY CAREGIVER TERHADAP QUALITAS HIDUP LANSIA

Jurnal Keperawatan ◽

10.32583/keperawatan.v11i1.458 ◽

2019 ◽

Vol 11 (1) ◽

pp. 51-56

Author(s):

RIANI PRADARA JATI ◽

Sekar Farah Nabila

Keyword(s):

Quality Of Life ◽

Family Caregiver ◽

Random Sampling ◽

Simple Random Sampling ◽

The Elderly ◽

Chi Square ◽

The Poor ◽

The Family

Penempatan peran yang baik bagi Family Caregiver sangatlah membantu lansia dalam meningkatkah qualitas hidupnya, meningkatkan motivasi dalam menjalankan hidup Penelitian ini bertujuan Mengetahui hubungan peran Family Caregiver dalam pemenuhan qualitas hidup bagi lansia di Kelurahan Langenharjo Kabupaten Kendal. DesainPenelitianDeskriptifKorelasional menggunakan pendekatan Krosectional,tehnikSamplingStratified Simple Random Sampling dengan karakteristik heterogen, dari populasi mempunyai hak yang sama untuk diseleksi sebagai sampel teknik undianPengambilan data dengan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Uji statistik Chi-square, dengan taraf signifikasi 5%jumlah sampel pada penelitian ini 70 sampel pada Family Caregiver dari 213 populasi yang ada. Hasil penelitian dari 70 responden didapatkan Peran Family Caregiver tidak baik dengan qualitas hidup tidak baik 33 (47,1%), sedangkan Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik 3 (4,3%). Untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia tidak baik sebanyak 6 responden (8,6%) sedangkan untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik sebanyak 23 responden (32,9%). Terakhir, untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia tidak baik didapatkan hasil 2 responden (2, 9%) sedangkan untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia baik didapatkan hasil 3 responden (4,3%)Menunjukkan nilai ρ value 0,001 (ρ < 0,05) berarti ada hubungan antara dukungan keluarga dengan kepatuhan lansia dalam keikutsertaan posyandu lansia. Disarankan kepada semua Family Cregiver lansia untuk mampu memahami pentingnya perhatian, dukungan bagi lansia dalammeningkatkan qualitas hidup yang lebih baik bagi lansia. Kata kunci : Peran family caregiver, qualitas hidup, lansia. ABSTRACT Placement of a good role for Family Caregiver is very helpful for the elderly to improve their quality of life, increase motivation in living life Research Objective: To know the relationship between the role of Family Caregiver in fulfilling quality of life for the elderly in Langenharjo Village, Kendal Regency. Descriptive Correlational Research Design uses a cross sectional approach, Sampling Stratified Simple Random Sampling technique with heterogeneous characteristics, from the population has the same right to be selected as a sample lottery technique Retrieving data using a questionnaire that has been tested for validity and reliability. Test Chi-square statistics, with a significance level of 5% the number of samples in this study 70 samples on the Family Caregiver from 213 populations. Results of the Study Of 70 respondents found the role of Family Caregiver was not good with poor quality of life 33 (47.1%) , while the role of the Family Caregiver is not good with the quality of life of a good elderly 3 (4.3%). For the distribution of the role of Family Caregiver is not good with the quality of life of the poor family as many as 6 respondents (8.6%) while for the distribution of the Role of Family Caregiver is not good with the quality of life of good elderly as many as 23 respondents (32.9%). Finally, the distribution of the Role of Family Caregiver with good quality of life for the poor is obtained by 2 respondents (2, 9%), while the distribution of the Role of Family Caregiver with good quality of life for the elderly is obtained by 3 respondents (4.3%). 0.001 (ρ <0.05) means that there is a relationship between family support and the compliance of the elderly in the participation of the elderly posyandu. It is recommended to all elderly Cregiver families to be able to understand the importance of attention, support for the elderly in improving the quality of life better for the elderly Keywords: Role of Family Caregiver, Quality of Life, Elderly

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Elderly and drugs: risks and necessity of rational use

Brazilian Journal of Pharmaceutical Sciences ◽

10.1590/s1984-82502010000400003 ◽

2010 ◽

Vol 46 (4) ◽

pp. 617-632 ◽

Cited By ~ 9

Author(s):

André de Oliveira Baldoni ◽

Farah Maria Drumond Chequer ◽

Elisa Raquel Anastácio Ferraz ◽

Danielle Palma de Oliveira ◽

Leonardo Régis Leira Pereira ◽

...

Keyword(s):

Quality Of Life ◽

Adverse Effects ◽

Elderly Population ◽

Adverse Drug Events ◽

The Elderly ◽

External Factors ◽

Access To Information ◽

Inappropriate Use ◽

The World

In recent decades, the world has undergone a demographic transformation with a rapid growth of the elderly population, resulting in an increased demand for funds to maintain their health and drug consumption. Pharmacokinetic and pharmacodynamic changes occurring in the elderly can interfere directly in the adverse effects of drugs and increase the risk of intoxication. In addition, there are external factors interfering with the pharmacotherapy of the elderly, such as inappropriate use and the lack of access to information. Many therapeutic classes of drugs should be used with caution or avoided in the elderly population, such as anti-inflammatory and some anti-hypertensive drugs, diuretics and digitalis. If not managed carefully, these medicines can affect the safety and quality of life in the elderly. Thus, the aim of this review was to identify drugs that should be used with caution in elderly patients in order to avoid intoxication and/or adverse drug events.

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Understanding coaching efficacy in education through activity systems: privileging the nuances of provision

International Journal of Mentoring and Coaching in Education ◽

10.1108/ijmce-02-2021-0036 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Rachel M. Lofthouse ◽

Anthea Rose ◽

Ruth Whiteside

Keyword(s):

Activity Systems ◽

Content Type ◽

Coaching Efficacy ◽

Range Of Functions ◽

Cultural Historical Activity ◽

The Individual ◽

Specific Challenge

PurposeThe research demonstrates the role of activity systems based in Cultural Historical Activity Theory as a means of analysing characteristics and efficacy of specific provisions of coaching in education.Design/methodology/approachThree examples of coaching in education were selected, involving 51 schools in England. The three examples were re-analysed using activity systems. This drew on existing evaluation evidence, gathered through interviews, questionnaires, focus groups and recordings of coaching.FindingsIn each example, the object of the coaching was to address a specific challenge to secure the desired quality of education. Using activity systems it is possible to demonstrate that coaching has a range of functions (both intended and consequential). The individual examples illustrate the potential of coaching to support change in complex and diverse education settings.Research limitations/implicationsThe use of existing data from evaluations means that direct comparisons between examples are not made. While data were collected throughout the duration of each coaching programme no follow-up data was available.Practical implicationsThe analysis of the examples of coaching using activity systems provides evidence of the efficacy of specific coaching provision in achieving individually defined objectives related to sustaining and improving specific educational practices.Originality/valueThe research offers insights into how coaching in education might be better tuned to the specific needs of contexts and the challenges experienced by the individuals working in them. In addition, it demonstrates the value of activity systems as an analytical tool to make sense of coaching efficacy.

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Cochlear Implantation in the Elderly: Results and Quality-of-Life Assessment

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348940211101005 ◽

2002 ◽

Vol 111 (10) ◽

pp. 890-895 ◽

Cited By ~ 42

Author(s):

Hamid R. Djalilian ◽

Sharon L. Smith ◽

Timothy A. King ◽

Samuel C. Levine

Keyword(s):

Quality Of Life ◽

Complication Rate ◽

Cochlear Implantation ◽

Chart Review ◽

Retrospective Chart Review ◽

The Elderly ◽

Life Assessment ◽

Test Results

To assess the efficacy, quality of life, and complication rate of cochlear implantation in patients over 60 years of age, we performed a retrospective chart review of 31 cochlear implant patients more than 60 years old at the time of surgery (mean, 70 years; range, 62 to 86 years). All patients had improvement in their audiological test results after operation. Twenty-eight patients (93%) are regular implant users at a median follow-up of 12 months. Major complications occurred in 2 patients (6%). We conclude that cochlear implantation in the elderly population has excellent results, with a complication rate similar to that in patients less than 60 years old, and yields an improved quality of life.

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Diabetes education in the elderly: impact on quality of life. A 5-year follow-up

Patient Education and Counseling ◽

10.1016/0738-3991(94)90138-4 ◽

1994 ◽

Vol 23 ◽

pp. S21

Author(s):

R. García ◽

R. Suárez

Keyword(s):

Quality Of Life ◽

Diabetes Education ◽

The Elderly

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Ethics and the law involving the elderly

10.1093/med/9780198735571.003.0015 ◽

2017 ◽

Author(s):

Chris Dodds ◽

Chandra M. Kumar ◽

Frédérique Servin

Keyword(s):

Quality Of Life ◽

Palliative Care ◽

Informed Consent ◽

The Elderly ◽

Outcome Data ◽

Ethical Principles ◽

Assisted Death ◽

The Uk

The role of ethics in the care of the elderly is discussed, and some of the aspects of importance to anaesthesia are reviewed. Ethical principles are commonly viewed as either consequential, where the risk/benefit balance between necessary harm (surgery) provides improved quality of life, or deontological, where it is simply the action that is judged and not the outcome. The lack of individualized outcome data is identified as a major issue for the consequential process. Consent for surgery (and anaesthesia) is described in the context of the UK, but it is applicable worldwide. The validity of informed consent is reviewed against the criteria of competence, lack of duress, and appropriately provided information. The capacity to give consent and the use of legal alternatives such as health attorneys is detailed. Finally, the debate on excellent palliative care rather than assisted death is reviewed.

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Aggression and Violence in the Elderly

10.1093/oxfordhb/9780199352722.013.26 ◽

2015 ◽

Author(s):

Reva B. Klein

Keyword(s):

Quality Of Life ◽

The Elderly ◽

Behavioral Changes ◽

Family Education ◽

Degenerative Disorders ◽

Specific Disorders ◽

Education Support ◽

Work Up

Aggression and violence are often overlooked in the aging population. Changes in personality, behavior, and mood are well known in psychiatric disorders, but they are also seen in neurologic conditions, often where there is alteration in brain chemistry, as in metabolic disorders; or alteration in brain structure, as in degenerative disorders, strokes, subdural hematomas, and tumors; or with alteration in brain function, as in epileptic and nonconvulsive status. This chapter provides an overview of specific behaviors, the underlying neurochemistry and pathophysiology behind specific disorders, and some treatment approaches. The consequences of unrecognized and untreated behavioral changes in the elderly can have dire consequences on quality of life—for example, leading to early institutionalization. Regular follow-up that includes questions about behavior would allow for early work-up and treatment to prevent out-of-control escalation. Family education, support, caregiver relief, and prevention of complications can go a long way in improving the quality of life for patients and their families.

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Gender differences in health-related quality of life among the elderly: The role of objective functional capacity and chronic conditions

Social Science & Medicine ◽

10.1016/j.socscimed.2006.06.017 ◽

2006 ◽

Vol 63 (9) ◽

pp. 2367-2380 ◽

Cited By ~ 135

Author(s):

Francesc Orfila ◽

Montserrat Ferrer ◽

Rosa Lamarca ◽

Cristian Tebe ◽

Antonia Domingo-Salvany ◽

...

Keyword(s):

Quality Of Life ◽

Gender Differences ◽

Chronic Conditions ◽

The Elderly ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Objective Functional

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The concept of quality of life in dementia in the different stages of the disease

International Psychogeriatrics ◽

10.1017/s1041610205002073 ◽

2005 ◽

Vol 17 (3) ◽

pp. 353-370 ◽

Cited By ~ 89

Author(s):

Teake P. Ettema ◽

Rose-Marie Dröes ◽

Jacomine de Lange ◽

Marcel E. Ooms ◽

Gideon J. Mellenbergh ◽

...

Keyword(s):

Quality Of Life ◽

Elderly Population ◽

The Elderly ◽

Literature Study ◽

Age Related ◽

Multidimensional Evaluation ◽

Specific Concept ◽

Definition Of ◽

The Individual

In order to conceptually define quality of life (QOL) in dementia, the literature on QOL in the elderly population, in chronic disease and in dementia was studied. Dementia is a progressive, age-related, chronic condition and to avoid omissions within the dementia-specific concept of QOL, a broad orientation was the preferred approach in this literature study. Adaptation is a major outcome in studies investigating interventions aimed at improving QOL in chronic conditions, but to date, it has not been used in the definition of QOL. It is argued that adaptation is an important indication of QOL in people with chronic diseases and therefore also in dementia. Some crucial issues in assessing dementia-related QOL that are relevant to clarify the continuing debate on whether QOL, particularly in dementia, can be measured at all, are discussed. Then the following conceptual definition is offered: dementia-specific QOL is the multidimensional evaluation of the person–environment system of the individual, in terms of adaptation to the perceived consequences of the dementia.

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