scholarly journals Declínio Cognitivo de Etiologia Medicamentosa

2014 ◽  
Vol 27 (2) ◽  
pp. 266 ◽  
Author(s):  
Luís Caldeira ◽  
Sara Varanda ◽  
Álvaro Machado ◽  
Carla Ferreira ◽  
Gisela Carneiro
Keyword(s):  
Neurological Examination ◽  
Biopsychosocial Model ◽  
Inappropriate Medication ◽  
The Elderly ◽  
Attention And Memory ◽  
Gradual Improvement ◽  
Chronic Medication ◽  
Constructional Apraxia ◽  
Suspected Stroke ◽  
Iatrogenic Effect

In the elderly there is a high risk of inappropriate medication and adverse effects of polypharmacy. A 68 year-old female patient resorted to the Emergency Room for suspected stroke. According to the husband, in the six months prior to admission, she became progressively disorientated and dependent. She had resorted to various appointments from different specialties and was polymedicated. It was impossible to clarify the exact dosage. On neurological examination she presented disturbance in attention and memory, disorientation, constructional apraxia, myoclonus and gait imbalance. After the suspension of all chronic medication, she showed gradual improvement. By the time of discharge, her neurological examination was completely normal. Iatrogenic effect of drugs as a cause of reversible dementia should be considered. All patients, particularly the elderly and their caregivers, should be suitably informed about the drugs that are prescribed and the dosages used. Using the biopsychosocial model could prevent inappropriate polypharmacy and iatrogeny.

scholarly journals The Relationship between the Acute Confusing State and the Comorbidities of the Elderly Patient

2019 ◽  
Vol 70 (7) ◽  
pp. 2415-2419 ◽  
Author(s):  
Valeria Carmen Albu ◽  
Raluca Elena Sandu ◽  
Andreea Lili Barbulescu ◽  
Elena-Anca Tartea ◽  
Emilia Burada ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patient ◽  
Elderly Patients ◽  
Neurological Examination ◽  
The Elderly ◽  
Cardiovascular Pathology ◽  
Wide Range ◽  
Neurology Clinic ◽  
The Relationship ◽  
Hepatic Pathology

The aim of the study was to assess the correlations between the acute confusing syndrome and different comorbidities found in a group of 126 elderly patients with this diagnosis, who were admitted to the Neurology Clinic of the Neuropsychiatry Hospital of Craiova. The main syndromes highlighted at the neurological examination were confusing, pyramidal and vestibular syndromes. The acute confusing syndrome has a multifactorial etiology, due to the wide range of comorbidities encountered in elderly patients. In our study the most frequent comorbidities were cardiovascular pathology, diabetes mellitus, dyslipidemia, cerebrovascular renal, hepatic pathology.

Design and Management System of Intelligent Pension Space Positioning Based on BIM Technology

2020 ◽  
Author(s):  
Tiantian Yu ◽  
Ruping Wang
Keyword(s):  
Sensor Network ◽  
Service Management ◽  
Elderly Care ◽  
Information Service ◽  
The Elderly ◽  
Gradual Improvement ◽  
Care Community ◽  
Management Platform ◽  
Smart Community ◽  
Internet Of Things Technology

Abstract With the continuous development of China's economy and the gradual improvement of the medical security system, people's living standards will also be improved, and the aging population will become an inevitable trend of social development in China. The imperfect design of home space positioning of medical and elderly care community makes the traditional family elderly care impacted. BIM technology can endow the space with wisdom,co-ordination,energy saving,and development in the design of smart elderly care space positioning,and provide favorable support for the design of new technology,new ideas,and new models for the elderly care space.This article mainly studies the design and implementation of smart pension space positioning under BIM technology.This paper introduces the frontier of Internet of Things technology and the theory of sensor network topology control.It uses basic IoT technology to implement the"point,line,and surface"combination of personnel placement algorithms,sensor network communication protocols,topology checks,security models,and sensor network wireless communication units.The basic technology and communication technology of personnel deployment based on BIM technology are introduced,the development strategy of wireless nodes is studied,the installation of equipment radio personnel and communication equipment is designed,and the system management platform for the design and development of staff placement in pension institutions is provided.The website's information service management,standardized procedures,optimized services,provision of information,intelligent management and pension services.The experimental results of this paper show that the smart pension space positioning under the BIM technology solves the management loopholes in nursing homes,shortage of nursing staff,inefficiency,lack of services,and family conflicts.It improves the efficiency of the elderly by 25%and the safety index by 23%-27%.It combines many things.Network,cloud computing and other technologies will provide greater convenience for the elderly in smart community life,which will be an important future development direction of smart community pension.

Continuity of Care, Potentially Inappropriate Medication, and Health Care Outcomes Among the Elderly

Medical Care ◽  
2012 ◽  
Vol 50 (11) ◽  
pp. 1002-1009 ◽  
Author(s):  
Hsuan-Yin Chu ◽  
Chi-Chen Chen ◽  
Shou-Hsia Cheng
Keyword(s):  
Health Care ◽  
Continuity Of Care ◽  
Inappropriate Medication ◽  
The Elderly ◽  
Potentially Inappropriate Medication ◽  
Health Care Outcomes ◽  
Care Outcomes

scholarly journals Is inappropriate medication use a major cause of adverse drug reactions in the elderly?

2007 ◽  
Vol 63 (2) ◽  
pp. 177-186 ◽  
Author(s):  
Marie-Laure Laroche ◽  
Jean-Pierre Charmes ◽  
Yves Nouaille ◽  
Nicolas Picard ◽  
Louis Merle
Keyword(s):  
Adverse Drug Reactions ◽  
Inappropriate Medication ◽  
Medication Use ◽  
The Elderly ◽  
Drug Reactions ◽  
Inappropriate Medication Use

Consensus Validated List of Potentially Inappropriate Medication for the Elderly and Their Prevalence in South Korea

2015 ◽  
Vol 9 (3) ◽  
pp. 136-141 ◽  
Author(s):  
Seong-Ok Kim ◽  
Sunmee Jang ◽  
Chul-Min Kim ◽  
Yu-Ri Kim ◽  
Hyun Soon Sohn
Keyword(s):  
South Korea ◽  
Inappropriate Medication ◽  
The Elderly ◽  
Potentially Inappropriate Medication

scholarly journals Research on the Influence of Population Aging on Labor Cost in Hebei Province

2021 ◽  
Vol 257 ◽  
pp. 03054
Author(s):  
Shixin Huo
Keyword(s):  
Family Planning ◽  
Elderly Population ◽  
Supply And Demand ◽  
The Elderly ◽  
Labor Cost ◽  
National Bureau ◽  
Family Planning Policy ◽  
Gradual Improvement ◽  
Planning Policy ◽  
The Impact

Background. In the 1970s and 1980s, China implemented the family planning policy, which increased the proportion of the working age population by controlling the population fertility rate, bringing a demographic dividend to China at that time. Because of the implementation of family planning policy, China has stepped into an aging society in advance. The aging of population has a profound impact on all aspects of society. This paper has a strong practical significance for the study of the impact of aging of population on labor cost. Methods. Based on the theories of population transformation, population dividend and market supply-demand equilibrium, this paper uses the methods of literature review and statistical analysis to look up the relevant data of Hebei Provincial Bureau of statistics and National Bureau of statistics, and uses Stata16 to analyze the correlation and significance test between the elderly population coefficient and labor cost. Finally, it analyzes the relationship between the aging population and labor supply and demand the influence path is discussed. Results. The results show that there is a significant positive correlation between the elderly population coefficient and labor cost. Conclusion. The aging of population structure makes the supply of young and middle-aged labor insufficient. At the same time, due to the strong demand of the old industry, the demand for labor increases. The imbalance of supply and demand leads to the increase of labor cost. The aging of the population indirectly increases the number of years of education for the labor force, the increase of the labor force’s investment in its own human capital and the gradual improvement of the current social security system, which also increases the labor cost from the side.

scholarly journals The Effect of Guided Imagery on Insomnia in the Elderly in the Jara Mara Pati Technical Implementation Unit (UPT) Kab. Buleleng

2021 ◽  
Vol 5 (1) ◽  
pp. 103-107
Author(s):  
Grenda Aprilyawan ◽  
Tri Suryo Wibowo
Keyword(s):  
Guided Imagery ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Pharmacological Therapy ◽  
Wilcoxon Test ◽  
Attention And Memory ◽  
Psychosocial Conditions ◽  
Impaired Attention ◽  
Improve Sleep Quality

Background: The aging process is a natural process faced by humans where there is a decrease or change in physical, emotional, psychosocial conditions which will certainly affect their productivity. This situation tends to have the potential to cause health problems, one of which is insomnia. There are some serious effects on sleep disorders such as excessive daytime sleepiness, impaired attention and memory, mood, depression, and decreased quality of life.Purpose: This study aimed to determine the effect of giving guided imagery to insomnia in the elderly at the Technical Implementation Unit (UPT) Jara Mara Pati Kab. Buleleng.Methods: The research design used was pre-experimental with a one-group pre-test post-test design. The population in this study were all elderly people who experienced insomnia in the Technical Implementation Unit (UPT) of Jara Mara Pati Kab. Buleleng with a sample size of 36 respondents, by using a simple random sampling technique. Data collection using a checklist sheet. The data obtained were then coded, scored, tabulated, and analyzed with the Wilcoxon test with a significant value of 0.05.Results: The results of this study show the results of value < which means that there is an influence of guided imagery on insomnia in the elderly.Conclusion: Seeing the results of this study can be used as non-pharmacological therapy by the elderly in (UPT) Jara Mara Pati Kab. Buleleng to improve sleep quality which is done once a month on a scheduled basis

scholarly journals Drug interactions for elderly with respiratory disorders and times of COVID-19: a systematic scoping review

Revista Vitae ◽  
2020 ◽  
Vol 27 (3) ◽  
Author(s):  
Marcela Forgerini ◽  
Geovana Schiavo ◽  
Rosa Camila Lucchetta ◽  
Patricia Mastroianni
Keyword(s):  
Drug Interactions ◽  
Respiratory System ◽  
Scoping Review ◽  
Beta Blockers ◽  
Inappropriate Medication ◽  
The Elderly ◽  
Potentially Inappropriate Medication ◽  
Respiratory Disorders ◽  
Explicit Criteria ◽  
Worse Prognosis

Background: The elderly people have high morbimortality associated with respiratory disorders, in addition to the presence of other safety risk factors, such as the use of potentially inappropriate medication and the occurrence of drug interactions. Objective: Considering the current pandemic scenario, it was intended to identify explicit criteria-based tools that reported drug interactions between potentially inappropriate medication and respiratory system disorders and possibly worse prognosis of COVID-19 infection. Methods: A systematic scoping review was conducted until February 2020. Study characteristics of explicit criteria-based tools, and potentially inappropriate medication, drug interactions, and therapeutic management, were extracted. Results: Nineteen explicit criteria-based tools were included. Nineteen drug interactions and 17 potentially inappropriate medications with concerns for three respiratory disorders (asthma, chronic pulmonary obstructive disease, and respiratory failure) were identified. The most frequent pharmacological classes reported were benzodiazepines and beta-blockers. For clinical management, the tools recommend using cardioselective beta-blockers, calcium channel blockers, angiotensin-converting enzyme inhibitors, and angiotensin II type I receptor blockers, and benzodiazepines with a short or intermediate half-life. Conclusion: Considering the increased risk of COVID-19 infection in the elderly, drug interactions and the use of potentially inappropriate medication associated with the occurrence of adverse drug events in the respiratory system may also worsening COVID-19 infection in patients with uncontrolled respiratory disorders. Thus, it is essential to assess drug therapy in use, to identify safety risks, and monitor the elderly in general and those with a worse prognosis concerning COVID-19, promoting patient safety.

Polypharmacy in Elderly: Overview, Prevalence and Psychiatric Perspectives

2019 ◽  
Vol 15 (2) ◽  
pp. 83-89
Author(s):  
Priya Sharma ◽  
Khuda P ◽  
NL Gupta
Keyword(s):  
Mental Health Problems ◽  
Inappropriate Medication ◽  
Age Groups ◽  
Positive Association ◽  
The Elderly ◽  
Primary Objective ◽  
Natural Phenomenon ◽  
Age Group ◽  
Geriatric Population ◽  
Specific Protocol

Introduction: Ageing is a natural phenomenon that is accompanied by a cascade of unwanted and unintended circumstances or problems that are always undesirable but not still avoidable. Polypharmacy or irrational use of medicines is one of the many issues that may affect any age group but mostly affects the geriatric population. Since ageing is usually associated with several co-morbities, elderly are exposed to polypharmacy to greater extent. Lack of knowledge about the outcomes of olypharmacy adds to the suffering of elderly due to adverse drug reactions caused by drug interactions. Aim: The primary objective of the present study is to assess the prevalence of polypharmacy along with its association with psychiatric problems and how they influence polypharmacy. Methods: A literature review of electronic databases utilizing the search terms polypharmacy, polypharmacy in elderly, polypharmacy and ageing, multiple medications, inappropriate medication and prescribing cascade etc. for the period from 2010 to 2018 was done. The search was supplemented with online site searches of relevant medical, health and pharmaceutical journals. Also, literature comprising of original articles, and case studies were studied to identify articles which correspond to various definitions, causes, types of polypharmacy etc. The priority of search was geriatric pharmacy. Thus, the studies or the articles matching the geriatric age group were considered, and adequate data was extracted. A specific protocol regarding the sectioning of search like relevant data & irrelevant data was then incorporated to collect the most suitable and the authentic material for the review. Results: The aged population practice polypharmacy more in comparison to other age groups. Psychiatric illnesses further, enhances the polypharmacy. Conclusion: The findings suggested that polypharmacy is associated with the worsening of the health of the elderly due to its positive association with mental health problems.

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