scholarly journals The role of the State Drug Formulary of Ukraine in providing rational pharmacotherapy for elderly patients

Pharmacia ◽  
2020 ◽  
Vol 67 (4) ◽  
pp. 261-268
Author(s):  
Yuliya Nastyukha ◽  
Kateryna Kostyana ◽  
Maria Maksymovych ◽  
Olga Boretska
Keyword(s):  
Elderly Patients ◽  
Pharmaceutical Care ◽  
The Elderly ◽  
The State ◽  
Potentially Inappropriate Medications ◽  
Drug Formulary ◽  
Rational Pharmacotherapy ◽  
Role Of The State ◽  
Inappropriate Medications

Applying the Classification for Drug-Related Problems (DRPs) of the Pharmaceutical Care Network Europe (V 9.00, 2019) allowed to systematize the information on the use of drugs in elderly patients given in the Annex of the State Drug Formulary of Ukraine. As a result of this work, special warnings and recommendations of the State Drug Formulary were presented together with the possible causes for potential DRPs, which they allow to prevent. The lists of potentially inappropriate medications (PIMs) for the elderly (n = 98), drugs the dosage of which in patients of this age group should be adjusted (n = 127), and drugs that need monitoring (n = 108) were formed. The obtained results can serve as a basis for the development of a specialized geriatric tool to ensure rational pharmacotherapy, in particular in the provision of pharmaceutical care.

A Closer Look at the 2015 Beers Criteria

2016 ◽  
Vol 30 (4) ◽  
pp. 419-424 ◽  
Author(s):  
Rebecca L. Salbu ◽  
Judith Feuer
Keyword(s):  
Elderly Patients ◽  
Health Care Providers ◽  
Clinical Judgment ◽  
The Elderly ◽  
Specific Information ◽  
Beers Criteria ◽  
Potentially Inappropriate Medications ◽  
Care Providers ◽  
Inappropriate Medications ◽  
Made In

The Beers Criteria identifies potentially inappropriate medications for patients who are 65 years of age and older. Initially published in 1991, the criteria have been updated multiple times, most recently in 2015. The Beers Criteria is a tool designed to alert health-care providers to the potential harms of specific medications so they may better tailor therapeutic regimens for their elderly patients. The expert panel of the 2015 update made changes to a number of previous recommendations and provided 2 new tables on select drug interactions and select medications requiring renal dose adjustments. The purpose of this review is to provide additional details and rationale behind selected noteworthy changes within the 2015 criteria. Specific information is provided on the changes in recommendations for the use of nitrofurantoin, antiarrhythmics, nonbenzodiazepine receptor agonist hypnotics, antipsychotics, and proton pump inhibitors in the elderly. Additional comparisons are made between the 2012 recommendations and newer recommendations made in the 2015 update, along with rationale for the change. This review will allow practitioners to apply the 2015 Beers Criteria and integrate their clinical judgment when evaluating and selecting drug therapy for elderly patients.

scholarly journals Inappropriate prescribing in hospitalized elderly patients

2017 ◽  
Vol 6 (4) ◽  
pp. 701
Author(s):  
Lina K. Massoud ◽  
Hala Z. AlAgha ◽  
Mahmoud H. Taleb
Keyword(s):  
Elderly Patients ◽  
Elderly People ◽  
Inappropriate Prescribing ◽  
The Elderly ◽  
Potentially Inappropriate Medications ◽  
Hospitalized Elderly ◽  
Different Types ◽  
Elderly Inpatients ◽  
Hospitalized Elderly Patients ◽  
Inappropriate Medications

Inappropriate prescribing (IP) is a major healthcare problem in elderly patients. The risk of this problem increases during hospitalization. This is due to increase morbidity and thus increases the use of medications by the inpatients. This study will clarify the problem of IP for elderly people during hospitalization and will identify the different types of it. It also will highlight some tools that are used to assess the different types of IP and the prevalence of it in elderly patients during hospitalization. Finally, the study will address the consequences of IP in the elderly inpatients and the risks associated with the use of some potentially inappropriate medications (PIMs) in the elderly. 

scholarly journals PERSEPSI ANAK MUDA TERHADAP KEBERADAAN LANSIA DI INDONESIA

2020 ◽  
Vol 2 (2) ◽  
pp. 44
Author(s):  
Adityo Nugroho
Keyword(s):  
Young People ◽  
Online Survey ◽  
The Elderly ◽  
The State ◽  
Role Of The State ◽  
Survey System ◽  
People’S Perceptions

Indonesia will experience an increase in the number of elderly in the next few years. This condition will have two implications at once. Being a burden on society and the country, or able to contribute positively. If the elderly continue to be active and can be empowered. This article contains an overview of young people's perceptions of the existence of the elderly. Both in the form of activities, rights, and the role of the state. The study was conducted with an online survey system. Respondents were 347 young people aged 16-30 years. The results showed that young people fully support various activities undertaken by the elderly. But do not understand the rights of the elderly. Young people also demand the participation of the state in efforts to meet the welfare of the elderly. Young people with their characteristics are expected to be able to be involved in protecting the elderly. Keywords: Youth, Elderly, Activities, Rights, State.

scholarly journals Collaborative Strategy in Preventing the Vulnerability of Elderly Informal Workers

2019 ◽  
Vol 4 (1) ◽  
pp. 29-37
Author(s):  
Endah Dwi Winarni ◽  
Ella Nurlela ◽  
Diana S.
Keyword(s):  
Case Study Research ◽  
The Elderly ◽  
The State ◽  
Job Status ◽  
Informal Worker ◽  
Informal Workers ◽  
Formidable Challenge ◽  
Role Of The State

The elderly who work in an informal sector tend to bear two layers of vulnerability: both body and mental functions that have been degenerated and the insecurities of the job. Status as an informal worker does have an impact on the uncertain income, also the absence of health benefits, pensions, or workers’ compensation. Even if the state guarantees social protections for the elderly, it still has a formidable challenge when it must to be provided for the elderly informal workers specifically, for example, a contribution-based pension that reaches more to the elderly formal workers. Thus, this study discusses the efforts in preventing the vulnerability of elderly informal workers, especially the elderly farmers who are chosen as a case’s subject in this study. Previous studies in a similar topic often emphasize the role of the state in preventing the vulnerability of elderly informal workers (a vertical scheme). In contrast to those studies, the argument of this study is the collaborative roles between the state and communities that are based on capability approach and social capital is able to prevent the vulnerability of elderly informal workers (vertical and horizontal synergy schemes). This study is written based on a case study research with the qualitative approach on the elderly farmers in Padamukti Village, Sukaresmi Subdistrict, Garut Regency, West Java, Indonesia.

scholarly journals Assessment of Prescriptions in Elderly Patients Hospitalized in Medicine Departments

2021 ◽  
Vol 10 (22) ◽  
pp. 5343
Author(s):  
Audrey GIROUX ◽  
Christelle Prudent ◽  
Pierre Jouanny ◽  
Géraldine Muller ◽  
Hervé Devilliers ◽  
...  
Keyword(s):  
Renal Function ◽  
Elderly Patients ◽  
Elderly Population ◽  
Clinical Audit ◽  
The Elderly ◽  
Potentially Inappropriate Medications ◽  
Geriatric Population ◽  
Before And After ◽  
Two Phases ◽  
Inappropriate Medications

Drug-related iatrogenesis is an important issue in the elderly population, and preventing iatrogenic accidents helps to reduce hospitalizations (6). Our study’s objective was to evaluate prescriptions in the geriatric population of our establishment. The study conducted is a targeted clinical audit. Ten criteria were tested on the hospital prescriptions of people over 75 years old in 11 medical departments, before and after improvement actions. The non-compliance threshold was set at 10% of prescriptions for each criterion. In each phase, 165 patients were included. Four criteria were non-compliant (NC) in the first phase: the presence of Potentially Inappropriate Medications for the Elderly (PIMs) (NC = 57.6%), the adaptation of the medication to renal clearance (NC = 24.9%), the presence of illogical combination (NC = 9.7%), and the total anti-cholinergic score of the prescription (NC = 12.1%). After the implementation of improvement actions, the number of non-compliant criteria decreased between the two phases, from four to two. We obtained a significant improvement for three of the four criteria found to be non-compliant in the first phase. The criterion adaptation to renal function is close to compliance (NC = 10.1%) and the PIMs criterion remained non-compliant after reassessment (NC = 32.1%). Vigilance must be ongoing in order to limit drug iatrogeny, particularly in frail elderly patients.

scholarly journals Interventions of the clinical pharmacist in an Intermediate Care Unit for elderly patients

2017 ◽  
Vol 15 (3) ◽  
pp. 283-288 ◽  
Author(s):  
Stéphanie de Souza Costa Viana ◽  
Tiago Arantes ◽  
Sabrina Corrêa da Costa Ribeiro
Keyword(s):  
Elderly Patients ◽  
Clinical Pharmacist ◽  
The Elderly ◽  
Potentially Inappropriate Medications ◽  
Intermediate Care ◽  
Multiprofessional Team ◽  
Intermediate Care Unit ◽  
Critical Patients ◽  
Clinical Conditions

ABSTRACT Objective To discuss the role of the clinical pharmacist in hospital care of critical elderly patients. Methods Critical patients aged 60 years and over admitted by the clinical staff to an Intermediate Care Unit were followed-up for 4 months regarding their drug therapies. Medical prescriptions were reviewed daily on the basis of patients’ clinical conditions, with the view to identify opportunities for optimization of drug therapies, contributing to safer prescribing, reduced discomfort and correct and rational use of drugs. Results A total of 386 prescriptions were reviewed and 212 pharmaceutical interventions performed; 64.3% of prescriptions were classified as accepted with changes, 28.5% not accepted and 7.2% verbally accepted with no changes. Interventions included drug therapy indications, directions for dose adjustment, reduction of the use of potentially inappropriate medications for older patients, prescription adjustments, discontinuing unnecessary drugs, among others. Conclusion The significant number of interventions accepted by the healthcare staff supports the relevance of the clinical pharmacist as a member of the multiprofessional team, especially in care of the elderly.

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