Medication Management in Older Adults: A Concise Guide for Clinicians

Medication Management in Older Adults: A Concise Guide for Clinicians......Page 1
Medication Management in Older Adults......Page 2
Title page......Page 4
Copyright......Page 5
Preface......Page 6
Contents......Page 8
Contributors......Page 10
Is There a Problem?......Page 12
Medication Errors in the Community......Page 13
Medication Errors in Residential Care......Page 16
Medication Errors and Hospital Care......Page 17
Conclusion......Page 19
References......Page 20
Setting the Scene for QUM Policy Development......Page 22
QUM Policy Development......Page 24
Developing Solutions: The QUM Approach......Page 27
Developing Integration: National Medicines Policy......Page 29
Evidence-Based Information: The NPS......Page 30
An Informed Consumer: Consumer Medicines Information (CMI)......Page 31
An Informed Health Professional......Page 33
Development of Medication Management Guidelines......Page 34
Conclusion......Page 35
References......Page 36
Medications and Older People......Page 39
Medical Ethics......Page 40
Beneficence: What Is the Evidence for Efficacy of Medications in Older People?......Page 41
Nonmaleficence: What Is the Evidence for Harm with Medications in Older People?......Page 44
Autonomy: Consent and Older People......Page 46
Conclusion......Page 48
References......Page 49
Human Interaction Issues That May Lead to Errors and Strategies to Overcome......Page 53
Environmental Interaction Issues That May Lead to Errors and Strategies to Overcome......Page 54
Technical Interaction Issues That May Lead to Errors and Strategies to Overcome......Page 56
Conclusion......Page 59
References......Page 61
Medication Errors and Their Impact......Page 63
Causes of Medication Errors......Page 65
Errors in Prescription......Page 66
Infrequent Monitoring......Page 67
Errors Related to the Supply of Medication......Page 68
Errors in Administration of Medication......Page 69
Wrong Time......Page 70
Wrong Dose......Page 71
Altered Dose Forms......Page 72
Wrong Resident......Page 73
References......Page 74
Ageing and Nutrition......Page 78
Absorption......Page 79
Weight......Page 80
Malnutrition......Page 81
Risk Classification......Page 82
Metformin and B12 Status......Page 83
Prednisolone May Deplete Chromium Status......Page 84
References......Page 85
What the Literature Says......Page 87
Errors in Hospital......Page 88
Errors in the Medication Record......Page 89
Pharmacies......Page 90
Inadequate Continuity of Care......Page 91
Understanding the Label......Page 92
Effectiveness......Page 93
Computerised Systems......Page 94
Pharmacists......Page 96
Nursing Care Models......Page 97
Conclusion......Page 98
References......Page 99
Medicines and Older People......Page 102
Problems of Swallowing and Dose Form Modification......Page 103
Dose Form Modification and the Risks for Older People......Page 104
Dose Form Crushing......Page 106
Modifying Transdermal Drug Delivery Systems......Page 107
Dose Form Modification: Some Guidelines......Page 108
References......Page 110
How Can an EHR Affect Medication Management?......Page 112
EHR Still May Have Some Drawbacks for Medication Management......Page 114
Conclusion......Page 115
References......Page 116
What is COE?......Page 117
Advantages of COE......Page 118
Drug-to-Drug Interactions and Information Overload......Page 119
Selecting the Right COE......Page 120
Training and Portability......Page 121
Conclusion......Page 122
References......Page 123
Method of Evaluation......Page 124
Selection of Panelists......Page 125
Reasoning for Categorization......Page 126
Polypharmacy and Drug Burden......Page 129
References......Page 130
Pharmacological Basis of Pharmacotherapy......Page 131
Absorption and Older People......Page 133
Distribution......Page 134
Drug Metabolism in Older Age......Page 135
Elimination......Page 136
Start Low, Go Slow......Page 137
References......Page 138
Index......Page 140