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    Hasan Al Masud
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    This document discusses several factors that affect drug adherence among elderly patients, including financial constraints, cognitive problems, use of multiple drugs or drugs requiring complex dosing schedules, and lack of understanding of drug benefits and harms. It recommends that clinicians assess patients' health literacy and abilities to follow drug regimens, and try to accommodate limitations by simplifying dosing schedules, using easy-open containers, and providing education and reminders. Pharmacists can help identify non-adherence by noting if patients obtain refills on time or if prescriptions seem incorrect.

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    This document discusses several factors that affect drug adherence among elderly patients, including financial constraints, cognitive problems, use of multiple drugs or drugs requiring complex dosing schedules, and lack of understanding of drug benefits and harms. It recommends that clinicians assess patients' health literacy and abilities to follow drug regimens, and try to accommodate limitations by simplifying dosing schedules, using easy-open containers, and providing education and reminders. Pharmacists can help identify non-adherence by noting if patients obtain refills on time or if prescriptions seem incorrect.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    78 views57 pages

    Geriatric Patient PDF

    Uploaded by

    Hasan Al Masud
    This document discusses several factors that affect drug adherence among elderly patients, including financial constraints, cognitive problems, use of multiple drugs or drugs requiring complex dosing schedules, and lack of understanding of drug benefits and harms. It recommends that clinicians assess patients' health literacy and abilities to follow drug regimens, and try to accommodate limitations by simplifying dosing schedules, using easy-open containers, and providing education and reminders. Pharmacists can help identify non-adherence by noting if patients obtain refills on time or if prescriptions seem incorrect.

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    of 57

    Geriatric patients

    A. F. M. Mahmudul Islam
    Lecturer
    Gono Bishwabidyalay
    Lack of patient adherence
    Drug effectiveness is often compromised by
    lack of patient adherence among the
    ambulatory elderly. Adherence is affected by
    many factors but not by age per se. Up to
    half of elderly patients do not take drugs as
    directed, usually taking less than prescribed
    (underadherence). Causes are similar to
    those for younger adults. In addition, the
    following contribute
    • Financial and physical constraints, which may
    make purchasing drugs difficult
    • Cognitive problems, which may make taking
    drugs as instructed difficult
    • Use of multiple drugs
    • Use of drugs that must be taken several times
    a day or in a specific manner
    • Lack of understanding about what a drug is
    intended to do (benefits) or how to
    • recognize and manage adverse effects (harms)
    Resolutions
    A regimen using too frequent or too infrequent dosing,
    multiple drugs, or both may be too complicated for
    patients to follow. Clinicians should assess patients’
    health literacy and abilities to adhere to a drug regimen
    (eg, dexterity, hand strength, cognition, vision) and try
    to accommodate their limitations—eg, by arranging for
    or recommending easy-access containers, drug labels
    and instructions in large type, containers equipped with
    reminder alarms, containers filled based on daily drug
    needs, reminder telephone calls, or medication
    assistance. Pharmacists and nurses can help by
    providing education and reviewing prescription
    instructions with elderly patients at each encounter.
    Pharmacists may be able to identify a problem by
    noting whether patients obtain refills on schedule or
    whether a prescription seems illogical or incorrect.
    Drug-Disease Interactions in the
    Elderly
    Drug-disease interactions
    Common clinical disorders
    Osteoporosis
    Prevention
    Prevention
    Prevention
    Role of pharmacists in geriatric care
    Beers & STOPP/START Criteria
    β-Adrenoceptors
    Hypertension
    Hypertension is an important risk factor for cardiovascular
    and cerebrovascular disease in the elderly. The incidence
    of myocardial infarction is 2.5 times higher, and that of
    cerebrovascular accidents twice as high in elderly
    hypertensive patients compared with non-hypertensive
    subjects. Elevated systolic blood pressure is the single
    most important risk factor for cardiovascular disease and
    more predictive of stroke than diastolic blood pressure.
    Blood pressure lowering has been shown to be beneficial
    in those patients below and above the age of 65 years with
    no substantial variation in reduction in major vascular
    events with different drug classes. There is evidence that
    treatment of both systolic and diastolic blood pressure in
    the elderly is beneficial.
    Treatment of hypertension
    Principles and goals of drug
    therapy in the elderly

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