- 1 What precautions should be taken when prescribing for the elderly?
- 2 What are the principles of prescribing?
- 3 What are the considerations that should be taken before medications are prescribed?
- 4 What are the commonly used medication by the elderly?
- 5 What is the most common medication problem in the elderly?
- 6 Why is it important to prescribe appropriately in the elderly?
- 7 Which medication classifications can pose safety risks for older adults patients?
- 8 What is polypharmacy in the elderly?
- 9 What are the responsibilities of a prescriber?
- 10 How does a doctor decide which drug to prescribe a patient?
- 11 What is safe prescribing?
- 12 What are the 4 basic rules for medication administration?
- 13 What are the 3 checks in medication administration?
- 14 Who can change doses of prescribed medicines?
What precautions should be taken when prescribing for the elderly?
Box 1 Guidelines for good prescribing in elderly patients
- Carry out a regular medication review and discuss and agree all changes with the patient.
- Stop any current drugs that are not indicated.
- Prescribe new drugs that have a clear indication.
What are the principles of prescribing?
All prescribers should: Take into account the patient’s ideas, concerns, and expectations. Select effective, safe, and cost-effective medicines individualized for the patient. Adhere to national guidelines and local formularies where appropriate. Write unambiguous legal prescriptions using the correct documentation.
What are the considerations that should be taken before medications are prescribed?
The 6 main variables of medication prescribing
- Height and weight.
- Existing medical conditions.
- Drug interactions.
- Medication intolerance.
What are the commonly used medication by the elderly?
Below are the top 10 medications prescribed to elderly Americans.
- Hydrocodone. Hydrocodone, which is often blended with acetaminophen, is a pain medication often sold under the brand names Lorcet, Norco, and Vicodin.
- Amlodipine Besylate.
What is the most common medication problem in the elderly?
Warfarin is one of the most common causes of medication-related hospitalizations in older adults. To reduce the risk of serious problems, one may need to apply extra care in monitoring warfarin effect (via the prothrombin blood test) and extra care in checking for interactions when a new drug is prescribed.
Why is it important to prescribe appropriately in the elderly?
Older patients have a higher prevalence of chronic and multiple illness and physiological changes associated with ageing may masquerade as illness. They are thus more likely to be prescribed medication by their doctors and to take multiple agents.
Which medication classifications can pose safety risks for older adults patients?
Some drug categories (eg, analgesics, anticoagulants, antihypertensives, antiparkinsonian drugs, diuretics, hypoglycemic drugs, psychoactive drugs) pose special risks for older adults. Some drugs, although reasonable for use in younger adults, are so risky they should be considered inappropriate for older adults.
What is polypharmacy in the elderly?
Polypharmacy, defined as regular use of at least five medications, is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes. There are several risk factors that can lead to polypharmacy.
What are the responsibilities of a prescriber?
Your prescribing duties You have a duty to understand the drug you are prescribing, including any adverse side effects, contraindications and appropriate monitoring. You are responsible for the prescriptions you sign, even if they have been produced by non-clinical staff.
How does a doctor decide which drug to prescribe a patient?
A doctor writes a prescription based on a patient’s medical history, symptoms, and other factors. The doctor asks questions such as, “Are you allergic to any medications?” and “Are you currently taking any other medicines?” These questions help the doctor decide which medications to prescribe and which ones not to.
What is safe prescribing?
Together these two criteria suggest the following definition: ‘Safe prescribing is a process that recommends a medicine appropriate to the patient’s condition and minimizes the risk of undue harm from it. ‘
What are the 4 basic rules for medication administration?
The “rights” of medication administration include right patient, right drug, right time, right route, and right dose. These rights are critical for nurses.
What are the 3 checks in medication administration?
WHAT ARE THE THREE CHECKS? Checking the: – Name of the person; – Strength and dosage; and – Frequency against the: Medical order; • MAR; AND • Medication container.
Who can change doses of prescribed medicines?
Your pharmacist can adjust prescriptions
- To improve your tolerance of the medication (avoid side effects)
- To manage interaction between two drugs you are taking.
- To make sure the dosage is right for you based on your clinical parameters (e.g. weight, age, kidney function)
- To prevent serious damage to your health.