Polypharmacy Essay

1041 Words3 Pages
bulb-icon

Recommended: Polypharmacy among the elderly

The geriatric population is rapidly growing as individuals continue to benefit from medical advances and pharmaceutical treatments. A large number of this population will need to take some form of medication to maintain a functional lifestyle. Multiple medications can affect the elderly population differently than younger generations. This paper will discuss how polypharmacy impacts geriatrics and the will focus specifically on analgesics and antihistamines. It will also examine demographic factors, changes within the aging body, prescription and nonprescriptive medications, and the role of the nurse practitioner when caring for these patients. Polypharmacy and the Geriatric Population According to the World Health Organization (WHO), the aging population will continue to grow due to the falling fertility rates and the increases in life expectancy. However, this population has distinctive, demographic factors that may influence their adherence to medication necessities. Dynamics that affect medication regimen in the elderly can be related to “memory and cognition (forgetting to take medication), dexterity (unable to open medication or break pills in half), low literacy, concern about side effects …show more content…

“Reduced lean muscle mass by about 20 percent and decreased total body water by 10 to 15 percent, implicate changes in the absorption of many drugs”(Woo & Wynne, 2011, p. 1424).This can result in higher serum concentrations of medications at normal dosages. Body fat stores increases and lipid-soluble drugs have a “higher tendency to accumulate in adipose tissue, resulting in lower serum concentrations and prolonged duration of action due to an increased half-life”(Woo & Wynne, 2011, p. 1424). Decrease albumin levels can lead to higher levels of unbound medication available for metabolism and tissue perfusion, allowing freer circulating

Show More
Related

  • Analytic Cover Essay On Vulnerable Populations

    1111 Words  | 3 Pages

    ...teract. Many of the medications are very powerful in and of themselves. This article also presents additional approaches to medicating the elderly, including focus on reduction of number of medications prescribed. Both articles present the importance of considering the normal physiological changes within geriatric patients.

    Read More

  • Antidepressant Synthesis Essay

    651 Words  | 2 Pages

    Treating depressive and bipolar disorders with antidepressants remains a popular option in clinical practice. Most clinicians choose the drug or class of drugs, usually selective serotonin reuptake inhibitors, SSRI's, that is most effective and best tolerated with fewer severe side effects. These drugs are beneficial because they specifically target serotonin-based areas of the brain without affecting other neurotransmitter systems. SSRI's largely replaced tricyclic antidepressants which work by blocking the absorption (reuptake) of the neurotransmitters serotonin and norepinephrine, thereby increasing the levels of these two neurotransmitters in the brain. Tricyclic antidepressants present severe side effects and thus are usually only used when other treatments have failed. If SSRI's or tricyclics are not effective Monoamine oxidase inhibitors may be prescribed. MAOI's, enhance tyramine to increase norepinephrine and serotonin. While taking MAOI's you must abstain from foods and alcohol that contain tyramine such as, yogurt, aged cheese, and substances such as cold medications. This is because a potential toxic reaction could occur. Additionally, other antidepressants may be utilized such as Wellbutrin (bupropion) an NDRI-

    Read More

  • Polypharmacy Among the Elderly

    1310 Words  | 3 Pages

    Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Patients who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. There is a great need for nursing interventions in conducting a patient medication review also known as “brown bag”. As nurses obtain history data from patients at a provider visit, the nurse should ask “what medications are you taking?” and the answer needs to include over-the-counter medications as well. If the response does not include any medications other than prescribed meds, it is incumbent upon the nursing professionals to question the patient further to ensure that no over-the-counter medications or supplements are being consumed. This is also an opportunity for the nurse to question about any adverse reactions the patient may be experiencing resulting from medications. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients continuing to take medications that have been discontinued by the physician. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.

    Read More

  • Argumentative Essay On Antidepressants

    1844 Words  | 4 Pages

    Waking up in the morning seems to be a task that daunts us all at some point in our lives. Fighting the grogginess that continues to descend upon someone’s waking mind. What if instead of eventually going away, that feeling stayed was there every single waking minute? People who have depression often feel this way, except instead of fighting grogginess they are fighting themselves. According to Merriam Webster antidepressants are defined as “used or tending to relieve or prevent depression” (“Definition of Antidepressants” 2018). Antidepressants are one of the most common remedies for depression. If they work effectively or not is another question. Some argue that people should be allowed to take antidepressants because they boost concentration,

    Read More

  • Polypharmacy Among the Elderly

    1517 Words  | 4 Pages

    Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Elderly who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. Elderly who take over-the-counter medications, herbs, and supplements without consulting their physician are at risk for adverse reactions associated with polypharmacy. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients who continue to take medications which have been discontinued by the physician. There is a great need for nursing interventions regarding polypharmacy, including medication reviews also known as “brown bag”. As nurses obtain history data and conduct a patient assessment, it is essential to review the patients’ medications and ask open-ended questions regarding all types of medications in which the patient is taking. In addition, the patient assessment is also an opportunity for the nurse to inquire about any adverse reactions the patient may be experiencing resulting from medications. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.

    Read More

  • Prescription Drug Abuse Among Teens

    1626 Words  | 4 Pages

    Almost everybody on Long Island, and probably all around the world, has been prescribed a drug by a doctor before— whether it was to knock out a nasty virus, or relieve pain post injury or surgery. However, what many people don’t realize is that these drugs can have highly addictive qualities, and more and more people are becoming hooked, specifically teenagers. But when does harmlessly taking a prescription drug to alleviate pain take the turn into the downward spiral of abuse? The answer to that question would be when the user begins taking the drug for the “high” or good feelings brought along with it—certainly not what it was prescribed for (1). The amount of teens that abuse prescription medications has been rapidly increasing in recent

    Read More

  • Substance Abuse and the Elderly

    2005 Words  | 5 Pages

    Drug use appears to negatively affect the health of the elderly at a higher rate than other populations (Benshoff & Koch, 2003). This may be a result of old age. So, it can be understood there is a biological effect of substance abuse among the elderly. The elderly are more susceptible to being admitted into the hospital for adverse effects of substances, while other populations of society are not. Benshoff and Koch asserts, “Intentional abuse of prescription medications to get high is thought to be rare, but over-use does occur among this population. Often this over...

    Read More

  • Essay On Ageism

    1251 Words  | 3 Pages

    There are profound effects of ageism that can be harmful to a patient’s overall health. Ageism can cause physicians to consistently treat older patients unequally compared to younger adults. Unequal treatment can be divided into the under-treatment of symptoms and the over-treatment of symptoms. The imbalance in how a physician would treat a geriatric patient is ageist because the older adult is not getting fair treatment in every case. Under-treatment and over-treatment are different; however, they are both equally as harmful to a patients health.

    Read More

  • Omeprazole Essay

    1376 Words  | 3 Pages

    Acid is produced naturally in your stomach to help you digest food and to kill bacteria. This acid irritates the stomach lining so our body produces a natural mucus barrier which protects it. Sometimes this barrier may be damaged thus allowing the acid to damage the stomach causing inflammation, ulcers and other conditions. Other times, there may be a problem with the muscular band at the top of the stomach that keeps the stomach tightly closed and this allows the acid to escape and irritate the oesophagus. This is called 'acid reflux' and can cause heartburn and/or oesophagitis. Proton pump inhibitors such as omeprazole stop cells in the lining of the stomach from producing too much acid. This can help prevent ulcers from forming or assist the healing process. By decreasing the amount of acid, they can also help to reduce acid reflux related symptoms such as heartburn.

    Read More

  • Pharmacy Technicians: A Specialized Discourse Community

    1296 Words  | 3 Pages

    When doctors prescribe medication for their patients, a local retail pharmacy is most likely to be utilized to fill the order. However, there is a growing population of older Americans that are no longer able to live independently and must reside in nursing homes or assisted living facilities. In order for this vulnerable population to receive their medications, a different kind of pharmacy is needed, these are known as LTC, long term care pharmacies. Within these specialized pharmacies there are highly trained employees called CPhTs, certified pharmacy technicians who are overseen by state licensed RPHs, otherwise known as pharmacists.

    Read More

  • Essay On Prescription Drug Industry

    877 Words  | 2 Pages

    The rise in cost of prescription drugs affects all sectors of the health care industry, including private insurers, public programs, and patients. Spending on prescription drugs continues to be an important health care concern, particularly in light of rising pharmaceutical costs and the aging population. Prescription drugs have grown to become an essential component of health care. For millions of Americans, prescription drugs are necessary to their health and ability to function in society. While prescriptions are a relatively small portion of overall health spending, they are a main reason for certain health spending trends, growing almost twice as fast all other health services in recent years. Prescription costs can be the costliest expense in your budget, especially if you are on a fixed income. The wealthy can easily afford their medications, but for an increasing population such as the elderly, choosing among purchasing medication, paying bills, or buying food is a real concern.

    Read More

  • Essays On Prescription Medication

    1023 Words  | 3 Pages

    Prescription drug abuse has become a major epidemic across the globe, shattering and affecting many lives of young teenagers. Many people think that prescription drugs are safer and less addictive than “street drugs.” After all, these are drugs that moms, dads, and even kids brothers and sisters use. The dangers are not easily seen, but the future of our youth will soon be in severe danger if the problem is not addressed,it will continue to get worse if action is not taken soon. Prescription drugs are only supposed to be consumed by patients who have been examined and have a medical report by a professional, more and more teens are turning to the family’s medicine cabinet to “get high” but what they are actually doing is severely harming themselves, kids today are turning away from the street drugs and abusing the “prescribed” drugs that are that are at their very own home.

    Read More

  • Essay On Prescription Narcotics

    497 Words  | 1 Pages

    Prescription drugs do not always cause addiction, but a specific group of prescription narcotics can increase dependency on the medication and cause a severe addiction. For many people that become addicted to prescribed medicines, it changes their life forever. Prescription drugs are equally as dangerous as street drugs, if not more so. High powered pain relievers are safe if taken properly, but some people pop multiples a day which can cause coma and even death.

    Read More

  • Hypertension: Effects and Prevention

    2488 Words  | 5 Pages

    Life expectancy has grown over the last 100 years. This leads to a variety of health issues and problems that affect these elder generations quality of life. According to the United States CDC, one in three American adults suffers from hypertension. With so many Americans having high blood pressure it is no surprise that hypertension is one of the most dangerous conditions, leading to death, in the elderly. Doctors often skip directly to subscription, medications to help control elevated blood pressures, but other problems can arise from these medications, like dementia. The earlier the hypertension is diagnosed, the faster doctors can help create a treatment plan individually tailored to help the sufferer.

    Read More

  • Prescription Drug Abuse In Schools Essay

    941 Words  | 2 Pages

    becoming a major problem, and risk factor in schools, and is being abused all over the United States.

    Read More

More about Polypharmacy Essay

Open Document