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Potentially inappropriate medicines use in older adults

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With the increase of the average life expectancy, and the increase in chronic diseases, consequently also increases the consumption of medicines. Polymedication leads to an increase in drug-related problems, particularly… Click to show full abstract

With the increase of the average life expectancy, and the increase in chronic diseases, consequently also increases the consumption of medicines. Polymedication leads to an increase in drug-related problems, particularly in the elderly. Prescription of medications potentially inappropriate, which can have a harmful impact on the quality of life of the elderly. The aims are identifying and classify potentially inappropriate medication according to the recent criteria of Beers. We conducted an observational study in the nursing home. The sample consisted of 45 seniors of 65 years of age or older, take at least two different mediations at the same time. The data collection was made to a questionnaire with sociodemographic characteristics and clinical profile. The female sex predominates with 32 people (71.1%), with a very high average age (86.02 years ± 7.6). In the 45 respondents it appears that they take a minimum of 4 drugs (2.2%) and a maximum of 16 (4.4%), with an average of 9.7 daily drugs per individual. The most prescribed drugs are for the nervous and the cardiovascular system, and 34 drugs were considered potentially inappropriate medication use in older adults, 23 drugs of which were recommended to be avoided and the rest were recommended to be used with caution and dose reduction. It is necessary more personalised criterion for prescription and dispensation of medication to elderly people. It is necessary to develop habits and practices that create higher prudence when prescribing medication and its rational use.

Keywords: medicines use; use older; medication; older adults; potentially inappropriate; inappropriate medicines

Journal Title: European Journal of Public Health
Year Published: 2021

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