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Medication Management in Older Adults: A Concise Guide for Clinicians / Edition 1

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Overview

Medication use is the predominant form of health intervention in our society. And as we age, the likelihood of medication use increases dramatically, with more than 80 percent of those over age 65 using one or more medications. Along with that, the potential for medication errors also increases. Indeed adverse drug reactions (ADRs) and adverse drug events (ADEs) are a significant problem in older adults. Written in a practical format by contributors from Australia and the United States, Medication Management in Older Adults: A Concise Guide for Clinicians presents the available evidence on research interventions designed to reduce the incidence of medication errors in older adults, with a focus on acute, subacute, and residential (long-term) care settings. Because medication errors can occur at all stages in the medication process, from prescription by physicians to delivery of medication to the patient by nurses, and in any site in the health system, it is essential that interventions be targeted at all aspects of medication delivery. Chapters cover the principles of medical ethics in relation to medication management; common medication errors in the acute care sector; medication management in long-term care settings; nutrition and medications; the outcomes of a systematic review; dose form alterations; Electronic Health Records (EHR), Computerized Order Entry (COE), Beers criteria; and pharmacokinetics and pharmacodynamics. For those clinicians especially concerned with providing the best possible outcomes for their older adult patients, Medication Management in Older Adults: A Concise Guide for Clinicians is an invaluable resource and a significant contribution to the burgeoning literature on medication errors.

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Editorial Reviews

Doody's Review Service
Reviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This is a multiauthored guide, mostly by Australian authors, to medications for older adults.
Purpose: Its purpose is to review the wide variety of settings and contexts in which medications are given to and taken by older persons. This is a worthy objective and the book comes at issues of medication in older persons from a number of perspectives.
Audience: The audience here is broad — pharmacists, nurses, prescribers, and policy makers. The authors bring a wide range of knowledge to bear on the subject.
Features: In 12 chapters over 127 pages, the book concisely discusses the use of medications from a variety of perspectives. These include social policies, ethics, electronic medical records and electronic prescriptions, medication errors, and the impact of medications on nutrition.
Assessment: There is an interesting pyramid-shaped representation of the interfaces of the pharmaceutical manufacturers, prescribers, consumers, and regulators. There are a number of tables describing errors in giving medications to older persons and what to do about them. There is a useful diagram of adverse drug actions in older persons. This book discusses these things philosophically, making them applicable to a wide variety of settings.
From The Critics
Reviewer: David O. Staats, MD(University of Oklahoma Health Sciences Center)
Description: This is a multiauthored guide, mostly by Australian authors, to medications for older adults.
Purpose: Its purpose is to review the wide variety of settings and contexts in which medications are given to and taken by older persons. This is a worthy objective and the book comes at issues of medication in older persons from a number of perspectives.
Audience: The audience here is broad — pharmacists, nurses, prescribers, and policy makers. The authors bring a wide range of knowledge to bear on the subject.
Features: In 12 chapters over 127 pages, the book concisely discusses the use of medications from a variety of perspectives. These include social policies, ethics, electronic medical records and electronic prescriptions, medication errors, and the impact of medications on nutrition.
Assessment: There is an interesting pyramid-shaped representation of the interfaces of the pharmaceutical manufacturers, prescribers, consumers, and regulators. There are a number of tables describing errors in giving medications to older persons and what to do about them. There is a useful diagram of adverse drug actions in older persons. This book discusses these things philosophically, making them applicable to a wide variety of settings.
Read More Show Less

Product Details

  • ISBN-13: 9781603274562
  • Publisher: Springer New York
  • Publication date: 9/8/2010
  • Edition description: 2010
  • Edition number: 1
  • Pages: 188
  • Product dimensions: 0.33 (w) x 6.14 (h) x 9.21 (d)

Table of Contents

Is There a Problem? The Evidence of Types and Causes of Medication Errors by Healthcare Workers Michael Murray 1

Quality Use of Medicines: Policy and Practice Susan Hunt 11

The Ethics of Prescribing Medications to Older People David G. Le Couteur Hal Kendig Vasi Naganathan Andrew J. McLachlan 29

Common Medication Errors in the Acute Care Sector Susan Koch Helen Forbes Pauline Wong 43

Common Medication Errors in Long-Term Care Settings Catherine Edgar Penny Harvey 53

The Impact of Medication on Nutritional Status of Older People Yvonne Coleman 69

Medication Management in Older Adults: What a Systematic Review Tells Us Brent Hodgkinson 79

Misuse of Formulations in the Aged Care Setting Andrew J. McLachlan Iqbal Ramzan 95

Electronic Health Records, Medications, and Long-Term Care F. Michael Gloth 105

Computerized Order Entry F. Michael Gloth 111

Inappropriate Prescribing: Beers Criteria, Polypharmacy, and Drug Burden F. Michael Gloth 119

Dosing Errors: Age-Related Changes in Pharmacokinetics Andrew J. McLachlan Sarah N. Hilmer David G. Le Couteur 127

Index 137

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