2014, Number 5
Poly-pharmacy in the aged adult: is it its prevention is possible?
González RP, Castillo PV ,Hernández SG, Quintana GE, Gutiérrez GM
Language: Spanish
References: 0
Page: 791-801
PDF size: 164.26 Kb.
ABSTRACT
Introduction: ages adults generally present adverse reactions due to poly-pharmacy used for the association of several diseases existing at their age, alterations in the pharmacokinetics and pharmaco-dynamics of medicaments.Objective: to evaluate the state of poly-pharmacy, pharmaco-surveillance and geriatric posology to prevent the medication improper consumption.
Method: a prospective observational study was carried out of the state of pharmaco-surveillance in the aged adult admitted into the Pinar del Rio Dr. León Cuervo Rubio Clinical Surgical Provincial Teaching Hospital, in the period from January to July 2013.
Results: it has been determined that pharmaco-surveillance is not applied by the nursing staff in the 12.6%, while the 50% has learning needs, it was not possible to determine the onset of symptoms, and seriousness prevailed among antibiotics. The most reported adverse effects were in the patient over 65 years of age. The quality of the medical prescription, medication adherence and posology were reviewed, concluding that there were justified prescription and geriatric dosing in the majority of the patients.
Conclusions: it was detected a poor perception of adverse reactions to medications and a low record of notification reinforcing the need for establishing a continual program of pharmaco-surveillance and the generalization of strategies guaranteeing the security and rationality of the aged adults.