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Drug Therapy for the Elderly

Author : Martin Wehling
Publisher : Springer Science & Business Media
Page : 356 pages
File Size : 17,11 MB
Release : 2012-08-17
Category : Medical
ISBN : 3709109124

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With people aged 65 years and older currently making up the fastest growing age group throughout the world, the demographic revolution of an aging society will inevitably lead to increased pressure to develop a rationalistic and age-tailored process of diagnosis and treatment among the elderly. As aging people often suffer from several chronic diseases and are being treated with multiple medications concurrently, unwanted drug interactions occur more frequently. Whereas recent approaches have recommended to remove particular drugs from the medication regimen to avoid adverse effects, Drug Therapy for the Elderly underlines both indispensable and dispensable elements of drug treatment in order to provide an overall assessment of drugs suitable for the aged. In view of the multimorbidity and polypharmacy situations experienced by elderly patients, this book takes into account the special needs and requirements shown by this group, thus serving as a timely reference for physicians who treat the elderly.

Handbook of Geriatric Drug Therapy

Author : Springhouse Publishing
Publisher : Springhouse Publishing Company
Page : 1000 pages
File Size : 30,13 MB
Release : 2000-01-01
Category : Medical
ISBN : 9780874349986

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This one-of-a-kind guide covers how to safely prescribe and administer drugs to the elderly. Readers find guidelines for nearly 800 drugs, proven strategies for improving patient compliance, and drug updates on the Internet. Contents include effects of aging on drug therapy; drug entries alphabetized by generic name; components of analgesic combination products; creatinine clearance calculations; HCFA guidelines for using antipsychotics, anxiolytics, sedatives, and other drugs in long-term care facilities; adverse reactions misinterpreted as age-related changes; age-related changes in laboratory values; and a photoguide to tablets and capsules.

Geriatric Drug Therapy Interventions

Author : James W Cooper
Publisher : CRC Press
Page : 96 pages
File Size : 47,21 MB
Release : 1998-02-02
Category : Medical
ISBN : 9780789003942

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Medication costs and common drug-related problems, such as misapplication of therapy, medication misuse, and adverse effects, can often be avoided or reduced. Geriatric Drug Therapy Interventions will help you get better outcomes with your patients as it points out pitfalls to avoid and provides you with logical principles for administering drug therapy. Offering guidelines, advice, and gentle reminders, this book shows you the importance of properly documenting patient problems and of considering the entire medical history of your patients. It also helps you perform fall and psychoactive drug risk assessments and address under-recognized and undertreated problems such as malnutrition, depression, sensory deficits, anemia, osteoporosis, and pressure ulcers. As Geriatric Drug Therapy Interventions clarifies, increased consultant pharmacist involvement in comprehensive pharmaceutical services results in the reduction of drug-related problems and medication-associated costs with long-term care patients. Using this book's helpful and substantive interventions, you can improve clinical, economic, and humanistic outcomes in your practice. For this purpose, Geriatric Drug Therapy Interventions discusses: a study designed to teach pharmacy students to identify, document, solve, and prevent medication-related problems providing patient-focused care and assuming responsibility for patient outcomes reimbursing pharmacists for performing cognitive service and cost-savings activities how the prevalence of drug-related problems that influence the need for hospital and nursing home admissions increases with age reasons for patient noncompliance NSAID-associated gastritis, gastrointestinal bleeding, drug-induced delirium, incontinence, and constipation why the advent of managed care does not bode well for the overall health outcomes of the elderly Pharmacists, physicians, and other health care providers can't control all aspects of drug use, but there are many practical steps you can take to help your patients use their prescriptions appropriately. Geriatric Drug Therapy Interventions will help you monitor the efficacy of drug therapy, guide patients who are exasperated with being poked, prodded, and barraged with medications, and work together to develop therapy patterns and schedules that are effective and comfortable.

Aging and Drug Therapy

Author : G. Barbagallo-Sangiorgi
Publisher : Springer Science & Business Media
Page : 517 pages
File Size : 38,42 MB
Release : 2012-12-06
Category : Science
ISBN : 1461327911

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One of the greatest advances in Geriatric Medicine during the last quarter of a century has been the increased realization of the possibilities of treatment for elderly patients. Neglect has been replaced by a more optimistic therapeutic endeavour and countless old people have benefitted from this approach. But there is also a drawback, and this is the risk of hazardous side effects of medication which are often directly proportional to the biological potency of the drug and may be unpredictably increased due to changes in the senile organism. In fact the anatomical and biological changes in old age alter both the kinetics of most drugs and the receptor response. On account of these changes the individual tolerance of aged patients to drug therapy may be quite different from that of younger subjects. Thus for a variety of reasons elderly patients receive more drugs, but they are at a higher risk of encountering adverse reactions, which often show atypical clinical features. We can therefore speak of "geriatric iatrogenic disorders" and point out that some of these side effects are determined by a complex pathogenesis due to the particular pathophysiological condition in the elderly. It is important to encourage the habit of individ ually evaluating potential risk versus expected advantages of drugs in keeping with the same principles adopted in the evaluation of cost/benefit ratio.

Oxford American Handbook of Geriatric Medicine

Author : Samuel Durso
Publisher : Oxford University Press
Page : 841 pages
File Size : 24,83 MB
Release : 2010-05-04
Category : Medical
ISBN : 0199706514

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Written by leading American practitioners, the Oxford American Handbooks of Medicine each offer a pocket-sized overview of an entire specialty, featuring instant access to guidance on the conditions that are most likely to be encountered. Precise and prescriptive, the handbooks offer up-to-date advice on examination, investigations, common procedures, and in-patient care. These books will be invaluable resources for residents and students, as well as a useful reference for practitioners. The Oxford American Handbook of Geriatric Medicine is the essential ready-reference to effective geriatric practice. Written in a concise, accessible style, the Handbook covers the entire range of diseases and disorders commonly encountered in the care of older adults and offers easily accessible 'how to' information to facilitate basic geriatric care decisions. Guidance is offered concerning both ethical and clinical decision-making along with evidence-based information on key topics as well as insight into balancing competing priorities in the older patient. Tables and algorithms provide step-wise instruction for evaluation and management. This is a must have resource for all clinical settings. Why choose the Oxford American Handbook of Geriatric Medicine? The design.... The Handbook uses a unique flexicover design that's durable and practical. Compact, light, and fits in your pocket! Also has quick reference tabs, four-color presentation, and bookmark ribbons to help provide fast answers. The interior layout.... The Handbook is a quick reference in a small, innovative package. With one to two topics per page, it provides easy access and the emergency sections are in red to stand out. Icons throughout aid quick reference. The information.... The Handbook succinctly covers all the essential topics in a one or two-page spread format with colored headings that break up the text and provide a logical structure for readers of all levels. Common clinical questions are answered clearly and extensively. The history.... Oxford University Press is known around the world for excellence, tradition, and innovation. These handbooks are among the best selling in the world. The price.... You get an extremely useful tool at a great value!

Clinical Manual of Geriatric Psychopharmacology

Author : Sandra A. Jacobson
Publisher : American Psychiatric Pub
Page : 546 pages
File Size : 42,31 MB
Release : 2014-02-12
Category : Medical
ISBN : 1585625337

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In the 7 years since the first edition of Clinical Manual of Geriatric Psychopharmacology was published, dozens of new drugs have been released, and older medications have been marketed in different formulations. In addition, research on pharmacokinetics, pharmacodynamics and mechanism of action, potential interactions, and other critical topics has proceeded apace, rendering much of the information in existing guides obsolete. This new volume is both comprehensive and completely up to date, offering information unavailable elsewhere. New drugs covered include asenapine, paliperidone, iloperidone, lurasidone, desvenlafaxine, vilazodone, long-acting trazodone, milnacipran, armodafinil, extended-release valproate, rotigotine transdermal, tetrabenazine, dextromethorphan, long-acting gabapentin, and transdermal buprenorphine. Each chapter has a standardized format, with topics including pharmacokinetics, pharmacodynamics and mechanism of action, drug interactions, clinical use (which addresses choice of drug, alternative formulations/routes, pre-treatment evaluation, dose and dose titration, PRN use, monitoring treatment, drug levels, managing treatment resistance, switching drugs, duration of treatment, discontinuation, and overdose), adverse effects, and treatment of selected syndromes and disorders. Dozens of tables, boxes, and figures organize and present complex material, such as practice guidelines, in a straightforward manner that is easy to understand and apply, and the concise, bulleted text facilitates reading and comprehension in the clinical setting. "Specific Drug Summaries" -- one-page summaries of prescribing information for individual drugs -- provide fast access to critical information in a simple format. Designed for residents, fellows, and all clinicians in psychiatry and medicine who diagnose and treat psychiatric and neuropsychiatric conditions affecting geriatric patients, this clinical reference can be used across all treatment settings (inpatient, outpatient, day hospital, consultation, and nursing home). Meticulously referenced and grounded in the latest research, Clinical Manual of Geriatric Psychopharmacology, Second Edition, is the definitive guide to psychotropic use in elderly patients. Clinicians can rely confidently on its up-to-date coverage and authoritative counsel.

Fundamentals of Geriatric Pharmacotherapy

Author : Lisa C. Hutchison
Publisher : ASHP
Page : 718 pages
File Size : 25,14 MB
Release : 2015-03-01
Category : Medical
ISBN : 158528436X

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As the number of older patients surge, so too will the medication management challenges pharmacists and other healthcare providers face with this population. Providing care for these often complex cases means not only staying on top of new medications and therapies, but dealing with a wide range of other issues as well. Now in its second edition, Fundamentals of Geriatric Pharmacotherapy, by Lisa C. Hutchison and Rebecca B. Sleeper, offers the full support you need to provide the most effective medication management and therapeutic decisions. This text is unique, not only as a comprehensive overview of major issues in geriatric pharmacotherapy and a core textbook for students, but as a resource for all healthcare professionals who treat elderly patients. Covering all major topics and issues, the second edition provides the most current information and proven strategies in one comprehensive guide, including associated issues that impact therapy, such as the coordination of care across multiple venues and caregivers. Inside this edition, you will find: Summarized treatment guidelines Evidence-based reviews Recommendations for the frail elderly Case studies and clinical pearls Key points, terms, and definitions Self-assessment questions Extensively referenced New chapters on Palliative and Hospice Care and Infections and Antimicrobial Stewardship The demands of an aging population mean that a greater understanding of geriatric pharmacotherapy is now essential for all healthcare providers. Written by practicing geriatric specialists, Fundamentals of Geriatric Pharmacotherapy provides all the detailed information and practical guidance you need.

Oxford Handbook of Practical Drug Therapy

Author : Duncan Richards
Publisher : OUP Oxford
Page : 818 pages
File Size : 19,68 MB
Release : 2011-11-10
Category : Medical
ISBN : 0191043672

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Safe and effective prescribing is a cornerstone of proper patient care. There has in recent years been a significant increase in the numbers of healthcare professionals able to prescribe; however, sources of drug information tend to focus on only one area of prescribing. The Oxford Handbook of Practical Drug Therapy links practical information about how to use medicines with concise details about the pharmacology of a drug, and the principles of clinical pharmacology that govern its action. The overall structure of this handbook is similar to the UK national formulary, with topics on each drug arranged broadly by therapeutic category. When a drug has several different uses, these are brought together in a single topic, allowing the reader to appreciate its full range of actions, whether therapeutic or adverse. Each drugs topic provides information in a clearly laid out and standardised form, and includes a graphical representation of the pharmacological actions of the drug, and its potential uses, practical advice on a drug's major indications, a list of common and serious adverse effects, major drug-drug interactions, practical advice on monitoring for therapeutic and adverse effects, and what to tell the patient. Teaching points throughout the text draw out pharmacological principles, so that readers can increase their basic knowledge by linking theory with practical examples. Also included are several boxes giving guidance on the approach to therapy of specific diseases an clinical problems. In some cases, algorithms for the treatment of medical emergencies are given, and this new edition features case histories throughout the text to illustrate the issues one may face in practical prescribing. The Oxford Handbook of Practical Drug Therapy brings together for the first time in a single book really practical information on safe prescribing, with the background knowledge that underpins clinical pharmacology. Fully revised with new guidance and important safety information, this book is aimed primarily at medical students and trainees, it will also be invaluable to family doctors, clinical pharmacists, and nurse prescribers.